Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, 4010 West 65th St, Edina, MN, 55435, USA,
Curr Rev Musculoskelet Med. 2013 Sep;6(3):242-9. doi: 10.1007/s12178-013-9170-2.
There has been an increasing body of literature regarding arthroscopic management of femoroacetabular impingement (FAI). Refinement of arthroscopic techniques has allowed for more complete management of FAI, and meta-analysis and systematic reviews have shown comparable outcomes to surgical hip dislocation with appropriate indications. There are still, however, pathomorphologies that are not accessible or much more challenging to address arthroscopically, and open corrective procedures should be considered in these situations. Extra-articular FAI is receiving increased attention and can be secondary to anterior inferior iliac spine/subspine impingement, trochanteric-pelvic impingement, and ischio-femoral impingement. Femoral and acetabular version and their impact on hip stability as well as the concept of impingement induced instability are being increasingly recognized. Acetabular labral and capsular management and repair techniques have also received increased attention. Finally, 3-dimensional imaging and dynamic software analysis are beginning to emerge as potential tools to better evaluate hip pathomorphology.
越来越多的文献涉及髋关节镜治疗股骨髋臼撞击症（FAI）。髋关节镜技术的不断完善，使得 FAI 的治疗更加全面，荟萃分析和系统评价显示，在适当的适应证下，与手术髋关节脱位相比，具有相似的疗效。然而，仍然存在一些关节外的病理形态，通过关节镜难以处理或处理起来更具挑战性，在这些情况下应考虑开放矫正手术。关节外 FAI 越来越受到关注，可能继发于前下髂嵴/棘突撞击、转子骨盆撞击和坐骨股骨撞击。股骨和髋臼的位置及其对髋关节稳定性的影响，以及撞击引起的不稳定的概念，正越来越受到重视。髋臼盂唇和囊的处理和修复技术也受到了越来越多的关注。最后，三维成像和动态软件分析开始成为更好地评估髋关节病理形态的潜在工具。
