最近审阅: 23 十月 2020
最近更新: 27 四月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 体重(>第 90 百分位数)
  • 行走时患腿外旋

其他诊断因素

  • 腹股沟或膝部疼痛
  • 双侧髋部疼痛
  • 特伦德伦堡步态
  • 关节活动度受限
  • 体重(< 第 50 百分位数)
  • 甲状腺功能减退症或全垂体功能减退症症状
  • 肾功能衰竭
  • 近期外伤

危险因素

  • 青春期
  • 肥胖
  • 男性
  • 内分泌系统疾病
  • 血统
  • 地理区域
  • 既往接受过放射治疗

诊断性检查

首要检查

  • 双侧前后位 X 线平片检查
  • 蛙式侧位 X 线平片检查
更多 首要检查

需考虑的检查

  • 生化检查
  • 血清 TFT
  • 血清生长激素
更多 需考虑的检查

治疗流程

撰稿人

George J. Garceau Professor of Pediatric Orthopaedic Surgery

Indiana University School of Medicine

Indianapolis

IN

利益声明

RTL declares that he has no competing interests.

Dr Randall T. Loder would like to gratefully acknowledge Dr John M. Flynn, Dr Purushottam A. Gholve, Dr Danielle B. Cameron, and Dr Patrick O'Toole, previous contributors to this topic. JMF, PAG, DBC, and PO declare that they have no competing interests.

同行评议者展开全部内容

Associate Professor

Department of Orthopedics and Rehabilitation

University of Wisconsin School of Medicine and Public Health

Madison

WI

利益声明

JM declares that he has no competing interests.

Consultant Orthopaedic Surgeon and Honorary Lecturer

University Hospital of Wales

Cardiff

UK

利益声明

DPT declares that he has no competing interests.

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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