The Houston Methodist Hip Preservation Program, Houston Methodist Orthopedics and Sports Medicine, 6445 Main Street, Suite 2500, Houston, TX 77030, USA; Houston Methodist Academic Institute; Houston Methodist Orthopedics & Sports Medicine, Houston, TX, USA; Weill Cornell Medical College, New York, NY, USA; Texas A&M University, College Station, TX, USA.
Department of Orthopedics, Duke University Medical Center, Box 3389, Durham, NC 27710, USA.
Clin Sports Med. 2021 Apr;40(2):271-288. doi: 10.1016/j.csm.2020.11.004. Epub 2021 Jan 19.
Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and is classified based on the magnitude and location of undercoverage. Borderline dysplasia has been variably defined and leads to management challenges. In symptomatic dysplasia, treatment addresses coverage with periacetabular osteotomy. Concomitant simultaneous or staged hip arthroscopy has significant advantages to address intra-articular pathology. In nonarthritic individuals, there is evidence PAO alters the natural history of dysplasia and decreases the risk of hip arthritis and total hip arthroplasty.
髋臼发育不良是一种与髋关节疼痛、不稳定和骨关节炎相关的结构性病理形态。发育不良的广泛谱系在解剖学上是指覆盖范围的三维体积和表面积不足，并根据覆盖不足的程度和位置进行分类。边缘性发育不良的定义各不相同，这导致了管理上的挑战。在有症状的发育不良中，治疗方法是通过髋臼周围截骨术来解决覆盖问题。同期或分期进行髋关节镜检查有显著的优势，可以解决关节内的病变。在非关节炎患者中，有证据表明 PAO 改变了发育不良的自然病程，降低了髋关节关节炎和全髋关节置换的风险。
