Philippon Marc J, Faucet Scott C, Briggs Karen K
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2013 Mar 9;2(2):e73-6. doi: 10.1016/j.eats.2012.11.002. Print 2013 May.
Labral tears in the hip may cause painful clicking or locking of the hip, reduced range of motion, and disruption to sports and daily activities. The acetabular labrum aids stabilization of the hip joint, particularly during hip motion. The fibrocartilaginous structure extends the acetabular rim and provides a suction seal around the femoroacetabular interface. Treatment options for labral tears include debridement, repair, and reconstruction. Repair of the labrum has been shown to have better results than debridement. Labral refixation is achieved with sutures anchored into the acetabular rim. The acetabular rim is trimmed either to correct pincer impingement or to provide a bleeding bed to improve healing. Labral repair has shown excellent short-term to midterm outcomes and allows patients to return to activities and sports. Arthroscopic rim trimming and labral refixation comprise an effective treatment for labral tears with an underlying diagnosis of femoroacetabular impingement and are supported by the peer-reviewed literature.
髋关节盂唇撕裂可能会导致髋关节疼痛性弹响或卡顿、活动范围减小，并干扰运动和日常活动。髋臼盂唇有助于稳定髋关节，尤其是在髋关节活动期间。这种纤维软骨结构延伸髋臼边缘，并在股骨髋臼界面周围形成吸力密封。盂唇撕裂的治疗选择包括清创、修复和重建。已证明盂唇修复的效果优于清创。通过将缝线锚定到髋臼边缘来实现盂唇重新固定。修整髋臼边缘以纠正钳夹撞击或提供出血床以促进愈合。盂唇修复已显示出优异的短期至中期效果，并使患者能够恢复活动和运动。关节镜下髋臼边缘修整和盂唇重新固定是治疗伴有股骨髋臼撞击症潜在诊断的盂唇撕裂的有效方法，并得到了同行评审文献的支持。
