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髋臼唇在髋关节发育不良中的作用。文献综述。

The role of the acetabular labrum in hip dysplasia. A literature overview.

机构信息

Orthopaedic Research Unit, Aahrus University Hospital, Aarhus, Denmark.

出版信息

Acta Orthop. 2013 Feb;84(1):60-4. doi: 10.3109/17453674.2013.765626. Epub 2013 Jan 23.

DOI:10.3109/17453674.2013.765626
PMID:23343376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3584604/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/3cfe71308bad/ORT-84-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/8f3b7b3525ea/ORT-84-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/66262191a602/ORT-84-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/9b525ac995c4/ORT-84-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/f0175ea7006a/ORT-84-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/3cfe71308bad/ORT-84-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/8f3b7b3525ea/ORT-84-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/66262191a602/ORT-84-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/9b525ac995c4/ORT-84-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/f0175ea7006a/ORT-84-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1e3/3584604/3cfe71308bad/ORT-84-60-g005.jpg

相似文献

[1]
The role of the acetabular labrum in hip dysplasia. A literature overview.

Acta Orthop. 2013-1-23

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[6]
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[7]
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[8]
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引用本文的文献

[1]
Decision-making in borderline hip dysplasia and concomitant femoracetabular impingement syndrome: using a discrete choice experiment to explore patient preferences.

J Hip Preserv Surg. 2024-2-1

[2]
Females with hip pain walk with altered kinematics at peaks and throughout the gait cycle.

Clin Biomech (Bristol). 2024-8

[3]
The Association between Hip Joint Morphology and Posterior Wall Fracture: Analysis of Radiologic Parameters in Computed Tomography.

J Pers Med. 2023-9-20

[4]
Functional outcome and athletic level after arthroscopic repair followed by triple pelvic osteotomy in patients with labral tears resulting from acetabular dysplasia.

Orthopadie (Heidelb). 2023-9

[5]
Intra-articular Soft Tissue Pathology of the Postpartum Hip: A Systematic Review.

Curr Rev Musculoskelet Med. 2022-12

[6]
Comparing exercise and patient education with usual care in the treatment of hip dysplasia: a protocol for a randomised controlled trial with 6-month follow-up (MovetheHip trial).

BMJ Open. 2022-9-20

[7]
[Treatment of hip dysplasia in young adults].

Orthopadie (Heidelb). 2022-9

[8]
A Deep-Learning Aided Diagnostic System in Assessing Developmental Dysplasia of the Hip on Pediatric Pelvic Radiographs.

Front Pediatr. 2022-3-8

[9]
Elevated loading at the posterior acetabular edge of dysplastic hips during double-legged squat.

J Orthop Res. 2022-9

[10]
Acetabular Edge Loading During Gait Is Elevated by the Anatomical Deformities of Hip Dysplasia.

Front Sports Act Living. 2021-7-1

本文引用的文献

[1]
Patterns of joint damage seen on MRI in early hip osteoarthritis due to structural hip deformities.

Osteoarthritis Cartilage. 2012-3-30

[2]
Articular cartilage friction increases in hip joints after the removal of acetabular labrum.

J Biomech. 2011-12-15

[3]
Role of the acetabular labrum in load support across the hip joint.

J Biomech. 2011-7-14

[4]
Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia.

Am J Sports Med. 2011-7

[5]
Can femoroacetabular impingement and hip dysplasia be distinguished by clinical presentation and patient history?

Knee Surg Sports Traumatol Arthrosc. 2011-6-7

[6]
Periacetabular osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia.

J Bone Joint Surg Am. 2011-5

[7]
Magnetic resonance imaging of acetabular labral tears.

J Bone Joint Surg Am. 2011-5

[8]
Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients.

J Bone Joint Surg Am. 2011-5

[9]
CT reveals a high incidence of osseous abnormalities in hips with labral tears.

Clin Orthop Relat Res. 2010-10-1

[10]
Medium-term outcome of periacetabular osteotomy and predictors of conversion to total hip replacement.

J Bone Joint Surg Am. 2009-9

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