最近审阅: 4 十一月 2020
最近更新: 20 二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 足掌的外侧缘凸起
  • 髋关节活动范围不对称

其他诊断因素

  • 足行进角度偏离大于该年龄均值的2 倍标准差
  • 髋内旋偏离大于该年龄均值2 倍标准差
  • 髋外旋偏离大于该年龄均值2 倍标准差
  • 腿足轴偏离大于该年龄均值2 倍标准差
  • 经踝的轴偏离大于该年龄均值2 倍标准差
  • 足跟平分线
  • W 形坐姿
  • 髌骨面向内侧(偏向或斗鸡眼髌骨)
  • 膝外摆

危险因素

  • 神经肌肉类疾病
  • 转动问题家族史
  • 女性
  • 子宫内位置异常
  • 身材矮小或身体与肢体比比例异常
  • 韧带松弛

诊断性检查

首要检查

  • 前后位骨盆 X 线
  • 膝部和髋关节水平侧位 X 线
  • 足 部X 线
更多 首要检查

需考虑的检查

  • 三维成像
  • CT评估旋转曲线
更多 需考虑的检查

治疗流程

撰稿人

Sanjeev Sabharwal

Professor of Clinical Orthopaedics

University of California, San Francisco

Director & Chief, Orthopaedic Surgery

UCSF Benioff Children's Hospital Oakland

Oakland

CA

利益声明

SS declares that he has no competing interests.

Dr Sanjeev Sabharwal would like to gratefully acknowledge Dr Tamir Bloom, the previous contributor to this topic. TB declares that he has no competing interests.

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Assistant Professor

Department of Orthopedic Surgery

Seoul National University Bundang Hospital

Seoul National University College of Medicine

Seongnam

South Korea

利益声明

MSP is an author of a reference cited in this topic.

Assistant Professor of Orthopaedics

Department of Orthopaedic Surgery

Loma Linda University

Loma Linda

CA

利益声明

SK declares that he has no competing interests.

Professor

Department of Rehabilitation Medicine

Asan Medical Center

University of Ulsan College of Medicine

Seoul

South Korea

利益声明

Not disclosed.

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