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髋关节撞击综合征的关节镜治疗:截骨术技术及文献综述

Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review.

作者信息

Philippon Marc J, Stubbs Allston J, Schenker Mara L, Maxwell R Brian, Ganz Reinhold, Leunig Michael

机构信息

Steadman-Hawkins Research Foundation, Steadman-Hawkins Clinic, Vail, CO 81657, USA.

出版信息

Am J Sports Med. 2007 Sep;35(9):1571-80. doi: 10.1177/0363546507300258. Epub 2007 Apr 9.

DOI:10.1177/0363546507300258
PMID:17420508
Abstract

Morphological and spatial abnormalities of the proximal femur and acetabulum have been recently recognized as causes of femoroacetabular impingement. During joint motion in hips with femoroacetabular impingement, abnormal bony contact occurs, and soft tissue structures (chondral and labral) often fail. Femoroacetabular impingement has been reported to be a contributor to early-onset joint degeneration. Ganz et al have described good midterm success with an open surgical dislocation approach to reconstruct normal joint clearance. The purpose of this report is to discuss relevant literature and describe an arthroscopic approach to treat femoroacetabular impingement. This approach has particular relevance in high-demand patients, particularly in athletes seeking to return to high-level sport.

摘要

股骨近端和髋臼的形态及空间异常最近被认为是股骨髋臼撞击症的病因。在患有股骨髋臼撞击症的髋关节运动过程中,会发生异常的骨接触,并且软组织结构(软骨和盂唇)常常受损。据报道,股骨髋臼撞击症是导致早期关节退变的一个因素。甘茨等人描述了采用开放手术脱位方法重建正常关节间隙取得了良好的中期效果。本报告的目的是讨论相关文献,并描述一种治疗股骨髋臼撞击症的关节镜手术方法。这种方法对于高需求患者,尤其是对于寻求重返高水平运动的运动员,具有特殊的意义。

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