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髋关节镜检查后并发髂腰肌滑囊炎的前髋关节脱位

Anterior Hip Dislocation After Hip Arthroscopy Complicated by Iliopsoas Bursitis.

作者信息

Nasra Matthew H, Michel Christopher R, Sudah Suleiman, Dijanic Christopher, Torpey Brian

机构信息

Orthopedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, USA.

Orthopedic Surgery, Monmouth Medical Center, Long Branch, USA.

出版信息

Cureus. 2021 Aug 10;13(8):e17044. doi: 10.7759/cureus.17044. eCollection 2021 Aug.

Abstract

Hip dislocation after hip arthroscopy is an uncommon postoperative complication. We report a case of a 51-year-old woman who underwent right hip arthroscopy and presented with an anterior hip dislocation on postoperative day five. The index surgery involved capsulotomy, cam lesion debridement, and femoroplasty for an anterosuperior labral tear and cam-type femoroacetabular impingement. The patient underwent an uneventful recovery course until eight weeks postoperatively she developed iliopsoas bursitis. Her symptoms were managed conservatively with activity modification and physical rehabilitation. Complete resolution of symptoms was reported by the six-month follow-up visit, and no further dislocations or instability had been reported at 12 months. Anterior hip dislocation is a rare complication following hip arthroscopy and patients may experience persistent iliopsoas bursitis several months following successful reduction.

摘要

髋关节镜检查术后髋关节脱位是一种罕见的术后并发症。我们报告一例51岁女性,她接受了右髋关节镜检查,术后第5天出现髋关节前脱位。该手术包括关节囊切开术、凸轮病变清创术和股骨成形术,用于治疗前上盂唇撕裂和凸轮型股骨髋臼撞击症。患者术后恢复顺利,直到术后8周出现髂腰肌滑囊炎。通过调整活动和物理康复对其症状进行了保守治疗。六个月的随访显示症状完全缓解,12个月时未报告进一步的脱位或不稳定情况。髋关节前脱位是髋关节镜检查术后罕见的并发症,复位成功后患者可能会在数月内持续出现髂腰肌滑囊炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4087/8428167/8a8094f9fd10/cureus-0013-00000017044-i01.jpg

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