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本文引用的文献

1
Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence.髋关节镜检查术后的康复：寻找证据
J Sport Rehabil. 2015 Nov;24(4):413-8. doi: 10.1123/JSR.2014-0208a.
2
Arthroscopic Technique of Capsular Plication for the Treatment of Hip Instability.关节镜下关节囊折叠术治疗髋关节不稳定的技术
Arthrosc Tech. 2015 Apr 13;4(2):e163-7. doi: 10.1016/j.eats.2015.01.004. eCollection 2015 Apr.
3
Acetabular Labral Base Repair Versus Circumferential Suture Repair: A Matched-Paired Comparison of Clinical Outcomes.髋臼盂唇基底修复与环周缝合修复：临床结果的配对比较
Arthroscopy. 2015 Sep;31(9):1716-21. doi: 10.1016/j.arthro.2015.03.004. Epub 2015 Apr 22.
4
Residual deformity is the most common reason for revision hip arthroscopy: a three-dimensional CT study.残留畸形是髋关节镜翻修术最常见的原因：一项三维CT研究。
Clin Orthop Relat Res. 2015 Apr;473(4):1388-95. doi: 10.1007/s11999-014-4069-9.
5
Femoroacetabular impingement negates the acetabular labral seal during pivoting maneuvers but not gait.股骨髋臼撞击症在旋转动作中会破坏髋臼唇密封，但在步态中不会。
Clin Orthop Relat Res. 2015 Feb;473(2):602-7. doi: 10.1007/s11999-014-3760-1. Epub 2014 Jul 3.
6
The hip fluid seal--Part II: The effect of an acetabular labral tear, repair, resection, and reconstruction on hip stability to distraction.髋关节液体密封——第二部分：髋臼盂唇撕裂、修复、切除和重建对髋关节抗牵张稳定性的影响
Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):730-6. doi: 10.1007/s00167-014-2875-y. Epub 2014 Feb 9.
7
The hip labrum reconstruction: indications and outcomes--a systematic review.髋关节盂唇重建：适应症与疗效——一项系统评价
Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):737-43. doi: 10.1007/s00167-013-2804-5. Epub 2013 Dec 7.
8
Arthroscopic capsular plication and labral preservation in borderline hip dysplasia: two-year clinical outcomes of a surgical approach to a challenging problem.关节镜下关节囊折叠术及在临界性髋关节发育不良中保留盂唇：针对一个具有挑战性问题的手术方法的两年临床结果
Am J Sports Med. 2013 Nov;41(11):2591-8. doi: 10.1177/0363546513499154. Epub 2013 Aug 16.
9
Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: relation to atraumatic instability.髋关节镜下囊切开术、囊修复术和囊折叠术：与非创伤性不稳定的关系。
Arthroscopy. 2013 Jan;29(1):162-73. doi: 10.1016/j.arthro.2012.04.057. Epub 2012 Aug 15.
10
Iliopsoas impingement: a newly identified cause of labral pathology in the hip.髂腰肌撞击：髋关节盂唇病变的一个新的明确病因。
HSS J. 2011 Jul;7(2):145-50. doi: 10.1007/s11420-011-9198-z. Epub 2011 Apr 1.

后外侧髋臼成形术和股骨远端颈成形术、盂唇修复及关节囊折叠术治疗髋关节反向对冲损伤

Posterolateral Acetabuloplasty and Distal Femoral Neckplasty, Labral Repair, and Capsular Plication for Hip Reverse Contre-Coupe Lesion.

作者信息

Chandrasekaran Sivashankar, Walsh John P, Hartigan David E, Lodhia Parth, Suarez-Ahedo Carlos, Domb Benjamin G

机构信息

American Hip Institute, Westmont, Illinois, U.S.A.

Hinsdale Orthopaedics, Hinsdale, Illinois, U.S.A.

出版信息

Arthrosc Tech. 2017 May 22;6(3):e627-e634. doi: 10.1016/j.eats.2017.01.007. eCollection 2017 Jun.

DOI:10.1016/j.eats.2017.01.007
PMID:28706809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5495549/
Abstract

This article describes the arthroscopic approach and management of a "reverse contre-coup" injury to the hip labrum. The injury occurs in the setting of posterolateral acetabular rim over-coverage impinging on the distal femoral neck in extension causing the femoral head to lever out anteriorly against the labrum. Ligamentous laxity and associated loss of anterior capsular restraint allow increased femoral head translation, adding further insult to the anterior labrum. The arthroscopic approach entails not only a labral repair with correction of the osseous conflict but also restoration of soft-tissue stability to minimize anterior femoral translation.

摘要

本文描述了髋关节盂唇“反向对冲”损伤的关节镜治疗方法及处理。该损伤发生于后外侧髋臼缘覆盖过度，在伸展时撞击股骨颈远端，导致股骨头向前撬起并撞击盂唇。韧带松弛及相关的前关节囊约束丧失会使股骨头移位增加，进一步损伤前盂唇。关节镜治疗不仅需要修复盂唇并纠正骨冲突，还需恢复软组织稳定性，以尽量减少股骨头向前移位。