Radiografische evaluatie van de pijnlijke heup Dr. N. Van Opstal 69j, labrumscheur operatief herstel? 30j, labrumscheur intra-articulair Lumbosacraal Urologisch Femoro-acetabulair Hernia cystitis impingement Facetarthritis prostatitis Dysplasie Sacroiliitis Legg-Calvé-Perthes orchitis/epididymitis lithiasis Epifysiolyse Osteochondritis intra-abdominaal dissecans Musculotendineus IBD Appendicitis Adductoren ITB-syndroom Diverticulitis Osteitis pubis Hamstrings Aneurysma Psoas tendinitis stressfracturen Sport’s hernia Snapping hip Apophysitis Anamnese COXALGIE C-sign Heuppathologie jong 16-50 oud >50 impingement! of! dysplasie coxarthrose avasculaire necrose Coxarthrose Rx heup face / profiel + meetlat Coxarthrose Templating Rx bekken staande Lengteverschil Femoroacetabulair impingement Femoroacetabulair impingement CAM impingement Femoroacetabulair impingement Pincer impingement CAM impingement ‘Pistol grip’ Rx heup face CAM impingement profiel profiel Dunn view Dunn CAM impingement os acetabuli CAM impingement pincer impingement center edge angle coxa profunda >39° pincer impingement pincer impingement crossing over sign pincer impingement pincer impingement Dysplasie Dysplasie Dysplasie center edge angle ! < 25° Dysplasie avasculaire necrose Take Home Message Take Home Message oude patiënt >50 Rx heup face/profiel + meetlat! Rx bekken face staande jonge patient <50 Rx heup face/dunn + meetlat! Rx bekken face staande Take Home Message HIP
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