小结
定义
股骨头骨骺滑脱症 (SCFE) 是青春期最常见的髋部疾病。一般发生于由股骨近端生长板虚弱导致股骨头骨骺移位时。SCFE 属于误称；实际上是干骺端向前向上移位导致的滑脱。[1][2]生长板虚弱可因各种因素引起，包括肥胖对生长板造成的应力以及全垂体功能减退症、甲状腺功能减退症及肾性骨营养不良等内分泌紊乱。青春期的快速生长期可能也会导致骺板弱化。[1]沿股骨颈上缘皮质绘制 Klein 线。前后位/蛙式侧位平片显示 Klein 线未贯穿 SCFE 患者髋部的股骨头。
[Figure caption and citation for the preceding image starts]: 沿股骨颈上缘皮质绘制 Klein 线。正常的 Klein 线会贯穿骨骺。异常的 Klein 线不会贯穿骨骺，因为股骨颈已相对于骨骺向近侧和前侧移动。本图由医学博士 John M. Flynn 提供 [Citation ends].外翻型 SCFE 为股骨近端干骺端上骨骺向后外侧滑脱。[3]
病史和查体
诊断性检查
治疗流程
贡献者
作者 查看所有
Richard M. Armstrong Jr. Professor of Orthopaedic Surgery
Perelman School of Medicine
University of Pennsylvania
Chief of Orthopaedic Surgery
The Children's Hospital of Philadelphia
Philadelphia
PA
利益冲突披露
JMF declares that he has no competing interests.Dr John M. Flynn would like to gratefully acknowledge Dr Purushottam A. Gholve, Dr Danielle B. Cameron, and Dr Patrick O'Toole, previous contributors to this monograph. Dr John M. Flynn would also like to gratefully acknowledge the assistance of Nicholas A. Beck. PAG, DBC, PO, and NAB declare that they have no competing interests.
同行评议专家 查看所有
Associate Professor
Department of Orthopedics and Rehabilitation
University of Wisconsin School of Medicine and Public Health
Madison
WI
利益冲突披露
JM declares that he has no competing interests.Consultant Orthopaedic Surgeon and Honorary Lecturer
University Hospital of Wales
Cardiff
UK
利益冲突披露
DPT declares that he has no competing interests.Professor
Consultant Orthopaedic Surgeon
Developmental Origins of Health and Disease (DOHaD)
School of Medicine
University of Southampton
Southampton
UK
利益冲突披露
NMC has received honoraria for visiting professorships in North America and also for lectures in respect of congenital hip dysplasia. He is also a founding member of the International Hip Dysplasia Institute, which has received charitable funding.使用此内容应接受我们的免责声明。
