发育性髋关节发育不良
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
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）
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
诊断性检查
首要检查
- 髋关节超声
- 髋关节 X 线
治疗流程
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
Kathleen Moen, MD
Pediatric Specialty Care
Swedish Medical Group
Seattle
WA
利益声明
KM declares that she has no competing interests.
鸣谢
Dr Kathleen Moen would like to gratefully acknowledge Dr Scott Shipman, a previous contributor to this topic. SS is an author of a reference cited in this topic.
同行评议者
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.
Blaise Nemeth, MD
Assistant Professor (CHS)
Departments of Orthopedics and Pediatrics
University of Wisconsin School of Medicine and Public Health
Madison
WI
利益声明
BN declares that he has no competing interests.
鉴别诊断
- 髋臼发育不成熟
- 近端股骨局灶性缺陷
- 化脓性关节炎后遗效应
更多 鉴别诊断指南
- 循证临床指南：针对 6 月龄及以下婴儿的小儿髋关节发育不良检测和非手术治疗
- ACR 适宜性标准：髋关节发育不良 – 儿童
更多 指南
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