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Bildgebende Diagnostik der Hüftdysplasie

Imaging in developmental dysplasia of the hip

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Zusammenfassung

Die detaillierte bildgebende Darstellung von Pathomorphologien des Hüftgelenks stellt einen wichtigen diagnostischen Baustein zur Bewertung und therapeutischen Entscheidungsfindung bei Hüftgelenkbeschwerden dar. Sowohl die konventionelle Röntgenbildgebung wie auch die Schnittbildgebung inklusive der Magnetresonanzarthrographie sind wertvolle Werkzeuge zur umfassenden diagnostischen Bewertung der Hüftgelenkmorphologie. Morphologische Abweichungen werden anhand der aktuell im Routinebetrieb zum Einsatz kommenden Techniken insbesondere im Hinblick auf die Ausprägung der Hüftgelenküberdachung im Spannungsfeld zwischen Dysplasie und femoroazetabulärem Impingement dargestellt und objektivierbare Parameter vorgestellt.

Abstract

Modern imaging techniques are an invaluable tool for assessing pathomorphological changes of the hip. Thorough diagnostic analysis and therapeutic decision making mainly rely on correct interpretation of conventional radiographic projections as well as more modern techniques, including magnetic resonance arthrography. This article gives an overview of the imaging techniques that are routinely used for assessing pathological conditions of the hip, with a special focus on diagnostic findings in developmental dysplasia of the hip as well as in femoroacetabular impingement.

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Henle, P., Tannast, M. & Siebenrock, K. Bildgebende Diagnostik der Hüftdysplasie. Orthopäde 37, 525–531 (2008). https://doi.org/10.1007/s00132-008-1235-3

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