胡佩良;孙磊;

• 1:山东省淄博市临淄区齐都医院骨科
• 2:解放军第88医院全军骨科中心

摘要(Abstract)：

随着髋关节镜技术的进展,对髋关节损伤的诊断与处理也有了显著改进。许多以往未被认识和治疗的髋关节软组织病损在髋关节镜下得到了正确的诊断与处理。目前髋关节镜主要应用于盂唇撕裂的处理、股骨髋臼的撞击症的骨成形、隐匿性髋关节旋转不稳的热关节囊紧缩或关节囊皱折术,治疗软骨损伤、剥脱性骨软骨炎、圆韧带损伤、内源性或外源性弹响髋,清除游离体、滑膜活检、滑膜次全切、滑膜软骨瘤病、感染和某些伴有机械症状的轻度至中度骨性关节炎。此外,对有长期不能缓解髋痛的病人,采用髋关节镜术也有益处。对于症状反复发作、物理检查显示髋关节功能受限,而适当非手术治疗无效的病人,实施髋关节镜术后很可能取得满意效果。然而术前细致的物理检查、影像学研究和安全熟练的手术技术是手术成功的关键。

关键词(KeyWords)： 髋关节;关节镜;髋臼盂唇撕裂;股骨髋臼撞击症

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 胡佩良;孙磊;

Email:

DOI:

参考文献(References)：

• [1]Martin RL,Irrgang JJ,Sekiya JK.The diagnostic accuracy of a clini-cal examination in determining intra-articular hip pain for potential hip arthroscopy candidates[J].Arthroscopy,2008,9:1013-1018.
• [2]Dvorak M,Duncan CP,Day B.Arthroscopic anatomy of the hip[J].Arthroscopy,1990,6:264-273.
• [3]Robertson WJ,Kelly BT.The safe zone for hip arthroscopy:a cada-veric assessment of central,peripheral,and lateral compartment portal placement[J].Arthroscopy,2008,9:1019-1026.
• [4]Mintz DN,Hooper T,Connell D,et al.Magnetic resonance imaging of the hip:detection of labral and chondral abnormalities using noncon-trast imaging[J].Arthroscopy,2005,4:385-393.
• [5]Philippon MJ.The role of arthroscopic thermal capsulorrhaphy in the hip[J].Clin Sports Med,2001,4:817-829.
• [6]Philippon MJ.Arthroscopy of the hip in the management of the ath-lete.In:McGinty JB(ed).Operative arthroscopy[M].Lippincott,Williams&Wilkins,Philadelphia,2003,879-883.
• [7]Byrd JW,Jones KS.Hip arthroscopy in the presence of dysplasia[J].Arthroscopy,2003,10:1055-1060.
• [8]Beck M,Leunig M,Parvizi J,et al.Anterior femoroacetabular impinge-ment:part II.Midterm results of surgical treatment[J].Clin Orthop,2004,418:67-73.
• [9]Kelly BT,Buly RL.Hip arthroscopy update[J].HSS J,2005,1:40-48.
• [10]Mason JB.Acetabular labral tears in the athlete[J].Clin Sports Med,2001,4:779-790.
• [11]Byrd JW,Jones KS.Diagnostic accuracy of clinical assessment,mag-netic resonance imaging,magnetic resonance arthrography,and intra-articular injection in hip arthroscopy patients[J].Am J Sports Med,2004,7:1668-1674.
• [12]Byrd JW.Lateral impact injury:a source of occult hip pathology[J].Clin Sports Med,2001,4:801-815.
• [13]Potter HG,Linklater JM,Allen AA,et al.Magnetic resonance imaging of articular cartilage in the knee.An evaluation with use of fast-spin-echo imaging[J].J Bone Joint Surg Am,1998,9:1276-1284.
• [14]李众利,王岩,刘玉杰,等.髋关节镜下钻孔减压治疗早期股骨头无菌坏死的初步报告[J].中国矫形外科杂志,2003,24:1690-1692.
• [15]Ganz R,Parvizi J,Beck M,et al.Femoroacetabular impingement:a cause for osteoarthritis of the hip[J].Clin Orthop,2003,417:112-120.
• [16]Ito K,Minka MA,Leunig M,et al.Femoroacetabular impingement and the cameffect.AMRI-based quantitative anatomical study of the femoral head-neck offset[J].J Bone Joint Surg Br,2001,83:171-176.
• [17]Ferguson S J,Bryant JT,Ganz R,et al.An in vitro investigation of the acetabular labral seal in hip joint mechanics[J].J Biomech,2003,2:171-178.
• [18]Shetty VD,Villar RN.Hip arthroscopy:current concepts and review of literature[J].Br J Sports Med,2007,41:64-68.
• [19]Kelly BT,Shapiro GS,Digiovanni CW,et al.Vascularity of the hip la-brum:a cadaveric investigation[J].Arthroscopy,2005,1:3-11.
• [20]Ganz R,Gill TJ,Gautier E,et al.Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum with-out the risk of avascular necrosis[J].J Bone Joint Surg Br,2001,8:1119-1124.
• [21]Larson CM,Giveans MR.Arthroscopic management of femoroacetabu-lar impingement:early outcomes measures[J].Arthroscopy,2008,5:540-546.
• [22]McCarthy JC,Lee JA.Hip arthroscopy:indications,outcomes,and complications[J].J Bone Joint Surg Am,2005,87:1138-1145.