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发育性髋关节发育不良

最后审阅: 23 Jun 2024
最后更新: 20 Jul 2023

小结

定义

病史和体格检查

关键诊断因素

  • 阳性Ortolani 实验
  • Barlow 试验
  • 髋关节外展受限
完整详情

其他诊断因素

  • 腿部体位异常或爬行/行走延迟
  • 脚尖行走(尤其是单侧)
完整详情

危险因素

  • 女性
  • 阳性家族史
  • 臀先露
  • 姿势畸形
  • 宫内空间受限
  • 不正确的下肢包裹
完整详情

诊断性检查

首要检查

  • 髋关节超声
  • 髋关节 X 线
完整详情

治疗流程

持续性治疗

未满 6 月龄

6~18 个月龄

18 个月以上至 6 岁

6 岁以上

撰稿人

作者

Ishaan Swarup, MD, FAAOS, FAAP

Assistant Professor of Clinical Orthopaedic Surgery

UCSF Benioff Children’s Hospitals

University of California

San Francisco

CA

利益声明

IS states he has received consulting fees from OrthoPediatrics. He is also the author of a paper cited in this topic.

鸣谢

Dr Ishaan Swarup would like to gratefully acknowledge Dr Scott Shipman and Dr Kathleen Moen, previous contributors to this topic.

同行评议者

Alex Gornitzky, MD

Assistant Professor of Pediatric Orthopaedic Surgery

University of Michigan

East Lansing

MI

利益声明

AG declares that he has no competing interests.

Andreas Roposch, MD, MSc, FRCS

Consultant Orthopaedic Surgeon

Reader in Clinical Epidemiology and Surgery

UCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust

London

UK

利益声明

AR declares that he has no competing interests.

Nicholas M. Clarke, ChM, FRCS

Professor

Consultant Orthopaedic Surgeon

Developmental Origins of Health and Disease (DOHaD)

School of Medicine

University of Southampton

Southampton

UK

利益声明

NMC has received honoraria for visiting professorships in North America and also for lectures in respect of congenital hip dysplasia. He is also a founding member of the International Hip Dysplasia Institute, which has received charitable funding.

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