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对腿长度差异的ipsilateral健康细分响应

John G Birch1, Marina R Makarov, Chan-Hee Jo

  • 1Texas Scottish Rite Hospital for Children, Dallas, TX.

Journal of pediatric orthopedics
|October 23, 2023
PubMed
概括

健康的下肢细分很少过度生长,以应对来自诸如无血管缩或体质创伤等条件的双侧缩短. 股骨缩短不是后中弓的主要因素.

科学领域:

  • 整形外科 整形外科 整形外科
  • 儿科整形外科 儿科整形外科
  • 增长板生物学 增长板生物学

背景情况:

  • 有限的研究存在于不受影响的下肢部分的补偿增长,以应对ipsilateral缩短.
  • 了解这种现象对于管理儿科腿长差异至关重要.

研究的目的:

  • 为了记录和量化健康的下肢部分对ipsilateral伴侣部分缩短的反应的频率和大小.
  • 为了分析各种小儿病因导致腿长度差异的各种小儿病因,分析这一反应.

主要方法:

  • 对209名儿科患者的医疗记录和X线图的回顾性审查,这些患者接受了为腿长度差异进行表观生理治疗.
  • 纳入标准:由于可识别的原因,单个下肢段缩短,足够的扫描图进行测量.
  • 在手术介入之前,所有四个下肢段都进行了测量;与相对侧肢的差异≥0.5厘米被认为是显著的.

主要成果:

  • 关节的血管性缩:16/60名患者表现出小腿骨缩短 (avg. 1.2厘米),6/60显示了骨过度生长 (中等水平). 0.6 厘米) 的时间.
  • 莱格 - 卡尔维 - 珀斯病: 11/30名患者的小腿骨缩短 (平均. 0.7厘米);没有观察到过度生长.
  • 距离大腿骨骨损伤:13/48名患者的小腿骨缩短 (平均水平). 1.2厘米),6/48有一个骨过度生长 (平均水平). 0.8 厘米) 的时间.

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  • 肢体损伤: 8/29显示腿部缩短 (平均. 1.1厘米),7/29显示腿部过度生长 (平均水平). 0.7 厘米) 的时间.
  • 后中弓: 10/42名患者患有股骨缩短 (平均. 0.8厘米),6/42患有大腿部过度生长 (平均 0.8 厘米) 的时间.

    • 结论:

    • 在大多数情况下,健康的ipsilateral下肢细分不表现出明显的过度生长相比对侧肢在条件,如关节的无血管缩,Legg-Calvé-Perthes疾病,或肉身创伤.
    • 股骨似乎不是在后中弓的情况下缩短的主要贡献者.