Byrd John W Thomas
Nashville Sports Medicine Foundation, Nashville, TN.
Sports Med Arthrosc Rev. 2015 Dec;23(4):221-31. doi: 10.1097/JSA.0000000000000085.
Arthroscopic techniques for the hip joint have evolved into endoscopic methods for extra-articular disorders. These endoscopic strategies provide a less invasive alternative to open procedures for traditionally recognized forms of pathology. Endoscopy has defined new disorders amenable to surgical correction and has redefined some of these existing disorders. The peritrochanteric and deep gluteal regions represent 2 of the most currently active areas of exploration. Peritrochanteric problems include trochanteric bursitis, full-thickness and partial-thickness tears of the abductors including the gluteus medius and minimus, and external coxa saltans (snapping iliotibial band). Deep gluteal disorders include piriformis syndrome, and other variations of deep gluteal syndrome, and ischiofemoral impingement. Each of these evolving areas is highlighted in this chapter.
髋关节镜技术已发展为用于治疗关节外疾病的内镜方法。这些内镜策略为传统公认的病理形式的开放手术提供了一种侵入性较小的替代方案。内镜检查定义了适合手术矫正的新疾病，并重新定义了一些现有疾病。转子周围和深部臀肌区域是目前最活跃的两个探索领域。转子周围问题包括转子滑囊炎、包括臀中肌和臀小肌在内的外展肌全层和部分层撕裂，以及外侧弹响髋（髂胫束弹响）。深部臀肌疾病包括梨状肌综合征、深部臀肌综合征的其他变体以及坐骨股骨撞击症。本章将重点介绍这些不断发展的领域。
