本文選題：髖關(guān)節(jié) + 骨盆��； 參考：《實用醫(yī)學(xué)影像雜志》2016年06期

【摘要】：目的探討標準骨盆前后位對髖關(guān)節(jié)撞擊綜合征的診斷價值。方法選取18例臨床診斷髖關(guān)節(jié)撞擊綜合征(FAI)患者(36個髖關(guān)節(jié))行標準骨盆前后位攝片,所有患者均有不同程度腹股溝區(qū)或臀部間斷性疼痛史,活動后或長時間行走后癥狀加重,尤以髖關(guān)節(jié)屈曲內(nèi)旋時明顯,分析其數(shù)字化X線攝影(DR)表現(xiàn)。結(jié)果股骨頭頸連接處骨性突起5個;股骨頸疝凹3個;4個髖臼廣泛過度覆蓋;8個髖臼部分過度覆蓋,其中4個髖臼后傾,3個后壁過度覆蓋,1個髖臼后壁缺陷;2個髖臼關(guān)節(jié)面下囊變。4個髖臼邊緣骨質(zhì)增生硬化。結(jié)論骨盆標準前后位能夠顯示股骨頭頸連接處及髖臼的解剖異常,對FAI的診斷及分型有重要價值。
[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.
【作者單位】： 四川省南充市中心醫(yī)院影像科;
【分類號】：R684;R816.8

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