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一名退休脊医对侧髋关节退变与股骨近端凸轮型畸形相关:10年随访

Contralateral hip joint degeneration associated with a cam-type deformity of the proximal femur in a retired chiropractor: 10-year follow-up.

作者信息

Emary Peter C

机构信息

Michael G. DeGroote Institute for Pain Research and Care, McMaster University.

Chiropractic Department, D'Youville University.

出版信息

J Can Chiropr Assoc. 2024 Aug;68(2):177-181.

Abstract

Cam-type deformities of the proximal femur have long been associated with femoroacetabular impingement (FAI); an orthopedic condition recognized in the etiology of early osteoarthritis (OA) in the non-dysplastic adult hip. However, the optimal clinical management (including the long-term prognosis) of patients with cam-type deformities with or without FAI symptoms remains uncertain. In this imaging case review (ICR), we present the 10-year follow-up of a retired chiropractor with bilateral cam-type femoral deformities who initially underwent total right hip joint arthroplasty for advanced hip joint OA, and subsequently developed advanced hip joint OA on the contralateral side.

摘要

股骨近端凸轮型畸形长期以来一直与股骨髋臼撞击症(FAI)相关;FAI是一种在非发育异常的成人髋关节早期骨关节炎(OA)病因中被认可的骨科病症。然而,有或没有FAI症状的凸轮型畸形患者的最佳临床管理(包括长期预后)仍不确定。在本影像学病例回顾(ICR)中,我们展示了一位退休脊医的10年随访情况,该患者患有双侧凸轮型股骨畸形,最初因晚期髋关节OA接受了右侧全髋关节置换术,随后对侧也出现了晚期髋关节OA。

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