Lee A J J, Armour P, Thind D, Coates M H, Kang A C L
Christchurch Hospital, Private Bag 4710, Christchurch 8140, New Zealand.
Dunedin Hospital , Private Bag 1921, Dunedin 9054, New Zealand.
Bone Joint J. 2015 May;97-B(5):623-7. doi: 10.1302/0301-620X.97B5.35166.
Acetabular labral tears and associated intra-articular pathology of the hip have been recognised as a source of symptoms. However, it is now appreciated that there is a relatively high prevalence of asymptomatic labral tears. In this study, 70 young asymptomatic adult volunteers with a mean age of 26 years (19 to 41) were recruited and underwent three tesla non-arthrographic MR scans. There were 47 women (67.1%) and 23 men (32.9%). Labral tears were found in 27 volunteers (38.6%); these were an isolated finding in 16 (22.9%) and were associated with other intra-articular pathology in the remaining 11 (15.7%) volunteers. Furthermore, five (7.1%) had intra-articular pathology without an associated labral tear. Given the high prevalence of labral pathology in the asymptomatic population, it is important to confirm that a patient's symptoms are due to the demonstrated abnormalities when considering surgery.
髋臼盂唇撕裂及相关的髋关节关节内病变已被确认为症状来源。然而,现在人们认识到无症状盂唇撕裂的患病率相对较高。在本研究中,招募了70名平均年龄为26岁(19至41岁)的年轻无症状成年志愿者,并对其进行了3特斯拉非关节造影磁共振成像扫描。其中有47名女性(67.1%)和23名男性(32.9%)。在27名志愿者(38.6%)中发现了盂唇撕裂;其中16名(22.9%)为孤立性发现,其余11名(15.7%)志愿者的盂唇撕裂与其他关节内病变有关。此外,有5名(7.1%)存在关节内病变但无相关的盂唇撕裂。鉴于无症状人群中盂唇病变的高患病率,在考虑手术时,确认患者的症状是由所显示的异常引起的很重要。