文献简介

出版社:VOJNOSANITETSKI PREGLED

作  者:Marko Mladenović, Ivan Micić, Zoran Andjelković , Desimir Mladenović, Predrag Stojiljković

编  号:10.2298/VSP131207109M

关键字:femoracetabular impingement | synovitis | hip joint | orthopedic procedures | treatment outcome

年  份:2015   点击量:1135

文献摘要 全文翻译

Introduction.

Minimal bone changes in the acetabulum and/or proximal femur, through mechanism known as femoroacetabular impingement, during flexion, adduction and internal rotation lead to early contact between femoral head-neck junction and acetabular brim, in anterosuperior region. Each additional pathological substrate which further decreases specified clearance provokes earlier onset of femoroacetabular impingement symptoms.

前言.

髋臼和/或股骨近端骨骼在屈曲、内收和内旋时,通过称为股骨髋臼撞击的机制发生微小变化,导致前区股骨头颈连接处和髋臼边缘之间发生早期接触。此种病理学变化进一步缩小了间隙,进而引起股骨髋臼撞击综合征早期症状发作。   

 

Case report.

We presented a 20-year-old male patient with groin pain, limping, positive impingement test, radiological signs of mixed form of femoroacetabular impingement and unrecognized chronic hypertrophic synovitis with earlier development of clinical hip symptoms than it has been expected.Open surgery of the left hip was done. Two years after the surgery, patient was asymptomatic, painless, and free of motion, with stable x-rays.

病例报告.

我们报道了一例20岁男性患者,腹股沟疼痛,跛行,正面撞击实验为阳性,X线片显示并发混合型股骨髋臼撞击综合征和未识别的慢性肥厚性滑膜炎,同时髋关节临床病状比预期发展更快。患者随后接受了左髋关节开放性手术。术后两年,患者症状解除、疼痛消失并且运动自如,X线片显示髋关节稳定。 

 

Conclusion.

Hypertrophic synovial tissue further reduces the distance between the femoral head-neck junction and the acetabulum, leading to the earlier onset of femoroacetabular impingement symptoms. Surgical treatment is the method of choice.

结论.

肥厚性滑膜组织进一步缩小了股骨头颈连接处与髋臼之间的距离,导致股骨髋臼撞击综合征症状的早期病发。手术治疗是可选方法。