Fragment of the article Vialle R, Pannier S, Odent T, Schmit P, Pauthier F, Glorion C. Imaging of traumatic dislocation of the hip in childhood (2004). The article discusses the examination technique for dislocation of the femur and describes the radiographic symptom of infringement of the damaged ligamentum capitis femoris (LCF). For our commentary see the link: 2004VialleR_GlorionC [Rus].
Abstract
... A total of 42 patients were studied. Their mean age was 10 years 3
months. ... In 11 patients the postreduction radiograph and CT showed joint
space asymmetry secondary to labral entrapment.
Only two patients developed epiphyseal necrosis. ... Analysis of plain
radiographs is essential before and after reduction of the joint, and it is
important to perform postreduction CT in every patient whose joint space
remains widened. A radionuclide bone scan should be performed between the
second and third weeks after injury to assess epiphyseal vascularity. ...
Quote
There was incarceration of the acetabular limbus in nine patients and
avulsion of the round ligament in two patients, which explained the asymmetry
of the articular space.
External links
Vialle R, Pannier S, Odent T, Schmit P, Pauthier F, Glorion C. Imaging
of traumatic dislocation of the hip in childhood. Pediatr Radiol 2004;34(12)970-9.
[link.springer.com]
Authors & Affiliations
Raphaël Vialle – Department of Paediatric Orthopaedics, Necker
Enfants-Malades Hospital, France
Keywords
ligamentum capitis femoris, ligamentum teres, ligament
of head of femur, diagnostics, dislocation, damage, symptom
NB! Fair practice / use: copied for the purposes of criticism, review, comment, research and private study in accordance with Copyright Laws of the US: 17 U.S.C. §107; Copyright Law of the EU: Dir. 2001/29/EC, art.5/3a,d; Copyright Law of the RU: ГК РФ ст.1274/1.1-2,7
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