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髋关节镜检查治疗盆腔内神经节继发闭孔神经病变:一例报告

Hip arthroscopy as a treatment for obturator neuropathy secondary to intra-pelvic ganglion: a case report.

作者信息

Bachar Avnieli Ira, Amar Eyal, Efrima Ben, Kollander Yehuda, Rath Ehud, Volaski Harrison

机构信息

Department of Orthopedics, Barzilai Medical Center, 2 Hahistadrout St., Ashkelon, Israel.

Minimal Invasive Orthopedics Unit, Tel-Aviv Sourasky Medical Center, 6 Weizman St., Tel-Aviv, Israel.

出版信息

J Hip Preserv Surg. 2018 Aug 31;5(3):319-322. doi: 10.1093/jhps/hny023. eCollection 2018 Aug.

Abstract

The most common types of cystic lesions around the hip joint are synovial or ganglion cysts. In rare cases, the cysts can compress adjacent structures and cause symptoms to arise. Obturator neuropathy secondary to a hip ganglion cyst is a rare phenomenon, with scarce reports on suggested treatment options. Hip arthroscopy is a potential minimally invasive treatment that has yet to be described in such cases. We present a 52-year-old male suffering from obturator neuropathy caused by an intra-pelvic ganglion cyst arising from the hip joint. Hip arthroscopy was performed for decompression of the cyst and dilation of the stalk opening. Six-month post-operative follow-up showed resolution of symptoms and complete elimination of the cyst on magnetic resonance imaging.

摘要

髋关节周围最常见的囊性病变类型是滑膜囊肿或腱鞘囊肿。在罕见情况下,囊肿可压迫相邻结构并引发症状。继发于髋关节腱鞘囊肿的闭孔神经病变是一种罕见现象,关于建议的治疗方案的报道很少。髋关节镜检查是一种潜在的微创治疗方法,此类病例中尚未有相关描述。我们报告一例52岁男性,因髋关节引起的盆腔内腱鞘囊肿导致闭孔神经病变。进行了髋关节镜检查以减压囊肿并扩张囊肿蒂开口。术后6个月的随访显示症状消失,磁共振成像显示囊肿完全消除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c10/6206690/d2bad3c1fe75/hny023f1.jpg

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