髋臼缘病变：关节镜评估及临床意义。
Acetabular rim lesions: arthroscopic assessment and clinical relevance.
机构信息
The Melbourne Orthopaedic Group, 33 The Avenue, Windsor, 3181 Melbourne, Australia.
出版信息
Int Orthop. 2012 Nov;36(11):2235-41. doi: 10.1007/s00264-012-1595-5. Epub 2012 Jun 23.
PURPOSE
The purpose of this study was to investigate whether acetabular morphology may influence both pathogenesis and prognosis of the acetabular rim lesions and to propose a new system to classify labral tears.
METHODS
We assessed radiographic and arthroscopic findings in 81 patients (40 male and 41 female patients, 86 hips) aged from 16 to 74 years (median, 31 years) who underwent hip arthroscopy.
RESULTS
Acetabular rim lesions were associated with four different hip morphologies. Eleven (32 %) of 34 patients with severe rim lesions underwent hip arthroplasty for progressive symptoms, whereas no patient with early rim lesion reported significant progression of symptoms. The strategy of treatment was changed in 33 % of the patients undergoing arthroscopy before undertaking peri-acetabular osteotomy.
CONCLUSIONS
Hip arthroscopy avoids more invasive procedures in patients with early acetabular rim lesions.
目的
本研究旨在探讨髋臼形态是否可能影响髋臼缘病变的发病机制和预后，并提出一种新的分类系统来对盂唇撕裂进行分类。
方法
我们评估了 81 例（40 名男性和 41 名女性患者，86 髋）年龄在 16 至 74 岁（中位数 31 岁）接受髋关节镜检查患者的影像学和关节镜检查结果。
结果
髋臼缘病变与四种不同的髋关节形态有关。11 例（32%）严重髋臼缘病变患者因进行性症状而行髋关节置换术，而无早期髋臼缘病变患者报告症状有明显进展。在进行髋臼周围截骨术之前，接受关节镜检查的 33%患者的治疗策略发生了改变。
结论
髋关节镜检查可避免髋臼缘病变早期患者进行更具侵袭性的手术。
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