Hip joint radiography, Supine position, Upright position, Articular space, Rotational acetabular osteotomy (RAO), Developmental dysplasia of the hip (DDH)
当施設では、RAOの術前にDDH例の股関節のAP像とFP像の立位および臥位のX線撮影を行っている。立位では臥位に比べて、大腿骨頭を臼蓋間の関節裂隙に狭小化がみられた症例を経験したが、立位X線撮影の有用性については不明である。そこで今回、この左DDH例を基に立位X線撮影の有用性を調べる目的で、X線撮影のAP像とFP像において、立位と臥位のX線像を比較検討した。その結果、DDHの関節裂隙は臥位像では正常な股関節とほぼ同じであったが立位像では著しい狭小化が認められたので報告する。
The hip joint radiography in supine position has been performed in most institutions. However, at the institution that makes an operation of osteotomy such as rotational acetabular osteotomy (RAO), hip joint radiography in upright position has been performed for the subsequent operation. We compared hip joint radiographs obtained in upright and supine positions, and then discussed the usefulness of hip joint radiography in upright position. The hip joint radiograph in supine position showed the articular space of developmental dysplasia of the hip (DDH) was almost similar to that in a normal hip. But, the radiograph in upright position revealed a prominent narrowing of the articular space of DDH. Our results indicate that the hip joint radiography in upright position provides more useful clinical information than that in supine position.
雑誌名
熊本大学医学部保健学科紀要
巻
3
ページ
141 - 144
発行年
2007-03-30
ISSN
18807151
書誌レコードID
AA12010572
フォーマット
application/pdf
形態
832887 bytes
著者版フラグ
publisher
日本十進分類法
492.43
その他の言語のタイトル
Study on the Usefulness of Hip Joint Radiography in Upright Position