Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas.
Department of Plastic and Reconstructive Surgery, Houston Methodist Hospital, Houston, Texas.
JBJS Case Connect. 2022 Dec 2;12(4). doi: e22.00401. eCollection 2022 Oct 1.
Large acetabular paralabral cysts can cause compression of the surrounding neurovascular structures leading to sensory and motor deficits. We present a 68-year-old man with obturator nerve denervation from a paralabral cyst secondary to a labral tear associated with femoroacetabular impingement syndrome. Resolution of symptoms and return to full activities were achieved at 3 months and maintained beyond 1 year through open cyst excision, obturator neurolysis, arthroscopic femoral osteoplasty, and labral repair in the same surgical setting. The patient had a successful clinical outcome, with pain and dysfunction resolution.
Large paralabral cysts may cause obturator nerve compression, which can be successfully treated with open nerve decompression and arthroscopic treatment of labral pathology.
大的髋臼盂唇旁囊肿可压迫周围的神经血管结构，导致感觉和运动功能障碍。我们介绍了一位 68 岁的男性患者，他因盂唇撕裂伴股骨髋臼撞击综合征导致闭孔神经麻痹，继发髋臼盂唇旁囊肿。在同一手术环境下，通过开放囊肿切除、闭孔神经松解、关节镜下股骨骨成形术和盂唇修复，患者在 3 个月时症状缓解并恢复全部活动，1 年后仍保持良好。患者的临床结果良好，疼痛和功能障碍得到解决。
大的髋臼盂唇旁囊肿可能压迫闭孔神经，通过开放神经减压和关节镜下处理盂唇病变可成功治疗。
