Poster électronique

Intérêt de l’IRM dans l’évaluation des dysplasies cotyloïdiennes résiduelles dans la luxation congénitale de hanche
H. Louati, W. Douira-Khomsi, C. Zarrad, L. Ben Hassine, L. Lahmar, M. Smida, I. Bellagha - Tunis - Tunisie
Congrès 2011
Résumé
Objectifs
Illustrer l’apport de l’IRM dans l’évaluation de la dysplasie cotyloïdienne résiduelle après réduction d’une luxation congénitale de la hanche (LCH).
Matériels et méthodes
Nous avons mené une étude prospective sur une période de 7 ans portant sur les dysplasies résiduelles dans les LCH traitées. Le diagnostic de dysplasie cotyloïdienne a été porté sur les radiographies de contrôle. Tous les malades ont été explorés par une IRM permettant ainsi une confrontation entre ces deux modalités.
Résultats
Nous avons colligé 30 dossiers de dysplasie cotyloïdienne résiduelle. L'âge de tous nos malades était inférieur à 5 ans. L’angle acétabulaire (HTE) de la hanche malade était augmenté sur les radiographies dans tous les cas. L’IRM a montré une augmentation de l’angle acétabulaire osseux chez tous les patients alors que l’angle acétabulaire cartilagineux était normal dans 28 cas. Devant ces constatations, seuls 2 malades ont été opérés. Un contrôle radiologique a été préconisé chez les autres avec ossification progressive sur les radiographies de contrôle.
Conclusion
Les radiographies standard sont insuffisantes pour évaluer les dysplasies cotyloidiennes. L’IRM explore mieux le cotyle, particulièrement le cotyle cartilagineux et le vrai angle acétabulaire.
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