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关节镜下髋关节盂唇损伤部分肢体切除术:16年随访病例

Arthroscopic partial limbectomy for labral injury of the hip: a case with a 16-year follow-up.

作者信息

Nakamura Y, Ohishi H, Kishiya M, Toh S

机构信息

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifucho, Hirosaki City, Aomori, 036-8562, Japan.

出版信息

J Bone Joint Surg Br. 2012 Aug;94(8):1148-50. doi: 10.1302/0301-620X.94B8.28215.

Abstract

Although good to excellent short-term results of arthroscopic partial limbectomy of the hip have been reported, there is little information on the long-term outcome of the procedure. We report a case with a 16-year follow-up. A 34-year old woman presented with a three-month history of severe pain and limitation of movement of the hip. Plain radiographs and arthrography showed no abnormality. MRI showed an effusion and a deformity of the anterosuperior part of the labrum. This was confirmed as an inverted labral tear that was debrided arthroscopically. At 16 years post-operatively, she remained symptom-free. Plain radiographs showed no abnormality and MRI suggested that the sealing effect of the scar tissue prevented articular damage and degeneration.

摘要

尽管已有报道称髋关节镜下部分肢体切除术的短期效果良好至极佳,但关于该手术长期结果的信息却很少。我们报告一例随访16年的病例。一名34岁女性,有三个月的髋关节严重疼痛和活动受限病史。X线平片和关节造影未显示异常。MRI显示有积液和盂唇前上部畸形。经关节镜检查证实为盂唇倒转撕裂并进行了清创。术后16年,她仍无症状。X线平片未显示异常,MRI提示瘢痕组织的封闭作用防止了关节损伤和退变。

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