后天性髋关节脱位(国外英文资料).docVIP

先天性髋关节脱位 The X line of congenital hip dislocation The basic concept of the dislocation of the hip joint: Congenital dislocation of the hip is one of the more common congenital malformation children, see more, after the dislocation is at birth, female than male, approximately 6:1, left more than double the amount on the right side, double side with less. Mainly because of the acetabulum, femoral head, near the joint capsule and ligament and muscle congenital dysplasia or unusual, lead to joint flabby, subluxation or dislocation, in addition, the position of the fetus in the womb is not normal, hip flexion, also easy to cause the disease, genetic factors also more apparent. What are the clinical manifestations of congenital dislocation of the hip? 1. Symptoms of this phase is not obvious, not little children can walk, namely cant say the body is unwell, and the lack of obvious abnormality, difficult to attract the attention of parents, therefore, tend to be ignored. If you look closely at the function of the hip joint, you can see that there is less movement on one side of the lower limb, and the pedal force is smaller than the other side, and the limb is in the form of a crying. 2. Children with symptoms stomach when standing or passive, visible after bilateral thighs closed dermatoglyph asymmetry, side prints in deep, perineum wider, hip limited outreach, when changing nappies or bathing, hip part sometimes audible sound and play. (responsibility editor: fork fork) The X line characteristic of congenital hip dislocation: The base of the acetabulum is widened, the inclination increases, the acetabulum is shorter. Acetabulum Angle greaten: most scholars think acetabulum index of more than 25 is not normal, there are also some scholars believe that acetabulum index more than 30 has Ming dislocation tendency, in recent years for normal newborns acetabulum index found up to 35 ~ 40, and the vast majority of converted to normal after hip, therefore in the diagnosis of bl