直接磁共振关节造影在股骨髋臼撞击症患者中的有效性及其髋关节镜检查后的结果
Validity of direct magnetic resonance arthrogram in patients with femoroacetabular impingement and their outcome post hip arthroscopy.
作者信息
Mohan Rahul, Unnikrishnan P Nithin, Gudena Ravindra
机构信息
Department of Trauma and Orthopaedics, St Helens and Knowsley NHS Trust, Whiston Hospital, Warrington Road, L35 5DR, United Kingdom.
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, SY10 7AG, United Kingdom.
出版信息
J Orthop. 2019 Nov 12;18:204-208. doi: 10.1016/j.jor.2019.11.003. eCollection 2020 Mar-Apr.
Abstract
Femoroacetabular Impingement is an established cause of labral tears and chondral delamination. The aim was to test the validity of direct magnetic resonance arthrogram [dMRA] in the diagnosis of the same. We also looked at the short term functional outcome in these patients post hip arthroscopy. The dMRA is valuable in diagnosing labral tears nevertheless poor in detecting cartilage delamination. Hip arthroscopic intervention provided a good short-term functional outcome; however, should be offered with caution in patients over 40 years. To our knowledge, this is the single largest series published with similar methodology.
摘要
股骨髋臼撞击症是髋臼盂唇撕裂和软骨分层的既定病因。本研究旨在验证直接磁共振关节造影（dMRA）在诊断该疾病方面的有效性。我们还观察了这些患者髋关节镜检查后的短期功能结局。dMRA在诊断髋臼盂唇撕裂方面具有重要价值，但在检测软骨分层方面效果不佳。髋关节镜干预提供了良好的短期功能结局；然而，对于40岁以上的患者应谨慎进行。据我们所知，这是采用类似方法发表的规模最大的单一系列研究。
相似文献
1
Validity of direct magnetic resonance arthrogram in patients with femoroacetabular impingement and their outcome post hip arthroscopy.直接磁共振关节造影在股骨髋臼撞击症患者中的有效性及其髋关节镜检查后的结果
J Orthop. 2019 Nov 12;18:204-208. doi: 10.1016/j.jor.2019.11.003. eCollection 2020 Mar-Apr.
2
Diagnosis of lesions of the acetabular labrum, of the labral-chondral transition zone, and of the cartilage in femoroacetabular impingement: Correlation between direct magnetic resonance arthrography and hip arthroscopy.髋臼盂唇、盂唇 - 软骨过渡区及股骨髋臼撞击症中软骨病变的诊断：直接磁共振关节造影与髋关节镜检查的相关性
Radiologia. 2015 Mar-Apr;57(2):131-41. doi: 10.1016/j.rx.2013.11.002. Epub 2014 Mar 19.
3
Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis.磁共振成像研究在检测股骨髋臼撞击综合征中软骨和盂唇损伤的准确性：系统评价与荟萃分析
BMC Musculoskelet Disord. 2017 Feb 16;18(1):83. doi: 10.1186/s12891-017-1443-2.
4
Comparison of 3.0-T MR vs 3.0-T MR arthrography of the hip for detection of acetabular labral tears and chondral defects in the same patient population.在同一患者群体中，比较3.0-T磁共振成像（MR）与3.0-T髋关节磁共振关节造影术用于检测髋臼盂唇撕裂和软骨损伤的情况。
Br J Radiol. 2015 Sep;88(1053):20140817. doi: 10.1259/bjr.20140817. Epub 2015 Jun 19.
5
The validity and accuracy of MRI arthrogram in the assessment of painful articular disorders of the hip.磁共振关节造影在评估髋关节疼痛性关节疾病中的有效性和准确性。
Eur J Orthop Surg Traumatol. 2018 Jan;28(1):71-77. doi: 10.1007/s00590-017-2022-9. Epub 2017 Jul 31.
6
Validity of magnetic resonance arthrography as a diagnostic tool in femoroacetabular impingement syndrome.磁共振关节造影作为诊断股骨髋臼撞击综合征的工具的有效性。
Rev Esp Cir Ortop Traumatol. 2015 Jul-Aug;59(4):281-6. doi: 10.1016/j.recot.2014.12.001. Epub 2015 Jan 28.
7
Response to diagnostic injection in patients with femoroacetabular impingement, labral tears, chondral lesions, and extra-articular pathology.髋关节撞击综合征、盂唇撕裂、软骨损伤和关节外病变患者的诊断性注射治疗反应。
Arthroscopy. 2011 May;27(5):619-27. doi: 10.1016/j.arthro.2010.12.009.
8
Predictors of Poor Clinical Outcome After Arthroscopic Labral Preservation, Capsular Plication, and Cam Osteoplasty in the Setting of Borderline Hip Dysplasia.关节镜下盂唇保留、囊袋紧缩和凸轮成形术治疗髋关节发育不良边缘患者的临床预后不良的预测因素。
Am J Sports Med. 2018 Jan;46(1):135-143. doi: 10.1177/0363546517730583. Epub 2017 Oct 9.
