Skendzel Jack G, Philippon Marc J
The Steadman Philippon Research Institute, Center for Outcomes-Based Orthopaedic Research, 181 West Meadow Drive, Suite 1000, Vail, CO 81657, USA.
Orthop Clin North Am. 2013 Oct;44(4):477-87. doi: 10.1016/j.ocl.2013.06.003. Epub 2013 Jul 25.
Our understanding of labral tears in young patients has evolved significantly in recent years. Successful outcome depends on addressing all bony impingement to improve the intra-articular environment, and prevent further damage to the labrum and articular cartilage. Improved clinical outcomes are associated with labral repair; in cases of a deficient labrum, arthroscopic reconstruction techniques have been developed, with promising clinical outcomes. This article reviews the anatomy of the acetabular labrum, and discusses the pathogenesis of labral tears as well as various treatment options, including arthroscopic labral repair and reconstruction.
近年来,我们对年轻患者髋臼盂唇撕裂的认识有了显著进展。成功的治疗效果取决于解决所有的骨撞击问题,以改善关节内环境,并防止对盂唇和关节软骨造成进一步损伤。盂唇修复与更好的临床结果相关;在盂唇缺损的病例中,已经开发出关节镜重建技术,临床效果良好。本文回顾了髋臼盂唇的解剖结构,并讨论了盂唇撕裂的发病机制以及包括关节镜盂唇修复和重建在内的各种治疗选择。