Kullar Raj S, Kapron Ashley L, Ihnat Daniel, Aoki Stephen K, Maak Travis G
Department of Orthopaedics, University of Utah, Salt Lake City, Utah, U.S.A.
Division of Vascular Surgery, University of Utah, Salt Lake City, Utah, U.S.A.
Arthrosc Tech. 2015 Jan 26;4(1):e35-40. doi: 10.1016/j.eats.2014.10.003. eCollection 2015 Feb.
Acetabular labral tears are a known cause of hip pain in the young, active patient. Labral tears can be due to trauma, femoroacetabular impingement, capsular laxity, dysplasia, and degenerative pathology. Paralabral cysts are relatively common in association with labral tears of the hip, with cysts seen on magnetic resonance imaging studies in as many as 50% to 70% of patients with labral tears. In some cases the cysts can become sizeable and cause neurovascular compression. Nonoperative interventions for the management of paralabral cysts in the shoulder and knee have shown high recurrence rates. In the shoulder and knee, arthroscopic debridement of paralabral cysts has shown good results with lower recurrence rates and resolution of neurovascular function. In the hip there is limited literature regarding surgical management of paralabral cysts. We present a surgical technique for arthroscopic decompression of acetabular paralabral cysts combined with labral repair.
髋臼盂唇撕裂是年轻、活跃患者髋关节疼痛的已知病因。盂唇撕裂可能由创伤、股骨髋臼撞击、关节囊松弛、发育异常和退行性病变引起。盂唇旁囊肿在髋关节盂唇撕裂患者中相对常见，在磁共振成像研究中，多达50%至70%的盂唇撕裂患者可见囊肿。在某些情况下，囊肿可能会变大并导致神经血管受压。肩部和膝部盂唇旁囊肿的非手术治疗复发率较高。在肩部和膝部，关节镜下盂唇旁囊肿清创术已显示出良好效果，复发率较低且神经血管功能得到恢复。关于髋关节盂唇旁囊肿的手术治疗，相关文献有限。我们介绍一种关节镜下髋臼盂唇旁囊肿减压联合盂唇修复的手术技术。