9
Postoperative MRI Findings and Associated Pain Changes After Arthroscopic Surgery for Femoroacetabular Impingement.髋关节撞击综合征关节镜术后的 MRI 发现与相关疼痛变化
AJR Am J Roentgenol. 2020 Jan;214(1):177-184. doi: 10.2214/AJR.19.21421. Epub 2019 Nov 6.
10
Magnetic resonance arthrography for labral tears and chondral wear in femoroacetabular impingement.磁共振关节造影术用于诊断股骨髋臼撞击症中的盂唇撕裂和软骨磨损。
Hip Int. 2012 Jul-Aug;22(4):387-90. doi: 10.5301/HIP.2012.9315.
引用本文的文献
1
Midterm results after arthroscopic femoral neck osteoplasty combined with labral debridement for cam type femoroacetabular impingement in active adults.关节镜下股骨颈骨成形术联合盂唇清理术治疗活跃成年人凸轮型股骨髋臼撞击症的中期疗效。
J Orthop Surg Res. 2023 Jan 27;18(1):67. doi: 10.1186/s13018-023-03543-9.
本文引用的文献
1
Predictors of Clinical Outcomes After Hip Arthroscopy: A Prospective Analysis of 1038 Patients With 2-Year Follow-up.髋关节镜术后临床结局的预测因素：2 年随访的 1038 例患者的前瞻性分析。
Am J Sports Med. 2018 May;46(6):1324-1330. doi: 10.1177/0363546518763362. Epub 2018 Mar 23.
2
Can hip arthroscopy in the presence of arthritis delay the need for hip arthroplasty?在存在关节炎的情况下，髋关节镜检查能否延迟髋关节置换术的需求？
J Hip Preserv Surg. 2017 Feb 22;4(1):3-8. doi: 10.1093/jhps/hnw050. eCollection 2017 Jan.
3
Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis.磁共振成像研究在检测股骨髋臼撞击综合征中软骨和盂唇损伤的准确性：系统评价与荟萃分析
BMC Musculoskelet Disord. 2017 Feb 16;18(1):83. doi: 10.1186/s12891-017-1443-2.
4
Outcome after hip arthroscopy for femoroacetabular impingement in 289 patients with minimum 2-year follow-up.289例股骨髋臼撞击症患者行髋关节镜检查后至少随访2年的结果。
Scand J Med Sci Sports. 2017 Feb;27(2):230-235. doi: 10.1111/sms.12641. Epub 2016 Jan 21.
5
MRI of Labral and Chondral Lesions of the Hip.髋关节盂唇和软骨损伤的磁共振成像
AJR Am J Roentgenol. 2015 Sep;205(3):479-90. doi: 10.2214/AJR.14.12581.
6
Evaluation of Labral Pathology and Hip Articular Cartilage in Patients with Femoroacetabular Impingement (FAI): Comparison of Multidetector CT Arthrography and MR Arthrography.股骨髋臼撞击症（FAI）患者盂唇病理及髋关节软骨的评估：多层螺旋CT关节造影与磁共振关节造影的比较
Pol J Radiol. 2014 Oct 24;79:374-80. doi: 10.12659/PJR.890910. eCollection 2014.
7
Hip arthroscopy in the setting of hip osteoarthritis: systematic review of outcomes and progression to hip arthroplasty.髋骨关节炎背景下的髋关节镜检查：结局及进展至髋关节置换术的系统评价
Clin Orthop Relat Res. 2015 Mar;473(3):1055-73. doi: 10.1007/s11999-014-3943-9. Epub 2014 Sep 18.
8
3.0 T conventional hip MR and hip MR arthrography for the acetabular labral tears confirmed by arthroscopy.3.0T传统髋关节磁共振成像及髋关节磁共振关节造影用于经关节镜检查确诊的髋臼盂唇撕裂。
Eur J Radiol. 2014 Oct;83(10):1822-7. doi: 10.1016/j.ejrad.2014.05.034. Epub 2014 Jun 19.
9
Sex-Based Differences in the Clinical Presentation of Patients With Symptomatic Hip Labral Tears.有症状的髋关节盂唇撕裂患者临床表现的性别差异。
Am J Sports Med. 2014 Jun;42(6):1365-9. doi: 10.1177/0363546514532226. Epub 2014 Apr 30.
10
Diagnosis of lesions of the acetabular labrum, of the labral-chondral transition zone, and of the cartilage in femoroacetabular impingement: Correlation between direct magnetic resonance arthrography and hip arthroscopy.髋臼盂唇、盂唇 - 软骨过渡区及股骨髋臼撞击症中软骨病变的诊断：直接磁共振关节造影与髋关节镜检查的相关性
Radiologia. 2015 Mar-Apr;57(2):131-41. doi: 10.1016/j.rx.2013.11.002. Epub 2014 Mar 19.
Zotero 插件