Abstract：Objective:To study the hip X-ray feature of adult Kashin-Beck disease (KBD) patient compared with primary hip osteoarthritis in Rangtang country, Sichuan province. Methods:112 adult KBD patients (224 hips) in Rangtang country were examined with X-ray on their hip. Acetabulum, femoral head and neck were analyzed in X-ray to make sure whether KBD patients’ hip were abnormal. Based on above analysis, Sharp angle, CE angle, acetabular index, distance between femoral head and greater trochanter, head-neck index, neck-shaft angle were measured in X-ray compared with 40 primary hip osteoarthritis (80 hips) patients in our hospital.Results:22 hips (9.8%) showed hip X-ray abnormal, in which the acetabular subchondral bone sclerosis or cystic degeneration, femoral head irregular with abnormal density and neck-shaft angle decrease were the most typical changes. For 112 KBD patients, the average Sharp angle was 37.92°, CE angle was 30.26°, acetabular index was 43.86°, distance between femoral head and greater trochanter was 1.69, head-neck index was 1.8 and neck-shaft angle was 121.8°. Compared with 40 primary hip osteoarthritis patients, significant difference was found at neck-shaft angle, although neck-shaft angle in both groups were normal.Conclusions:Hip X-ray of adult KBD disease shows abnormal changes, acetabular subchondral bone sclerosis or cystic degeneration, femoral head irregular with abnormal density and neck-shaft angle decrease are the most typical changes. Compared with primary hip osteoarthritis, the X-ray abnormalities above in KBD show no significant specificity.
曾羿，周宗科，周轩，沈彬，邹翎，朱赟，杨静，康鹏德，裴福兴. 成人大骨节病与骨关节炎患者髋关节影像学表现的对比研究[J]. 中华解剖与临床杂志, 2013, 18(1): 25-28.
ZENG Yi,ZHOU Zong-ke,ZHOU Xuan,SHEN Bin,ZOU Ling,ZHU Yun,YANG Jing,KANG Peng-de,PEI Fu-xing. A Comparative Study on Hip X-ray Feature of Adult Kashin-Beck Disease and Primary Hip Osteoarthritis. Chinese Journal of Anatomy and Clinics, 2013, 18(1): 25-28.
2013, Vol. 18 
