Arthrography in Congenital Dislocation of the Hip

先天性髖關節脫位症的關節造影術

王迺輝(Nai-Hwei Wang) ； 施天岳(Tien-Yeuh Shih) ； 楊大中(Dah-Jung Yang)

《Journal of Orthopaedic Surgery Taiwan》 1卷2期 (1984/06) Pp. 54-59

摘要

年齡較大的先天性髖關節脫位症，往往關節內會產生繼發性的變化，如髖臼緣內翻、圓靭帶肥厚過長、髖臼橫靭帶攣縮、砂漏構型等等，這些變化在普通的X光攝影是無法確認的，唯有髖關節造影術可以讓我們對髖關節內的變化完全了解，進而選擇最適當的治療方法。若無法確以上關節內變化的可能性，而一昧地給予例行性的閉鎖復位石膏固定，往往產生再脫位，髖臼發育障礙或產生慢性髖關節不穩。所以選擇性的髖關節造影術對於先天性髖關節脫位症的治療有其必要性。榮民總醫院骨科部自民國七十二年七月份共做六例髖關節造影術，僅提出兩典型病例報告以供參考。

並列摘要

Hip arthrography is a dynamic investigation in which the surgeon can visualize intraarticular changes in congenital dislocation of the hip, such as the inverted limbus and the hourglass configuration, especially in the older child. It is very helpful in selecting the appropriate treatment. Failure to recognize the secondary changes may make reduction difficult, delay acetabular development or cause chronic instability. It is an invaluable procedure in establishing the diagnosis of primary subluxation in the first year of life and in critically verifying the concentricity of closed reduction or the optimum position of stability. Limited experience in Veterans general Hospital are presented and discussed.

並列關鍵字

hip arthrography ； congenital dislocation of the hip ； concentric reduction