Common symptoms of femoral head
Feb 16, 2022
① Pain. Pain may be intermittent or persistent, and may worsen with walking activity, sometimes with rest. The pain is mostly needle-like, dull or aching discomfort, etc., often radiating to the groin area, inner thigh, posterior buttock and inner knee, and numbness in this area.
② Joint stiffness and limited mobility. Suffering from poor hip flexion and extension, difficulty in squatting, inability to stand for long periods of time, and walk duck steps. Early symptoms are limited abduction and external rotation.
③ limp. For progressive shortening claudication, due to hip pain and collapse of the femoral head, or late hip subluxation. Intermittent claudication often occurs early, and is more pronounced in children.
④ signs. Local deep tenderness, tenderness at the insertion point of the adductor muscle, positive 4-character test, positive Gagas sign, positive A11is sign, positive TKdeleletuq test. Abduction, external rotation or internal rotation is limited, the affected limb can be shortened, muscle atrophy, and even signs of subluxation. Sometimes axonal pain is positive.
⑤ X-ray performance. Fine or interrupted bone texture, cystic, sclerotic, flat, or collapsed femoral head.
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