EFFICIENCY OF EXECUTION OF X-RAY GENETICAL EXAMINATION IN DIAGNOSTICS OF INTRAUTURE SOFT TREATMENT DAMAGE IN EARLY STAGES OF COXARPHROSIS
DOI:
https://doi.org/10.11603/1811-2471.2018.v0.i2.8915Keywords:
diagnostics, X-ray signs, intraarticular lesions, coxarthrosis.Abstract
It is interesting in the scientific and practical terms to analyze the X-ray examination data of patients with the purpose of determining pathognomonic X-ray signs that set the damage of intraarticular structures of the hip joint and which were confirmed arthroscopically.
The aim of the study – to determine pathognomonic X-ray signs of characterizing intraarticular soft tissue injury of the hip joint (ISTIHJ). 105 patients with coxarthrosis of the I-II stage were examined with the definition of pathognomonic X-ray-indicative complexes, which characterize ISTIHJ, who underwent arthroscopic surgery on the basis of the Traumatology Department of M. Pyrohov Vinnytsia Regional Hospital in the period from 2006–2015.
Material and Methods. To assess the prevalence of radiologic signs in patients with ISTIHJ and the initial stages of coxarthrosis and their combination, a frequency analysis was performed. A low frequency of prevalence of X-ray signs characteristic for ISTIHJ at early stages of CA in the patients was determined. CA, to the X-ray signs that are typical for the pincer-type FAK with a frequency ≥0.4, there were: a posterior wall sing (0.47) a Viberg angle less than 39° (0.45) a decrease in the value of the extrusion index (0.40), the acetabular index is less than 0 (0.42) and a combination of signs: posterior wall sing + Viberg angle less than 39° (0.4). Among the X-ray signs characteristic for the cam-type FAK with a frequency of ≥0.4, there were: deformation of the proximal femur by the type of the pistol handle (0.46) horizontal position of the growth zone (0.45) SDK less than 125° (0.46) , the alpha angle is greater than 50° (0.48), the index of the offset is less than 0.18 (0.40) and the combination of signs: deformation of the proximal femur by the type of the pistol grip + alpha angle is greater than 50° (0,42). At the same time, reliable data were considered to be ≥0.60.
Conclusion. No specific radiologic sign (indicia) can not be considered reliable in the diagnosis of FAK in the patients examined, proves the rather low effective diagnostic value of X-ray examination of this category of patients.
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