Southwick角和Klein线在股骨头骺滑脱诊断中的作用Role of Southwick angle and Klein line in the diagnosis of slipped capital femoral epiphysis
徐易京;傅刚;张建立;朱振华;郭源;
摘要(Abstract)：
[目的]探讨Southwick角和Klein线在股骨头骺滑脱诊断中的作用。[方法]回顾性分析1995年8月～2006年4月,本科所收治并获得随访的SCFE病例42例,其中男30例,女12例;平均年龄10.4岁。分析患儿的标准前后位双髋正位和双髋蛙式侧位片。在正位X线片上观察股骨头骺板是否增宽和不规则,测量Southwick角,绘制Klein线。在侧位X线片上测量外侧骺干角,绘制Klein线。[结果]所有患者均出现股骨头骺板增宽和不规则。Southwick角随着滑脱程度加重而减少。正侧位Klein线阳性率均随着严重程度加重而增加,但是正位Klein线在轻中度滑脱组中阳性率不高,侧位Klein线在全部组中阳性率均高。[结论]Southwick角和Klein线在SCFE的诊断中具有重要作用,尤其是要重视髋关节侧位片在诊断中的作用。
关键词(KeyWords)： 股骨头骺滑脱;X线诊断;Southwick角;Klein线
基金项目(Foundation):
作者(Author): 徐易京;傅刚;张建立;朱振华;郭源;
Email:
DOI:
参考文献(References)：
- [1]徐易京,杨劼,吕学敏,等.牵引加原位穿针(钉)治疗儿童股骨头骺滑脱[J].中华小儿外科杂志,2009,1:36-39.
- [2]Damaceno FLV,Santili C,Longui CA.Normal reference values of South-wick’s anteroposterior angel in prepubertal and pubertal normal adolescents[J].J Pediatr Orthop,2007,16:389-392.
- [3]Loder RT.Correlation of radiographic changes with disease severity and demographic variables in children with stable slipped capital femoral e-piphysis[J].J Pediatr Orthop,2008,28:284-290.
- [4]Benson EC,Miller M,Bosch P,et al.A new look at the incidence of slipped capital femoral epiphysis in New Mexico[J].J Pediatr Orthop,2008,28:529-533.
- [5]Burrow SR,Alman B,Wright JG.Short stature as a screening test for endocrinopathy in slipped capital femoral epiphysis[J].J Bone Joint Surg(Br),2001,83:263-268.
- [6]Rennie AM.The inheritance of slipped upper femoral epiphyisi[J].J Bone Joint Surg(Br),1982,64:180-184.