McCarthy J C, Noble P C, Schuck M R, Wright J, Lee J
The New England Baptist Hospital, Boston, MA, USA.
Clin Orthop Relat Res. 2001 Dec(393):25-37. doi: 10.1097/00003086-200112000-00004.
The current authors examined the hypothesis that labral lesions contribute to early degenerative hip disease. Between 1993 and 1999, 436 consecutive hip arthroscopies were done by the senior author. In addition, 54 acetabula were harvested from human adult cadavers. Two hundred forty-one of the 436 (55.3%) patients who had arthroscopies had a 261 labral tears, all located at the articular, not capsular margin of the labrum. Stereomicroscopic examination of the 54 acetabula from cadavers revealed 52 labral lesions. Overall, there was no significant difference between the arthroscopic and cadaveric populations in terms of the incidence of labral tears. (Overall, 73% of patients with fraying or a tear of the labrum had chondral change. Arthroscopic and anatomic observations support the concept that labral disruption and degenerative joint disease are frequently part of a continuum of joint disease.
目前的作者检验了盂唇损伤导致早期髋关节退行性疾病的假说。1993年至1999年间，资深作者连续进行了436例髋关节镜检查。此外，从成年人体尸体上获取了54个髋臼。在接受关节镜检查的436例患者中，有241例（55.3%）存在261处盂唇撕裂，均位于盂唇的关节边缘而非囊状边缘。对尸体的54个髋臼进行立体显微镜检查发现了52处盂唇损伤。总体而言，在盂唇撕裂的发生率方面，关节镜检查人群和尸体人群之间没有显著差异。（总体而言，73%的盂唇磨损或撕裂患者存在软骨改变。关节镜检查和解剖学观察支持这样一种观点，即盂唇破坏和退行性关节疾病常常是关节疾病连续过程的一部分。
