pdf

Transcription

pdf
Radiological anatomy of the hip: Are we ready to answer the
orthopaedic surgeons' questions?
Poster No.:
C-2277
Congress:
ECR 2010
Type:
Educational Exhibit
Topic:
Musculoskeletal
Authors:
P. Brañanova López , C. Fernández Rey , A. López Criado , E. M.
1
1
1
2 1
1
2
Yagüe Zapatero , S. Costilla Garcia ; Ponferrada/ES, Oviedo/ES
Keywords:
Hip Joint, Anatomy, Cross-Sectional, Congenital Hip Dysplasia
DOI:
10.1594/ecr2010/C-2277
Any information contained in this pdf file is automatically generated from digital material
submitted to EPOS by third parties in the form of scientific presentations. References
to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in
any way constitute or imply ECR's endorsement, sponsorship or recommendation of the
third party, information, product or service. ECR is not responsible for the content of
these pages and does not make any representations regarding the content or accuracy
of material in this file.
As per copyright regulations, any unauthorised use of the material or parts thereof as
well as commercial reproduction or multiple distribution by any traditional or electronically
based reproduction/publication method ist strictly prohibited.
You agree to defend, indemnify, and hold ECR harmless from and against any and all
claims, damages, costs, and expenses, including attorneys' fees, arising from or related
to your use of these pages.
Please note: Links to movies, ppt slideshows and any other multimedia files are not
available in the pdf version of presentations.
www.myESR.org
Page 1 of 24
Learning objectives
To explain and illustrate the normal hip anatomy in adult and during child development
with the different radiologic techniques, which is a need in order to understand further
pathology and to help orthopaedic surgeons
Background
The hip pathology is one of the most common and at the same time complicated of the
joints of the body.
The correct diagnosis of the different pathologies needs a deep knowledge of the hip
anatomy as well as the normal radiological findings in each radiologic technique.
As the radiological and orthopaedic techniques progress, orthopaedic surgeons ask the
radiologist for an increasingly accurate and detailed information about the pathology.
Imaging findings OR Procedure details
1. Illustrate the normal child hip development according to the femoral and pelvis
ossification nucleus.
2. Describe the normal adult hip anatomy with its different structures at images got with
X-ray, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI)
in different projections and planes and also.
3 . Illustrate the different angles and lines in the normal hip that are necessary to recognise
orthopaedics hip illness like dysplasia and femoro-acetabular impingement.
Images for this section:
Page 2 of 24
Fig. 1
Page 3 of 24
Fig. 2
Page 4 of 24
Fig. 3
Page 5 of 24
Fig. 4
Page 6 of 24
Fig. 5
Page 7 of 24
Fig. 6
Page 8 of 24
Fig. 7
Page 9 of 24
Fig. 8
Page 10 of 24
Fig. 9
Page 11 of 24
Fig. 10
Page 12 of 24
Fig. 11
Page 13 of 24
Fig. 12
Page 14 of 24
Fig. 13
Page 15 of 24
Fig. 14
Page 16 of 24
Fig. 15
Page 17 of 24
Fig. 16
Page 18 of 24
Fig. 17
Page 19 of 24
Fig. 18
Page 20 of 24
Fig. 19
Page 21 of 24
Fig. 20
Page 22 of 24
Fig. 21
Page 23 of 24
Conclusion
The radiological imaging of normal hip anatomy is a necessary base for an
effectively interpretation of its different pathologies and to answer orthopaedic surgeons'
increasingly demanding questions.
Personal Information
References
•Anatomía radiológica de la cadera.4. 31-36. P. Brañanova López, C.L. Fernández
Rey, S. Costilla García. Displasia de cadera del adulto. 2009. INGECOT. ISBN:
978-84-613-4912-8. •Anatomía radiológica de la cadera.3. 27-32, P. Brañanova
López, C.L. Fernández Rey, S. Costilla García. Patología de la cadera. Displasia
y enfermedades afines. 2009. INGECOT. ISBN: 978-84-613-5795-8 •Testud L,
Latarjet A. Tratado de Anatomía Humana. Reimpresión 1981.Tomo I. Barcelona:
Salvat editores. •Sobotta J. Atlas de anatomía humana. 20ª edición. Tomo 2.
Madrid. Ed. Médica Panamericana. •Resnick: Huesos y Articulaciones en Imagen .
Segunda Edición. Volumen 2; pag. 961-965. •Greenspan A. Radiología de huesos
y articulaciones. Madrid: Lippincott-Raven Publishers, 2007 •Kirks DR. Sistema
musculoesquelético. En: Radiología Pediátrica. Madrid: Lippincott-Raven Publishers,
2006; 327- 461. •Rumakm WC. Cadera Pediátrica. En: Diagnóstico por ecografía.
Madrid: Ed. Marbán, 2004; 1799-1814. •Garbuz DS. Masri BA. Haddad F. Duncan
CP. Clinical and radiographic assessment of the young adult with symptomatic hip
dysplasia. Clinical Orthopaedics & Related Research. (418):18-22, 2004 Jan. •Fishman
EK, Hadfield R, Magid D, et al. Multiplanar (MPR) imaging of the hip. Rad 1986; 6 (1).
•Andrews CL. Evaluation of the marrow space in the adult hip. Rad 2000; 20: S27S42. •Cerezal L, Abascal F, Canga A. et al. Técnica e indicaciones de la artrografía
por resonancia magnética. Radiología. 2006;48(6):357-68 •Beggs I, Bianchi S,
Bueno A et al. Musculoskeletal UltrasoundTechnical Guidelines, European Society
of MusculoSkeletal Radiology •Mahlfeld K, Pap G, Merk HR. Ecografía del sistema
musculoesquelético
Page 24 of 24