Nakano Naoki, Lisenda Laughter, Khanduja Vikas
Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.
SICOT J. 2017;3:26. doi: 10.1051/sicotj/2017012. Epub 2017 Mar 22.
Treatment of painful internal snapping hip via arthroscopic release of the iliopsoas tendon is becoming the preferred option over open techniques because of the benefits of minimal dissection and fewer complications. However, complications do occur with arthroscopic techniques as well. We present the case of a 33-year-old woman who presented with painful internal snapping of her right hip and underwent arthroscopic release of the iliopsoas tendon. Following the procedure she continued to complain of pain in her groin and was therefore investigated further with a magnetic resonance imaging (MRI) which revealed a swelling near the femoral circumflex vessels. A computed tomography (CT) angiogram revealed a 15 mm pseudoaneurysm of the femoral circumflex artery, which was successfully treated by selective catheterisation and embolisation. Hip arthroscopists should be sufficiently familiar with the vascular anatomy around the hip and keep this complication in mind when releasing the iliopsoas tendon arthroscopically especially in revision cases with adhesions.
由于微创解剖和较少并发症的优势，通过关节镜下髂腰肌肌腱松解术治疗疼痛性弹响髋正逐渐成为比开放技术更优选的方案。然而，关节镜技术也会出现并发症。我们报告了一例33岁女性患者，她因右髋疼痛性内弹响就诊，并接受了关节镜下髂腰肌肌腱松解术。术后她持续抱怨腹股沟疼痛，因此进一步进行了磁共振成像（MRI）检查，结果显示旋股血管附近有肿胀。计算机断层扫描（CT）血管造影显示旋股动脉有一个15毫米的假性动脉瘤，通过选择性插管和栓塞成功治疗。髋关节镜医师应充分熟悉髋关节周围的血管解剖结构，并在关节镜下松解髂腰肌肌腱时牢记这一并发症，尤其是在有粘连的翻修病例中。
