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关节镜下髂腰肌部分延长术治疗有症状的髋关节内弹响、髂腰肌撞击损伤或两者并存的情况。

Arthroscopic Technique for Iliopsoas Fractional Lengthening for Symptomatic Internal Snapping of the Hip, Iliopsoas Impingement Lesion, or Both.

作者信息

Chandrasekaran Sivashankar, Close Mary R, Walsh John P, Chaharbakhshi Edwin O, Lodhia Parth, Mohr Mitchell R, Domb Benjamin G

机构信息

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

Stritch School of Medicine, Chicago, Illinois, U.S.A.

出版信息

Arthrosc Tech. 2018 Aug 16;7(9):e915-e919. doi: 10.1016/j.eats.2018.06.001. eCollection 2018 Sep.

DOI:10.1016/j.eats.2018.06.001
PMID:30258772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6153307/
Abstract

Pathology of the iliopsoas may cause painful internal snapping of the hip or labral damage from soft impingement. Favorable outcomes have been reported after arthroscopic release or fractional lengthening of the iliopsoas. In patients with risk factors for instability, restoration of other soft-tissue constraints such as the labrum and capsule should be performed if iliopsoas fractional lengthening is undertaken. The purpose of this article is to detail the step-by-step surgical technique of arthroscopic iliopsoas fractional lengthening, in addition to the indications, pearls, and pitfalls of the technique.

摘要

髂腰肌病变可能导致髋关节内部疼痛性弹响或因软性撞击造成盂唇损伤。关节镜下松解或髂腰肌部分延长术后已报告有良好疗效。对于存在不稳定危险因素的患者，若进行髂腰肌部分延长术，应修复盂唇和关节囊等其他软组织限制结构。本文旨在详细介绍关节镜下髂腰肌部分延长术的分步手术技术，以及该技术的适应证、要点和陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/5add8bad7433/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/e2044e0c99de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/08e8c413925c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/5add8bad7433/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/e2044e0c99de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/08e8c413925c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17a/6153307/5add8bad7433/gr3.jpg

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本文引用的文献

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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.
2
Abdominal compartment syndrome--the prevention and treatment of possible lethal complications following hip arthroscopy: a case report.腹腔间隔室综合征——髋关节镜检查后可能致命并发症的预防与治疗：一例病例报告
J Med Case Rep. 2014 Nov 14;8:368. doi: 10.1186/1752-1947-8-368.
3
Anterior hip dislocation 5 months after hip arthroscopy.
有限的腰骶部活动度不影响初次髋关节镜检查后的短期疗效：一项倾向匹配对照研究。
J Hip Preserv Surg. 2021 Aug 26;8(2):177-184. doi: 10.1093/jhps/hnab056. eCollection 2021 Jul.
4
The Femoral Head "Divot" Sign: A Useful Arthroscopic Sign of Hip Microinstability.股骨头“小凹”征：一种用于诊断髋关节微不稳定的有用关节镜征象。
Orthop J Sports Med. 2020 May 7;8(5):2325967120917919. doi: 10.1177/2325967120917919. eCollection 2020 May.
髋关节镜术后 5 个月发生髋关节前脱位。
Arthroscopy. 2014 Oct;30(10):1380-2. doi: 10.1016/j.arthro.2014.04.099. Epub 2014 Jun 17.
4
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.
5
Arthroscopic ligamentum teres reconstruction using semitendinosus tendon: surgical technique and an unusual outcome.使用半腱肌肌腱进行关节镜下圆韧带重建：手术技术及一个不寻常的结果
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6
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HSS J. 2011 Jul;7(2):145-50. doi: 10.1007/s11420-011-9198-z. Epub 2011 Apr 1.
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Iatrogenic labral puncture of the hip is avoidable.医源性髋关节盂唇穿刺是可以避免的。
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