BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 一月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 跛行
  • 髋关节活动度受到限制

其他诊断因素

  • 身材矮小
  • 肌肉萎缩
  • 活动过度
  • Trendelenburg 征

危险因素

  • 男性
  • 年龄为 4 至 8 岁
  • 社会经济地位低下
  • (血液)高凝状态

诊断性检查

首要检查

  • 双侧髋关节 X 线检查
全部具体信息

需要考虑的检查

  • 全血细胞计数 (FBC)
  • 血清红细胞沉降率 (ESR)
  • 血清 C 反应蛋白
  • 骨闪烁显像
全部具体信息

治疗流程

贡献者

Consultant Orthopaedic Surgeon

Nuffield Orthopaedic Centre

Oxford

UK

利益冲突披露
AW declares that he has no competing interests.

Consultant Paediatric Orthopaedic Surgeon

Bristol Royal Children’s Hospital

Bristol

UK

利益冲突披露
DK declares that she has no competing interests.

Andrew Wainwright and Dominique Knight would like to acknowledge Jwalant S. Mehta and Sandeep Hemmadi, who wrote the original monograph and whose work is largely reflected in the current version. JSM and SH declare that they have no competing interests.

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Consultant Orthopaedic and Paediatric Orthopaedic Surgeon

Llandough Hospital

Vale of Glamorgan

UK

利益冲突披露
PT declares that he has no competing interests.

Associate Professor of Orthopaedic Surgery

Children's Hospital

Boston

MA

利益冲突披露
Not declared.

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