Orthopaedic Research Unit, Aahrus University Hospital, Aarhus, Denmark.
Acta Orthop. 2013 Feb;84(1):60-4. doi: 10.3109/17453674.2013.765626. Epub 2013 Jan 23.
A periacetabular osteotomy (PAO) is the preferred joint preserving treatment for young adults with symptomatic hip dysplasia and no osteoarthritis. In symptomatic dysplasia of the hip, there is labral pathology in up to 90% of cases. However, no consensus exists as to whether a labral tear should be treated before the periacetabular osteotomy (PAO), treated simultaneously with the PAO, or left alone and only treated if symptoms persist after the PAO. This review is an update of aspects of labral anatomy and function, the etiology of labral tears in hip dysplasia, and diagnostic assessment of labral tears, and we discuss treatment strategies for coexisting labral tears and hip dysplasia.
髋臼周围截骨术（PAO）是治疗有症状髋关节发育不良且无骨关节炎的年轻成人的首选保关节治疗方法。在有症状的髋关节发育不良中，高达 90%的病例存在盂唇病变。然而，对于盂唇撕裂是否应该在髋臼周围截骨术（PAO）之前治疗、与 PAO 同时治疗、还是单独处理以及仅在 PAO 后症状持续存在时才治疗，目前尚无共识。本综述更新了盂唇解剖和功能、髋关节发育不良中盂唇撕裂的病因以及盂唇撕裂的诊断评估等方面的内容，并讨论了伴发盂唇撕裂和髋关节发育不良的治疗策略。
