Más Martínez Jesús, Sanz Reig Javier, Morales Santias Manuel, Bustamante Suarez de Puga David
Hip Unit, Department of Orthopaedic Surgery, Clínica Vistahermosa, Alicante, Spain.
Hip Unit, Department of Orthopaedic Surgery, Clínica Vistahermosa, Alicante, Spain.
Arthroscopy. 2015 Jan;31(1):167-72. doi: 10.1016/j.arthro.2014.06.028. Epub 2014 Sep 11.
We report the case of a 58-year-old woman who presented with left hip pain and was diagnosed with femoroacetabular impingement. She underwent hip arthroscopy to repair a degenerative labral tear, as well as radiofrequency debridement and microfracture of the exposed chondral defect, and femoral osteoplasty. Two months after hip arthroscopy, hip pain and limping began. Hip radiography showed a concentric decrease of joint space and no signs of joint incongruity or osteophytosis. Revision surgery 4 months after hip arthroscopy showed that the cartilage of the femoral head was soft and separated from the subchondral bone.
我们报告了一例58岁女性病例，该患者因左髋疼痛就诊，被诊断为股骨髋臼撞击症。她接受了髋关节镜手术，以修复退行性盂唇撕裂，以及对暴露的软骨缺损进行射频清创和微骨折治疗，同时进行了股骨截骨术。髋关节镜检查两个月后，患者开始出现髋关节疼痛和跛行。髋关节X线片显示关节间隙同心性减小，无关节不协调或骨赘形成迹象。髋关节镜检查4个月后进行的翻修手术显示，股骨头软骨柔软，与软骨下骨分离。
