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社论评论:髂腰肌部分延长术:治疗疾病还是症状?

Editorial Commentary: Iliopsoas Fractional Lengthening: Treating a Disease or a Symptom?

出版信息

Arthroscopy. 2019 May;35(5):1441-1444. doi: 10.1016/j.arthro.2019.02.013.

DOI:10.1016/j.arthro.2019.02.013
PMID:31054723
Abstract

Arthroscopic iliopsoas fractional lengthening requires careful patient selection, specifically reproducible symptoms, confirmatory physical examination, suggestive imaging findings, and evaluation for microinstability. Resolution of hip snapping is expected in about 80% of cases, but there is a possibility of weakness and pain, presumably from microinstability from the loss of a dynamic anterior hip stabilizer.

摘要

关节镜下髂腰肌部分松解术需要仔细选择患者,具体为有可重现的症状、确认的体格检查、提示性影像学发现以及对微动不稳定的评估。大约 80%的病例可预期髋关节弹响声消失,但存在无力和疼痛的可能性,可能是由于动态髋关节前稳定器丢失导致微动不稳定所致。

相似文献

1
Editorial Commentary: Iliopsoas Fractional Lengthening: Treating a Disease or a Symptom?社论评论:髂腰肌部分延长术:治疗疾病还是症状?
Arthroscopy. 2019 May;35(5):1441-1444. doi: 10.1016/j.arthro.2019.02.013.
2
Editorial Commentary: Caveat Flexor-To Release or Not to Release the Iliopsoas, That Is the Question.社论评论:注意事项——屈肌松解还是不松解,这是个问题。
Arthroscopy. 2018 Jun;34(6):1851-1855. doi: 10.1016/j.arthro.2018.04.010.
3
Clinical Outcomes and Return to Sport in Competitive Athletes Undergoing Arthroscopic Iliopsoas Fractional Lengthening Compared With a Matched Control Group Without Iliopsoas Fractional Lengthening.关节镜下髂腰肌部分延长术与未行髂腰肌部分延长术的匹配对照组比较对竞技运动员的临床结果和重返运动的影响。
Arthroscopy. 2018 Feb;34(2):456-463. doi: 10.1016/j.arthro.2017.08.292. Epub 2017 Nov 3.
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Arthroscopic Iliopsoas Fractional Lengthening for Internal Snapping of the Hip: Clinical Outcomes With a Minimum 2-Year Follow-up.关节镜下髂腰肌部分延长术治疗髋关节内弹响:至少2年随访的临床结果
Am J Sports Med. 2014 Jul;42(7):1696-703. doi: 10.1177/0363546514531037. Epub 2014 Apr 25.
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Does Iliopsoas Lengthening Adversely Affect Clinical Outcomes After Hip Arthroscopy? A Multicenter Comparative Study.髂腰肌松解术是否会对髋关节镜术后的临床结果产生不利影响?一项多中心对照研究。
Am J Sports Med. 2018 Sep;46(11):2624-2631. doi: 10.1177/0363546518785966. Epub 2018 Aug 3.
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Editorial Commentary: Indiscriminate Iliopsoas Tenotomy May Cause Complications-With Tight Indications and Transbursal Lengthening, We May Avoid Them.编辑评论:盲目施行髂腰肌切断术可能导致并发症——有明确适应证和转位延长时,我们可以避免这些并发症。
Arthroscopy. 2021 Jul;37(7):2149-2151. doi: 10.1016/j.arthro.2021.04.065.
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The Functional and Structural Outcomes of Arthroscopic Iliopsoas Release.关节镜下髂腰肌松解的功能和结构结果
Am J Sports Med. 2016 May;44(5):1286-91. doi: 10.1177/0363546515626173. Epub 2016 Feb 12.
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Arthroscopic Treatment of Iliopsoas Snapping in Patients With Radiographic Acetabular Dysplasia Using Iliopsoas Fractional Lengthening and Capsular Plication.关节镜下治疗髋臼发育不良患者的髂腰肌弹响:采用髂腰肌部分切断和关节囊折叠术
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Microinstability of the hip: A review.髋关节微不稳定:综述
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Endoscopic or arthroscopic iliopsoas tenotomy for iliopsoas impingement following total hip replacement. A prospective multicenter 64-case series.关节镜或内镜下髂腰肌切断术治疗全髋关节置换术后髂腰肌撞击综合征:一项前瞻性多中心 64 例研究。
Orthop Traumatol Surg Res. 2017 Dec;103(8S):S207-S214. doi: 10.1016/j.otsr.2017.09.007. Epub 2017 Sep 13.

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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.