Amin (pseudonym), who has just arrived in his thirties, has suddenly found that his left leg has become “shorter” in the past two years. His hips look obviously asymmetrical. Pain, what is going on? He was checked at his home hospital, and the doctor believed that it was caused by “necrosis” of the left femoral head. In order to further confirm the diagnosis, he came to the Joint Surgery Department of the First Affiliated Hospital of Guangzhou Medical University to seek medical treatment. Lu Weijie, the director of the department, carefully checked his various examination materials, and combined with the medical history, he believed that it was not the necrosis of the femoral head, but the dysplasia of the left acetabulum, and the hip joint had been severely worn, and a large number of osteophytes had formed, causing the hip joint. Osteoarthritis.
After the diagnosis was made, the medical staff of the Joint Surgery Department of the First Hospital of Guangzhou Medical College helped Aming improve the preoperative examination and preparation, and Lu Weijie’s team performed left total hip replacement surgery for him.
Lu Weijie reminded that mild acetabular dysplasia is often overlooked on imaging, while advanced hip dysplasia is often misdiagnosed as femoral head necrosis due to severe deformation of the femoral head. He emphasizes the distinction between the two diseases because it is about the choice of treatment, and for a younger patient, missing an early diagnosis makes it less likely that his hip will be saved.
How to avoid misdiagnosis? Lu Weijie said that early hip dysplasia is mainly manifested as large hip soreness, which can sometimes be relieved after rest, and activities will not be significantly restricted for the time being. When it develops to the middle stage, the patient will feel that the large hip pain is aggravated, and the movement part is restricted. In the advanced stage, the pain symptoms are more obvious, and even walking is impossible. It is recommended to seek medical attention as soon as possible when the above symptoms occur. Under the guidance of a professional doctor, through the medical history and clinical manifestations combined with imaging examinations, early diagnosis of hip dysplasia is possible.
(All media reporter Weng Shuxian, correspondent Han Wenqing)
[Editor in charge: Shen Tian]