Canham Colin D, Domb Benjamin G, Giordano Brian D
Department of Orthopaedics, Sports Medicine and Hip Preservation, University of Rochester, Rochester, New York.
American Hip Institute, Westmont, Illinois.
JBJS Rev. 2016 May 17;4(5). doi: 10.2106/JBJS.RVW.15.00045.
Atraumatic hip instability is an increasingly recognized source of pain and hip dysfunction. It can result from numerous causes, including femoroacetabular impingement, prior trauma, injury to the capsuloligamentous structures, and idiopathic etiologies. Occult hip instability can be a challenging diagnosis that requires careful attention to, and interpretation of, history, physical examination, and radiographic imaging findings. Iatrogenic hip instability is a potential complication of both open and arthroscopic hip-preserving surgical procedures that can have catastrophic results. Atraumatic hip instability is a pathologic entity that can be successfully addressed with open and arthroscopic procedures.
非创伤性髋关节不稳是一种日益被认识到的疼痛和髋关节功能障碍的原因。它可由多种原因引起,包括股骨髋臼撞击症、既往创伤、关节囊韧带结构损伤以及特发性病因。隐匿性髋关节不稳可能是一个具有挑战性的诊断,需要仔细关注和解读病史、体格检查及影像学检查结果。医源性髋关节不稳是开放性和关节镜下保髋手术的一种潜在并发症,可能会产生灾难性后果。非创伤性髋关节不稳是一种病理实体,可通过开放性和关节镜手术成功治疗。