Carton Patrick, Filan David
The Hip and Groin Clinic, Waterford, Ireland.
Muscles Ligaments Tendons J. 2016 Dec 21;6(3):324-336. doi: 10.11138/mltj/2016.6.3.324. eCollection 2016 Jul-Sep.
Abnormal morphology of the anterior inferior iliac spine (AIIS) and the subspine region of the acetabular rim are increasingly being recognised as a source of symptomatic extra-articular hip impingement. This review article aims to highlight important differences in the pathogenesis, clinical presentation and management of extra-articular hip impingement from both the AIIS and subspine bony regions, and the outcome following surgical intervention.
A literature review was undertaken to examine the supporting evidence for AIIS and subspine hip impingement. A narrative account of the Author's professional experience in this area, including operative technique for arthroscopic correction, is also presented.
Abnormal morphology of the AIIS and subspine region has been classified using cadaveric, radiological and arthroscopic means; the clinical presentation and operative treatment has been documented in several case series studies. Dual pathology is often present - recognition and treatment of both intra- and extra-articular components are necessary for good postoperative outcome.
AIIS and sub-spine hip impingement should be considered as distinct pathological entities, which may also co-exist. Symptom relief can be expected following arthroscopic deformity correction with the treatment of concomitant intra-articular pathology. Failure to recognise and treat the extra-articular component may affect postoperative outcome.
V.
髂前下棘（AIIS）和髋臼缘棘下区域的形态异常越来越被认为是有症状的关节外髋关节撞击的一个来源。这篇综述文章旨在强调来自AIIS和棘下骨区域的关节外髋关节撞击在发病机制、临床表现和治疗方面的重要差异，以及手术干预后的结果。
进行了一项文献综述，以研究支持AIIS和棘下髋关节撞击的证据。还介绍了作者在该领域的专业经验的叙述，包括关节镜矫正的手术技术。
已使用尸体、放射学和关节镜方法对AIIS和棘下区域的形态异常进行了分类；在几个病例系列研究中记录了临床表现和手术治疗情况。通常存在双重病理——识别和治疗关节内和关节外成分对于良好的术后结果都是必要的。
AIIS和棘下髋关节撞击应被视为不同的病理实体，它们也可能同时存在。通过关节镜畸形矫正并治疗伴随的关节内病理情况，有望缓解症状。未能识别和治疗关节外成分可能会影响术后结果。
V级。
