标准骨盆前后位对髋关节撞击综合征的诊断价值

发布时间：2018-07-09 23:36

本文选题：髋关节 + 骨盆　；参考：《实用医学影像杂志》2016年06期

【摘要】：目的探讨标准骨盆前后位对髋关节撞击综合征的诊断价值。方法选取18例临床诊断髋关节撞击综合征(FAI)患者(36个髋关节)行标准骨盆前后位摄片,所有患者均有不同程度腹股沟区或臀部间断性疼痛史,活动后或长时间行走后症状加重,尤以髋关节屈曲内旋时明显,分析其数字化X线摄影(DR)表现。结果股骨头颈连接处骨性突起5个;股骨颈疝凹3个;4个髋臼广泛过度覆盖;8个髋臼部分过度覆盖,其中4个髋臼后倾,3个后壁过度覆盖,1个髋臼后壁缺陷;2个髋臼关节面下囊变。4个髋臼边缘骨质增生硬化。结论骨盆标准前后位能够显示股骨头颈连接处及髋臼的解剖异常,对FAI的诊断及分型有重要价值。
[Abstract]:Objective to evaluate the diagnostic value of standard pelvic position in hip impact syndrome. Methods 18 patients (36 hips) with clinically diagnosed hip impact syndrome (FAI) underwent standard pelvic anteroposterior radiography. All patients had history of intermittent pain in the inguinal area or buttocks, and the symptoms were aggravated after exercise or prolonged walking. The digital X-ray radiography (Dr) was analyzed especially during flexion and internal rotation of hip joint. Results there were 5 bony processes at the femoral head and neck junction, 3 femoral neck hernia foveas, 4 acetabular overcoverage, 8 acetabular partial overcoverage, Among them, 4 acetabular retroversion, 3 posterior wall overcoverage, 1 acetabular posterior wall defect, 2 acetabular subarticular cysts, 4 acetabular edge osteogenesis and sclerosis. Conclusion the anterior and posterior position of pelvic standard can show the anatomic abnormality of femoral head and neck junction and acetabular, which is of great value in the diagnosis and classification of FAI.
【作者单位】：四川省南充市中心医院影像科;
【分类号】：R684;R816.8

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