先天性髋关节脱位（Congenital dislocation of hip）.docVIP

先天性髋关节脱位（Congenital dislocation of hip） X-ray findings of congenital dislocation of the hip First, the basic concept of congenital dislocation of the hip: Congenital dislocation of the hip is one of the most common congenital malformations in children. Later dislocations are common. At birth, there are more women than men, about 6:1, the left side is twice as many as the right side, and both sides are less. Mainly because of the acetabulum, femoral head, joint capsule, ligaments and muscles in the vicinity of congenital dysplasia or abnormal, leading to joint laxity, subluxation or dislocation, in addition, the position of the fetus in the womb is not normal, excessive hip flexion, but also prone to cause the disease, and genetic factors are also obvious. Two. What are the clinical manifestations of congenital dislocation of the hip? 1. symptoms of this stage symptoms are not obvious, children have not been able to walk, that is, can not say physical discomfort, and the lack of obvious abnormal performance, it is difficult to attract attention of parents, therefore, often overlooked. If you carefully observe the function of the hip joint, it can be found that the activities of one side of the lower limbs are reduced, and the stepping force is smaller than the contralateral side. 2. children with signs of prone or passive standing, visible bilateral thigh after beta dermatoglyphic asymmetry, ipsilateral perineal striae deep, wide, hip abduction, change diapers or in the bath, hip joint can sometimes be heard and playing sound. (Editor: XX) Three 、 X-ray features of congenital dislocation of hip joint: The acetabular floor widened, the inclination increased, and the acetabulum became shorter. The acetabular angle becomes larger, the majority of scholars believe that the acetabular index of more than 25 is not normal, there are also some scholars believe that the acetabular index of more than 30, Ming dislocation trend, in recent years the acetabular index of normal ne