Klein Sandra E, Morgan Patrick, Schoenecker Perry L, Clohisy John C
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
J Pediatr Orthop. 2010 Sep;30(6):549-53. doi: 10.1097/BPO.0b013e3181e4f575.
We present 3 patients followed at our institution for developmental hip dysplasia for an average of 20 years. Each patient underwent a Pemberton pelvic osteotomy for developmental hip dysplasia and remained symptom-free during childhood. All 3, however, returned as young adults at an average 12 years from surgery with delayed onset of ipsilateral hip pain associated with a damaged labrum. The purpose of this report is to describe the late presentation of 3 symptomatic young adults with a history of childhood pelvic osteotomy. All the 3 patients were subsequently diagnosed with and successfully treated for symptomatic acetabular labral damage. All patients were informed that data concerning their case would be submitted for publication.
我们报告了3例在我院接受发育性髋关节发育不良治疗并平均随访20年的患者。每位患者均因发育性髋关节发育不良接受了Pemberton骨盆截骨术,且在儿童期均无症状。然而,所有3例患者在平均术后12年以年轻成人的身份复诊,出现同侧髋关节疼痛延迟发作,伴有盂唇损伤。本报告的目的是描述3例有儿童期骨盆截骨术病史的有症状年轻成人的晚期表现。所有3例患者随后均被诊断为有症状的髋臼盂唇损伤并接受了成功治疗。所有患者均被告知其病例数据将被提交发表。