The role of the labrum in early treatment of unstable developmental dysplasia of the hip

被引:2
作者
De Pellegrin, Maurizio [1 ]
Montanari, Lucrezia [1 ]
Moharamzadeh, Desiree [1 ]
Eberhardt, Oliver [2 ,3 ]
机构
[1] Osped San Raffaele, Pediat Orthoped Unit, Via Olgettina 60, I-20132 Milan, Italy
[2] Olga Hosp, Klinikum Stuttgart, Stuttgart, Germany
[3] Orthopad Klin, Frauenklin Stuttgart, Stuttgart, Germany
关键词
acetabular labrum; early diagnosis; unstable dysplastic hip; ACETABULAR LABRUM; CONGENITAL DISLOCATION; CLOSED REDUCTION; INFANT HIP; ARTHROGRAPHY; DIAGNOSIS; COVERAGE; FAILURE;
D O I
10.1302/2058-5241.4.180053
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The objective of the paper is to analyse the role of the labrum with particular attention to its morphological changes in unstable dysplastic hips during treatment. Between January 2013 and December 2015, data were collected on 86 unstable, dysplastic hips, which were divided into type D (n = 13), type III (n = 49) and type IV (n = 24). The labrum was evaluated with ultrasound examination (US) for echogenicity and dimensions with inter-/intra-observer tests comparing the US images at diagnosis and at the end of treatment. Statistical analysis was performed. At the end of treatment of unstable, dysplastic hips, the labrum was more echogenic with a frequency of 97% and was larger with a frequency of 96%. The labrum has an active stabilizing role in unstable dysplastic hips and it undergoes a statistically significant increase of echogenicity and dimensions after treatment.
引用
收藏
页码:296 / 301
页数:6
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