BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 一月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 年龄>10 岁
  • 青春期后 6 到 12 个月
  • 姿势不对称

其他诊断因素

  • 肩部不对称
  • 腰线不对称
  • 胸壁或乳房不对称
  • 肩部不对称

危险因素

  • 阳性家族史
  • 青春期生长突增高峰

诊断性检查

需要考虑的检查

  • 颈椎、胸椎、腰椎和骨盆的站立后前位 X 线片
  • 颈椎、胸椎、腰椎和骨盆的站立侧位 X 线片
  • 颈椎、胸椎、腰椎、骶椎和脑干的磁共振成像
全部具体信息

治疗流程

贡献者

Pediatric Orthopaedic Surgeon

Department of Orthopaedics

Nemours Children’s Hospital

Orlando

FL

利益冲突披露
RMI declares that he has no competing interests.

Ignacio V. Ponseti Chair and Professor of Orthopaedics

Department of Orthopaedics and Rehabilitation

University of Iowa Hospitals and Clinics

Iowa City

IA

利益冲突披露
SLW is a former board member of the Journal of Bone and Joint Surgery (ended in 2013); he was involved in a NIH RO1 research grant programme until 2015; and he is an author of several references cited in this monograph.

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Associate 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.

Director

Pediatric Spine Surgery

Shriners Hospitals for Children

Philadelphia

PA

利益冲突披露
AS is a paid consultant for Synthes Spine, Depuy Spine, and SpineVision.

Neurosurgeon

Department of Neurosurgery

Hospital Munich-Bogenhausen

Munich

Germany

利益冲突披露
AT declares that he has no competing interests.

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