El-Radi Mohamed Abd, Marin-Peña Oliver R, Said Hatem Galal, Tey-Pons Marc
Orthopedic Surgery and Traumatology, University Hospital Assuit, Assiut, Egypt.
Orthopedic Surgery and Traumatology, University Hospital Infanta Leonor, Madrid, Spain.
SICOT J. 2017;3:73. doi: 10.1051/sicotj/2017040. Epub 2017 Dec 22.
Chondrolabral complex is a weak point along an histological transition zone. Most cartilage and labral lesions in the femoroacetabular impingement syndrome are located in this area. Different classifications are used to evaluate the severity and predict the prognosis of chondrolabral complex injuries. Acetabular Labrum Articular Disruption (ALAD) and Multicenter Arthroscopy of the Hip Outcomes Research Network (MAHORN) classifications are commonly used with a prognosis and treatment implication. Treatment of chondrolabral lesions detected on magnetic resonance imaging (MRI), should only be considered when clinical symptoms are presented. A wide range of treatment options include debridement with or without microfracture, repair or regenerate therapies. The future of hip joint preservation should be directed towards to the development of the treatment of chondrolabral injuries.
髋臼唇复合体是沿着组织学过渡区的一个薄弱点。股骨髋臼撞击综合征中的大多数软骨和髋臼唇损伤都位于该区域。不同的分类方法用于评估髋臼唇复合体损伤的严重程度并预测其预后。髋臼唇关节破坏(ALAD)分类和髋关节多中心关节镜结果研究网络(MAHORN)分类是常用的,具有预后和治疗意义。只有在出现临床症状时,才应考虑对磁共振成像(MRI)检测到的髋臼唇损伤进行治疗。广泛的治疗选择包括有或无微骨折的清创术、修复或再生疗法。髋关节保留治疗的未来应朝着髋臼唇损伤治疗的发展方向前进。