Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Clin Sports Med. 2011 Apr;30(2):379-90. doi: 10.1016/j.csm.2011.01.002.
Rim impingement lesions vary based on the underlying pathology. In general, rim impingement occurs with anterosuperior overhang, coxa profunda, protrusio acetabuli, and acetabular retroversion. The method for addressing these pathologic lesions depends on location and size of the impingement lesion, the underlying pathology, and the degree of labral damage. The ultimate goals of surgical management include accurate localization of the rim impingement lesion, adequate removal of the bony impingement lesion, and preservation and refixation of the viable labral tissue. If the surgeon feels that these goals cannot be accomplished safely and effectively by arthroscopic methods, alternative procedures should be considered.
边缘撞击病变因潜在病理而异。一般来说，边缘撞击发生于前上突出、髋臼深、髋臼前突和髋臼后倾。处理这些病理性病变的方法取决于撞击病变的位置和大小、潜在病理以及盂唇损伤的程度。手术管理的最终目标包括准确定位边缘撞击病变、充分去除骨性撞击病变，以及保留和重新固定有活力的盂唇组织。如果外科医生认为这些目标不能通过关节镜方法安全有效地实现，则应考虑替代手术。
