University of Michigan, MedSport, Department of Orthopaedic Surgery, Lobby A, 24 Frank Lloyd Wright Drive, Ann Arbor, Michigan 48106, USA.
Bone Joint J. 2013 Jan;95-B(1):10-9. doi: 10.1302/0301-620X.95B1.29608.
The technical advances in arthroscopic surgery of the hip, including the improved ability to manage the capsule and gain extensile exposure, have been paralleled by a growth in the number of conditions that can be addressed. This expanding list includes symptomatic labral tears, chondral lesions, injuries of the ligamentum teres, femoroacetabular impingement (FAI), capsular laxity and instability, and various extra-articular disorders, including snapping hip syndromes. With a careful diagnostic evaluation and technical execution of well-indicated procedures, arthroscopic surgery of the hip can achieve successful clinical outcomes, with predictable improvements in function and pre-injury levels of physical activity for many patients.This paper reviews the current position in relation to the use of arthroscopy in the treatment of disorders of the hip.
髋关节镜手术技术的进步,包括改善对关节囊的管理和获得广泛显露的能力,与可以处理的疾病数量的增加是并行的。这个不断扩大的清单包括有症状的盂唇撕裂、软骨损伤、圆韧带损伤、股骨髋臼撞击症(FAI)、关节囊松弛和不稳定,以及各种关节外疾病,包括弹响髋综合征。通过仔细的诊断评估和对明确适应证的手术技术的执行,髋关节镜手术可以为许多患者带来成功的临床结果,可预测地改善功能和恢复术前的身体活动水平。本文回顾了目前在髋关节疾病治疗中使用关节镜的情况。