股骨头骨骺滑脱患者的 X线及磁共振成像的诊断

摘要

Objective:To master clinical manifestations of teenagers slipped capital femoral epiphysis and its imaging features of X-ray and magnetic resonance imaging, in order to reduce the misdiagnosis rate. Methods: A retrospective analysis was done on the image data of 20 cases of slipped capital femoral epiphysis. They were all subjected to X-ray and magnetic resonance imaging. Re-sults:There were 11 cases with mild slipped capital femoral epiphysis, 7 cases with moderate to severe spondylolisthesis, and 2 cases with mild, moderate post-traumatic spondylolisthesis. Conclusions:Slipped capital femoral epiphysis occurs frequently in adolescent rapid growth phase. Those with Obesity or rapid growth are easy to contract this disease. For the teenagers with hip and knee pain as well as limited hip rotation, it should do the X-ray and MRI examination timely.%目的：：掌握青少年股骨头骨骺滑脱患者的临床表现以及X线、磁共振成像的影像特征,降低股骨头骨骺滑脱的漏诊率。方法：回顾性分析20例股骨头骨骺滑脱患者的影像资料,均进行X线及磁共振成像检查。结果：轻度股骨头骨骺滑脱患者11例,中度以上滑脱患者7例,2例患者轻度股骨头骨骺滑脱,外伤后中度滑脱。结论：股骨头骨骺滑脱患者好发于青少年时期增长迅速阶段。肥胖或者生长迅速者易患此病。对于青少年髋、膝关节疼痛、髋关节内旋受限患者,要及时进行X线及磁共振成像检查。