最后审阅: 25 六月 2021
最后更新: 30 三月 2021

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

需考虑的检查

  • 生化检查
  • 血清甲状腺功能检测
  • 血清生长激素

治疗流程

撰稿人

作者

Randall T. Loder, MD

George J. Garceau Professor of Pediatric Orthopaedic Surgery

Indiana University School of Medicine

Indianapolis

IN

利益声明

RTL is on the editorial board of JPO and JCO. He has provided expert testimony regarding slipped capital femoral epiphysis and received book royalties. RTL is an author of a number of references cited in this topic.

鸣谢

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

James McCarthy, MD, FAAOS, FAAP

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.

D. Philip Thomas, MB, BS, FRCS

Consultant Orthopaedic Surgeon and Honorary Lecturer

University Hospital of Wales

Cardiff

UK

利益声明

DPT 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.

内容使用需遵循免责声明