Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
Clin Orthop Surg. 2009 Dec;1(4):230-5. doi: 10.4055/cios.2009.1.4.230. Epub 2009 Nov 25.
We wanted to investigate acetabular labral tears and their correlation with femoroacetabular impingement in patients with sports injury.
Among 111 patients who were diagnosed with the acetabular labral tears after arthroscopic treatment from January 2004 to December 2007, we selected 41 patients with sports injury. There were 12 cases of Taekwondo injury, 5 of golf injury, 4 of soccer injury, 3 of gymnastics injury, 2 of Hapkido injury, 2 of aerobics injury, 2 of rock-climbing injury, 2 of fitness training injury and 9 of other sports injuries. We checked the subtypes of acetabular labral tears and the accompanying femoroacetabular impingement. For the cases with accompanying femoroacetabular impingement, we investigated the subtypes according to the types of sports, gender and age. At last follow-up, we checked the Harris Hip Score (HHS), the Hip Outcome Score (HOS) sports scale and the percentage of patients who returned to their sports activity.
The average age of symptomatic onset was 26 years (range, 12 to 65 years). The ratio of males to females was 29 : 12. An average duration of the hip pain was 17 months (range, 1 to 60 months). The degenerative type of acetabular labral tears was the most prevalent with 32 cases (78%), and there were 9 cases (22%) of the partial tear type. Thirty cases (73%) were accompanied by femoroacetabular impingement. The average age of the 23 cases (56%) of the cam-type was 23 years (range, 12 to 48 years), and it was more likely to occur in men (87%) and for people practicing martial arts such as Taekwondo or Hapkido. An average age of the 5 cases (12%) of the pincer-type was 26 (range, 16 to 43 years), it usually occurred in women (60%) and for non-martial arts such as golf and gymnastics. There were 2 cases of the mixed type (cam + pincer-type). At 27 months follow-up, the HHS was 61 to 92 points, the HOS sports scale increased 43 to 75%, and the rate of returning to sports was 71%.
In spite of the early expression of symptoms and the short duration of the acetabular labral tears, the high rate of degenerative acetabular labral tears in sports patients is likely associated with repetitive injury after the expression of symptoms. Femoroacetabular impingement in sports patients is seemed to be a cause of the early occurrence of acetabular labral tears. Because the possibility of acetabular labral tears is high in femoroacetabular impingement, sports patients may need to undergo early screening for the diagnosis and care of femoroacetabular impingement.
我们旨在研究运动损伤患者的髋臼唇撕裂及其与股骨髋臼撞击症的相关性。
在 2004 年 1 月至 2007 年 12 月接受关节镜治疗后被诊断为髋臼唇撕裂的 111 名患者中，我们选择了 41 名运动损伤患者。其中跆拳道损伤 12 例，高尔夫球损伤 5 例，足球损伤 4 例，体操损伤 3 例，跆拳道损伤 2 例，有氧运动损伤 2 例，攀岩损伤 2 例，健身训练损伤 2 例，其他运动损伤 9 例。我们检查了髋臼唇撕裂的亚型及其伴随的股骨髋臼撞击症。对于伴有股骨髋臼撞击症的患者，我们根据运动类型、性别和年龄检查了亚型。在最后一次随访时，我们检查了 Harris 髋关节评分（HHS）、髋关节结局评分（HOS）运动量表以及返回运动活动的患者比例。
症状发作的平均年龄为 26 岁（12 至 65 岁）。男女比例为 29：12。髋关节疼痛的平均持续时间为 17 个月（1 至 60 个月）。髋臼唇撕裂的退行性类型最常见，有 32 例（78％），部分撕裂类型有 9 例（22％）。30 例（73％）伴有股骨髋臼撞击症。23 例（56％）凸轮型的平均年龄为 23 岁（12 至 48 岁），更可能发生在男性（87％）和练习跆拳道或哈普道等武术的人群中。5 例（12％）钳夹型的平均年龄为 26 岁（16 至 43 岁），通常发生在女性（60％）和非武术运动，如高尔夫和体操。有 2 例混合类型（凸轮+钳夹型）。27 个月随访时，HHS 为 61 至 92 分，HOS 运动量表增加 43 至 75％，返回运动的比例为 71％。
尽管髋臼唇撕裂的症状早期出现且持续时间短，但运动患者中高比例的退行性髋臼唇撕裂可能与症状出现后的反复损伤有关。运动患者的股骨髋臼撞击症似乎是髋臼唇撕裂早期发生的原因。由于股骨髋臼撞击症中髋臼唇撕裂的可能性较高，运动患者可能需要进行早期筛查，以诊断和治疗股骨髋臼撞击症。
