Acetabular labral tear: Arthroscopic diagnosis and treatment
Acetabular labral tear: Arthroscopic diagnosis and treatment
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DOI：
10.1053/ar.1999.v15.0150131
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发表时间：
1999-03-01
期刊：
影响因子：
4.7
通讯作者：
Ueo, T
中科院分区：
文献类型：
--
作者：
Hase, T;Ueo, T
我们回顾了10例经关节镜诊断和治疗的髋臼唇撕裂的病例。7例患者唇后部撕裂，4例患者唇前部撕裂，1例患者唇上部撕裂。纵向撕裂8例，退行性撕裂1例，纤颤1例。8例接受关节镜部分切除治疗的患者疼痛迅速缓解，并在最近的随访中无症状。其余2例患者均经保守治疗，但症状未缓解。在目前的研究中，以下三个结果高度提示髋臼唇撕裂：(1)关节屈曲90度时的内旋引起疼痛；(2)关节屈曲90度并轻微内收时的轴向压迫引起疼痛；(3)大转子后压痛。这些结果分别为7例、10例和8例。诊断髋臼唇撕裂，这些征象和关节镜检查是有用的。
We reviewed the cases of 10 patients with acetabular labral tear diagnosed and treated arthroscopically. The posterior portion of the labrum had a tear lesion in 7 patients, the anterior portion in 4, and the superior portion in 1. A longitudinal tear was found in 8 patients, a degenerative tear in 1, and fibrillation in 1. Eight patients who were treated by arthroscopic partial limbectomy experienced prompt pain relief, and were free of symptoms at the latest follow-up. The remaining 2 patients were treated conservatively but their symptoms did not subside. The following three findings were highly indicative of a torn acetabular labrum in the current study: (1) Pain elicited by internal rotation with the joint flexed 90 degrees, (2) pain elicited by axial compression to the joint flexed 90 degrees and slightly adducted, and (3) tenderness posterior to the greater trochanter. These findings were positive in 7, 10, and 8 patients, respectively. To diagnose acetabular labral tear, these signs and arthroscopy are useful.