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髋关节镜治疗凸轮型股骨髋臼撞击症后脱位导致进行性关节炎:一例报告

Dislocation After Hip Arthroscopy for Cam-Type Femoroacetabular Impingement Leading to Progressive Arthritis: A Case Report.

作者信息

Wylie James D, Beckmann James T, Aoki Stephen K

机构信息

Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108.

出版信息

JBJS Case Connect. 2015 Sep 23;5(3):e80. doi: 10.2106/JBJS.CC.N.00150.

Abstract

CASE

We present the case of a fifty-two-year-old man who underwent hip arthroscopy for cam-type femoroacetabular impingement and had an anterior hip dislocation three weeks postoperatively. The patient did not have any of the previously identified risk factors for instability after hip arthroscopy. He underwent revision involving capsular repair and removal of loose bodies but progressed to needing total hip arthroplasty within two years.

CONCLUSION

This case illustrates that even patients without the previously reported risk factors for hip instability are at risk of dislocation after hip arthroscopy and this can lead to rapid joint degeneration necessitating arthroplasty.

摘要

病例

我们报告一例52岁男性患者,其因凸轮型股骨髋臼撞击症接受了髋关节镜检查,术后三周发生了髋关节前脱位。该患者没有髋关节镜检查后先前确定的任何不稳定危险因素。他接受了包括关节囊修复和取出游离体的翻修手术,但在两年内进展为需要进行全髋关节置换术。

结论

该病例表明,即使是没有先前报道的髋关节不稳定危险因素的患者,在髋关节镜检查后也有脱位风险,这可能导致关节迅速退变,需要进行关节置换术。

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