髋关节炎

Suddenly acute pain of articulatio coxae, shows developing arthritis or coxitis , also may mean sometimes developing the bone atrophy disease.

髋关节突然剧烈疼痛，说明患有关节炎或者髋关节炎，有时也可能意味着患有骨萎缩症。

The time of hight incidence of gout, tuberculosis and traumatic arthritis is from 20 to 40 years old; peak age of rheumatoid arthritis is 40 to 60 years of age; and synovial chondromatosis, osteoarthritis, infectious arthritis lumbar hip disease caused the incidence of knee pain increases with age increased.

3痛风、结核及创伤性关节炎的高发年龄为20～40岁，类风湿性关节炎的高峰年龄为40～60岁，滑膜软骨瘤、骨性关节炎、感染性关节炎及腰髋部疾病造成膝关节疼痛的发病率随年龄的增长而升高。

Conclusion］The Salter innominate osteotomy could keep sphericity of the femoral head and congruity with acetabulum of the hip for children with LeggPerthes disease and also could be in aid of preventing premature arthritis of hip.

结论］Salter骨盆截骨能够使缺血性坏死的股骨头获得满意的塑形，恢复与髋臼相匹配的解剖关系，从而有助于防止提早发生骨性关节炎。

Current application for hip arthroscopy include management of labral tears, osteoplasty for femoroacetabular impingement, thermal capsulorrhaphy and capsular plication for subtle rotational instability and capsular laxity, lateral impact injury and chondral lesions, osteochondritis dissecans, ligamentum teres injuries, internal and external snapping hip, removal of loose bodies, synovial biopsy, subtotal synovectomy, synovial chondromatosis, infection, and certain cases of mild to moderate osteoarthritis with associated mechanical symptoms.

目前髋关节镜主要应用于盂唇撕裂的处理、股骨髋臼的撞击症的骨成形、隐匿性髋关节旋转不稳的热关节囊紧缩或关节囊皱折术，治疗软骨损伤、剥脱性骨软骨炎、圆韧带损伤、内源性或外源性弹响髋，清除游离体、滑膜活检、滑膜次全切、滑膜软骨瘤病、感染和某些伴有机械症状的轻度至中度骨性关节炎。

Method］From September,2004 to July,2005,23 hips in 18 patients were treated with hybrid prothesis of MMSAincluding 13 case of osteonecrosis,3 cases of osteoarthritis,1 cases of developmental dysplasia of the hip and 1 case of posterior trauma arthritis.

方法］从2004年9月～2005年7月，对18例（23髋）患者行混合型MMSA术（Conserve Plus，Wright），其中股骨头坏死12例、骨性关节炎3例、先天性髋关节发育不良2例和创伤后骨性关节炎1例。

［Objective］To research the method, curative effect and indications of applying arthroscopy to treat hip disease, and investigate the valuation of arthroscopy on hip disease.［Method］Totally 103 patients (129 hips) were treated with arthroscopy by corresponsive modus operandi according to different pathogenetic conditions from Oct.2001 to Jan. 2007. Among the total cases, 50 hips were osteonecrosis of the femoral head; 8 hips were traumatic hip arthritis; 34 hips were hip osteoarthritis; 9 hips were pigmented villonodular synovitis; 12 hips were hip arthritis of ankylosing spondylitis; 6 hips were chronic synovitis; 6 hips were acetabular labrum injury; 2 hips were hip joint corpus liberum; 2 hips were coxarthropathy with indefinite reasons.

［目的］研究髋关节镜治疗髋关节疾病的方法、疗效及适应证，探讨关节镜在髋关节疾病中的临床价值［方法］2001年10月～2007年1月，采用髋关节镜手术治疗103例（129髋）髋关节疾病，其中股骨头坏死50髋；创伤性髋关节炎8髋；髋关节骨性关节炎34髋；色素沉着绒毛结节性滑膜炎9髋；强脊性髋关节炎12髋；慢性滑膜炎6髋；髋关节盂唇损伤6髋；髋关节游离体2髋；不明原因髋痛2髋。

The authors found that the prealence of protrusio increased to approxi- mately 35.9% by the age of twenty years and then it plateaued; howeer, its presence did not correlate with osteoarthritic changes as measured with the Iowa hip score in patients more than forty years of age.

作者发现髋臼前突的发病率在20岁时增加到35.9%然后进入平台期，但其表现与骨关节炎改变并不成比例（IOWA髋指数，年龄大于40岁）；对有症状的患者来说，髋关节前突与髋部疼痛之间呈正相关关系，关节间隙宽度与髋前突间呈负相关关系，提示髋关节前突的力学因素对关节退变有一定作用，但可能不是主要因素。

The changes of pathology of hip secondary to traumata should he considered before opeation. It was a challenging work to the orthopedic surgeon and careful preoperative designing was strongly recommended.

较一般退变性骨关节炎比较其手术难度大，术前要充分考虑到创伤引起的髋臼及股骨的继发病理改变，以便在术中采取相应的措施。

Results There were 26 cases of hip fractures and dislocations,8 degenerative arthritis and 6 asepti...

结果髋关节骨折脱位26例，退变性髋关节炎8例，股骨头无菌性坏死6例。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。