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相關文獻
- Quick Diagnosis of Non-displaced Fracture of the Femoral Neck: A Case Report
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頁籤選單縮合
題 名 | Quick Diagnosis of Non-displaced Fracture of the Femoral Neck: A Case Report=快速診斷未移位性股骨頸骨折:病例報告 |
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作 者 | 簡建龍; 李建和; 王世杰; 張志鴻; 唐秀蘭; 施丞貴; 吳興盛; 林柳池; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 25:6 2000.12[民89.12] |
頁 次 | 頁263-266 |
分類號 | 416.26 |
關鍵詞 | 股骨頸; 骨折; 缺血性壞死; 核磁共振; Femoral neck; Fractures; Avascular necrosis; MRI; |
語 文 | 英文(English) |
中文摘要 | 未移位性股骨頸骨折在老年人是一嚴重的問題,通常在初時的X光片會因軟組織、骨質疏鬆、或放射線照相技術而沒有被發現。延誤診斷常增加罹病率甚至醫療糾紛,若是發生股骨頸移位性骨折更有高比率的股骨頭缺血性壞死、未癒合、或是內翻變形等之合併性。早期診斷可以簡單及正確的處理,且可以得到較好的結果及縮短住院天數。傳統上另外可以用核醫骨掃瞄或核磁共振來早期偵期未移位性股骨頸骨折,但前者有效射性曝露,後者有檢查費用成本很高的缺點。本文中舉了一位老年髖部疼痛的病例,初時X光並沒有顯示出病灶, 後我們將患側下肢內轉30度照相後得到清晰的X光片來幫助診斷未移位性股骨頸骨折的案例。 |
英文摘要 | Non-displaced fractures of the femoral neck in the elderly are serious injuries. They may not be evident on initial radiographs due to overlying soft tissue, osteopenia, or radiographic techniques. Delay in diagnosis can increase associated medical, economic, and legal implications in the changing health care environment, since displacement can lead to avascular necrosis of the femoral head, nonunion, or varus deformity. Early and accurate detection can enable phsicians to perform relatively simple surgical fixations in situ. Refinements in diagnosis can improve outcomes and minimize the duration of hospital stays. Traditionally, bone scans and magnetic resonance imaging (MRI) have been used for early detection of non-displaced femoral neck fractures. The disadvantages of these examination techniques include exposure to radiation and high costs, respectively. Initial radiographs of elderly patients were equivocal, but clear fracture lines were demonstrated after retaking the films while keeping the ipislateral foot internally rotated at 30 degrees. This simple radiographic technique can enhance radiographic diagnosis of this elusive entity. |
本系統中英文摘要資訊取自各篇刊載內容。