Byrd J W T
Sports Medicine and Orthopedic Center, Nashville, TN 37203, USA.
Orthopade. 2006 Jan;35(1):41-2, 44-50, 52-3. doi: 10.1007/s00132-005-0892-8.
In hip arthroscopy everything revolves around entry points. Only with a precise entry technique are safety and efficiency guaranteed. Most pathological changes of the hip for which an arthroscopic intervention can be used are located in the central compartment: two lateral (anterolateral and posterolateral) and one anterior portal are the three standard portals allowing an optimal approach to practically all pathological changes in this compartment. Significant diseases and lesions can occur in the peripheral compartment which would be overlooked by arthroscopy of the central compartment. Two portals are needed for arthroscopy of the periparal compartment: the anterolateral, as well as one distally, converging on the ventral neck of the thigh. Hip arthroscopy is undergoing continual development, however, there are still major requirements for clarification of the pathology and pathomechanisms of injuries and diseases of the this joint.
在髋关节镜检查中,一切都围绕着入口点展开。只有采用精确的入口技术,才能确保安全和效率。髋关节大多数可采用关节镜干预的病理变化都位于中央腔室:两个外侧(前外侧和后外侧)入口和一个前入口是三个标准入口,可对该腔室几乎所有病理变化进行最佳入路。外周腔室可能出现重要疾病和病变,而中央腔室的关节镜检查会忽略这些情况。外周腔室的关节镜检查需要两个入口:前外侧入口以及一个位于远端、汇聚于大腿腹侧颈部的入口。然而,髋关节镜检查仍在不断发展,对于阐明该关节损伤和疾病的病理及发病机制仍有重大需求。