Mella C, del Río J, Lara J, Parodi D, Moya L, Schmidt-Hebbel A, Boettner F
Departamento de Traumatología y Ortopedia, Unidad de Cadera Clínica Alemana de Santiago-Universidad del Desarrollo, Manquehue Norte 1410, 5951, Santiago, Chile.
Unfallchirurg. 2012 Mar;115(3):273-8. doi: 10.1007/s00113-011-1989-7.
Intra-articular injuries are common after dislocation and fracture of the hip joint and can be addressed using hip arthroscopy. The most common indications for this procedure are loose bodies, labral tears and chondral defects. In addition, preexisting femoroacetabular impingement can be addressed at the time of surgery. Arthroscopically guided fracture reduction and fixation has been described. We present two case reports of intra-articular lesions after traumatic hip dislocation. The first is a case of a man with an anterior labral tear and loose bodies after closed hip reduction. The second case is a man with a large anterior labral tear with preexisting femoroacetabular impingement. Both of them were treated by arthroscopic debridement of the unstable labrum. In addition loose bodies were removed in the first patient and a femoral osteoplasty was performed in the second patient. Hip arthroscopy has proven to be a safe and effective surgical technique for treating specific post-traumatic lesions and preexisting femoroacetabular impingement. The current case reports provide an overview of the indication for hip arthroscopy following traumatic injuries to the hip.
髋关节脱位和骨折后关节内损伤很常见，可通过髋关节镜检查进行处理。该手术最常见的适应证是游离体、盂唇撕裂和软骨缺损。此外，术前存在的股骨髋臼撞击症可在手术时进行处理。已经描述了关节镜引导下的骨折复位和固定。我们报告两例创伤性髋关节脱位后关节内损伤的病例。第一例是一名男性，在髋关节闭合复位后出现前盂唇撕裂和游离体。第二例是一名男性，存在较大的前盂唇撕裂并伴有术前股骨髋臼撞击症。两人均接受了关节镜下不稳定盂唇清创术。此外，第一例患者取出了游离体，第二例患者进行了股骨截骨成形术。髋关节镜检查已被证明是治疗特定创伤后病变和术前股骨髋臼撞击症的一种安全有效的手术技术。目前的病例报告概述了髋关节创伤后髋关节镜检查的适应证。
