Arthroscopy. 2022 Aug;38(8):2449-2450. doi: 10.1016/j.arthro.2022.03.020.
Three goals are at the top of our minds when achieving optimal outcomes for the arthroscopic treatment of femoroacetabular impingement syndrome in the primary setting: (1) accurate bony correction, (2) labral function restoration-typically with labral repair-and (3) comprehensive capsular management-which involves capsular preservation and closure. Notwithstanding, additional intra-articular concomitant conditions require our attention as well. Central acetabular impingement is characterized by the presence of central acetabular osteophytes at the cotyloid fossa. It has been proposed that central acetabular osteophytes lead to lateralization of the femoral head with relative femoroacetabular incongruency that increases contact force and mechanical cartilage abrasion.
在原发性髋关节撞击综合征的关节镜治疗中，我们的首要目标有三个：（1）准确的骨矫正；（2）恢复盂唇功能-通常采用盂唇修复；（3）全面的囊袋管理-包括囊袋的保留和关闭。然而，我们还需要关注关节内的其他伴随情况。中心性髋臼撞击症的特征是髋臼窝处存在中心性髋臼骨赘。有人提出，中心性髋臼骨赘导致股骨头向外侧移位，从而导致股骨髋臼不匹配增加，接触力增大，机械性软骨磨损增加。
