Thirty cases of femoral head osteonecrosis misdiagnosed as lumbar disc herniation
10.3760/cma.j.issn.0254-9026.2018.11.022
- VernacularTitle:股骨头坏死误诊为腰椎间盘突出症分析
- Author:
Yong LI
1
;
Yinhe WANG
Author Information
1. 211100,南京 东南大学医学院附属南京同仁医院骨科
- Keywords:
Femur Head necrosis;
Intervertebral disk displacement;
Diagnostic errors
- From:
Chinese Journal of Geriatrics
2018;37(11):1276-1277
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the causes for the femoral head osteonecrosis misdiagnosed as lumbar disc herniation.Methods Thirty cases of lumbar disc herniation receiving lumbar CT and MRI were collected,and the causes of misdiagnoses were analyzed.Results Twenty-nine cases with femoral head osteonecrosis were misdiagnosed as lumbar disc herniation.And the diagnosis of femoral head osteonecrosis was missed in a single case of lumbar disc herniation combined with femoral head necrosis.Conclusions The major factors of misdiagnoses and missed diagnosis are the neglect of physical examination,lack of detailed clinical history data collection,excessive reliance on imaging findings,and the absence of necessary differential diagnosis of similar symptoms.
