Hufeland M, Hartwig T, Krüger D, Perka C, Haas N P, Schröder J H
Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Orthopade. 2013 Oct;42(10):879-83. doi: 10.1007/s00132-013-2130-0.
We report the case of symptomatic extra-articular subspinal impingement in the hip joint caused by a pathological contact between the anterior inferior iliac spine (AIIS) and the femoral neck. A 28-year-old patient presented with activity-related inguinal pain on the right side and a positive anterior impingement test in the clinical examination. Radiological examinations revealed a hypertrophic AIIS with caudal extension below the acetabulum. After a positive injection test confirmed the AIIS as the origin of the pain, arthroscopic correction with partial resection of the AIIS was performed resulting in significant pain relief and improved range of motion.
我们报告了一例髋关节关节外脊柱下撞击综合征的病例,该综合征由髂前下棘(AIIS)与股骨颈之间的病理性接触引起。一名28岁患者在临床检查中出现与活动相关的右侧腹股沟疼痛,前撞击试验呈阳性。影像学检查显示AIIS肥大,髋臼下方有尾侧延伸。注射试验阳性证实AIIS为疼痛来源后,对AIIS进行了部分切除的关节镜矫正,疼痛显著缓解,活动范围改善。