「產兒科護理學-發展遲緩與特殊兒童護理」骨骼相關疾病Bone-related diseases


單側性發展性髖關節發育不良(developmental hip dysplasia, DDH)

發展性髖關節發育不良(DDH) 是指寶寶的髖關節發育異常,導致髖關節不穩定或脫臼。這會限制患側髖關節的活動範圍,並產生一些特徵性的表現。
Developmental dysplasia of the hip (DDH) refers to an abnormal development of a baby's hip joint, resulting in instability or dislocation of the joint. This can limit the range of motion in the affected hip and cause a number of characteristic signs.

DDH 的常見症狀:
Common Symptoms of Developmental Dysplasia of the Hip (DDH)

皮膚皺褶不對稱: 患側的臀部和大腿內側的皮膚皺褶通常會比健側多或位置較高。
Asymmetric skin folds: There are usually more or higher skin folds on the affected hip and inner thigh compared to the unaffected side.
患肢較短: 患側的腿會比健側短。
The affected leg is shorter.
步態異常: 當寶寶單腳站立時,身體會不自覺地傾斜,以保持平衡。
Gait abnormality: When the baby stands on one leg, the body involuntarily tilts to maintain balance.
外展受限: 當雙腿彎曲至90度時,患側的腿無法像健側一樣完全向外張開。
Abduction limitation: When both legs are flexed to 90 degrees, the affected leg cannot be abducted as fully as the unaffected leg.
Barlow徵象: 患肢腿屈曲做外展運動時(患肢向內旋轉並向下壓時),患側的股骨頭會滑回髖臼內,產生「卡嗒」聲。
Barlow's maneuver: With the hip flexed and adducted, downward pressure on the greater trochanter produces a palpable "clunk" as the femoral head is felt to slip posteriorly out of the joint.

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