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Koxarthrose – eine radiologische Annäherung und Leitfaden

Coxarthrosis – a radiological approach and guidelines

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Zusammenfassung

Klinisches/methodisches Problem

Die Koxarthrose stellt eine der am häufigsten gestellten Indikationen der Radiologie dar. Ihre Prävalenz wurde anhand radiologischer Befunde mit 8% beschrieben.

Radiologische Standardverfahren

Projektionsradiographie, Sonographie, Computer- und Magnetresonanztomographie.

Methodische Innovationen

MR-Arthrographie zur frühen Detektion von Labrum- und Gelenkknorpelverletzungen sowie der Osteonekrose im frühen Stadium.

Leistungsfähigkeit

Czerny C, Hofmann S, Neuhold A et al. (1996) Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology 200(1):225–230.

Czerny C, Oschatz E, Neuhold A et al. (2002) [MR arthrography of the hip joint]. Radiologe 42(6):451–456.

Kramer J, Breitenseher M, Imhof H et al. (2000) [Diagnostic imaging in femur head necrosis]. Orthopäde 29(5):380–388.

Bewertung

Praxisreife.

Empfehlung für die Praxis

Der vorgeschlagene Leitfaden durch die in diesem Artikel dargestellten Ursachen der Koxarthrose belegt, dass sämtliche Methoden der Bildgebung gebraucht werden.

Abstract

Clinical/methodical issue

Coxarthrosis is one of the most frequent indications in radiological practice with a prevalence as high as 8%.

Standard radiological methods

Radiography, sonography, computed tomography, magnetic resonance imaging.

Methodical innovations

Magnetic resonance arthrography for detection of early stages of labral and chondral pathologies as well as detection of osteonecrosis at an early stage.

Performance

Czerny C, Hofmann S, Neuhold A et al. (1996) Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology 200(1):225–230.

Czerny C, Oschatz E, Neuhold A et al. (2002) [MR arthrography of the hip joint]. Radiologe 42(6):451–456.

Kramer J, Breitenseher M, Imhof H et al. (2000) [Diagnostic imaging in femur head necrosis]. Orthopade 29(5):380–388.

Achievements

Is already established in clinical practice.

Practical recommendations

Each modality has relevant indications.

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  1. Klinik für Radiodiagnostik, AKH, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich

    G. Schueller MBA & C. Schueller-Weidekamm

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  1. G. Schueller MBA
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  2. C. Schueller-Weidekamm
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Correspondence to G. Schueller MBA.

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Schueller, G., Schueller-Weidekamm, C. Koxarthrose – eine radiologische Annäherung und Leitfaden. Radiologe 52, 156–162 (2012). https://doi.org/10.1007/s00117-011-2237-4

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