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患者女,22岁,未婚.以右髋疼4个月之主诉入院。于几年前曾以婴儿瘫后遗右侧臀肌、股四头肌麻痹,先后行3次手术矫正,术后步态明显改进。4个月前骑自行车时伸髋过猛,右髋突感剧烈疼痛,即在当地拍片未见骨折及脱位,按关节扭伤治疗效果不著。伤后患者自感坐位或屈髋时疼痛缓解,站立和伸髋时症状加重。查体:扶单拐,右髋屈曲140—150°,痛性跛行。右髂前上棘下4—5cm有一固定压疼点,无包块。疼点用9号针封闭后症状缓解。
Female patient, 22 years old, unmarried. The main complaint of right hip pain for 4 months was admitted. In a few years ago with infantile paralysis left gluteal muscle, quadriceps paralysis, has 3 line surgery, postoperative gait improved significantly. 4 months ago, stretching the hips too hard when riding a bike, severe pain in the right hip sudden sense that the local film no fracture and dislocation, according to joint sprain treatment ineffective. Patients with post-traumatic self-injury or hip flexion pain relief, standing and hip extension symptoms. Physical examination: help single turn, right hip flexion 140-150 °, painful claudication. Right anterior superior iliac spine 4-5cm under a fixed pressure pain point, no mass. The pain was relieved with a 9-gauge needle closed.