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Der Unfallchirurg

, Volume 115, Issue 3, pp 273–278 | Cite as

Arthroskopie nach Trauma des Hüftgelenks

Fallbeispiele und Indikationen
  • C. Mella
  • J. del Río
  • J. Lara
  • D. Parodi
  • L. Moya
  • A. Schmidt-Hebbel
  • F. Boettner
Kasuistiken

Zusammenfassung

In der Folge von Luxationen oder Frakturen des Hüftgelenks können intraartikuläre Verletzungen auftreten, die mittels Hüftarthroskopie behandelt werden können. Wichtige Indikationen sind die Entfernung freier Gelenkkörper und die Therapie von Labrum- und Gelenkknorpelverletzungen. Zusätzlich besteht die Möglichkeit arthroskopisch vorbestehende Gelenkdeformitäten, wie z. B. das femoroazetabuläre Impingement (FAI), zu therapieren. Auch eine arthroskopieassistierte Frakturrefixierung ist im Einzelfall möglich. Vorgestellt werden 2 klinische Fälle mit intraartikulären Verletzungen nach traumatischer Hüftluxation. Der erste Fall beschreibt einen Patienten mit einer anterioren Labrumverletzung und freien Gelenkkörpern nach einer geschlossenen Hüftreposition einer dorsalen Hüftluxation. Der zweite Fall zeigt eine vordere Labrumläsion bei einem vorbestehenden FAI des Hüftgelenks. Bei beiden Patienten erfolgte die Teilresektion der verletzten Anteile des Labrums. Zusätzlich wurden die freien Gelenkkörper entfernt und eine femorale Osteoplastik durchgeführt. Die Hüftgelenkarthroskopie ist eine effektive chirurgische Therapie zur Behandlung intraartikulärer Verletzungen. Sie ermöglicht die gleichzeitige Therapie vorbestehender Gelenkdeformationen wie z. B. eines FAI.

Schlüsselwörter

Hüfte Arthroskopie Gelenktrauma Labrum acetabulare Femoroazetabuläres Impingement 

Arthroscopy after hip joint injury

Case studies and indications

Abstract

Intra-articular injuries are common after dislocation and fracture of the hip joint and can be addressed using hip arthroscopy. The most common indications for this procedure are loose bodies, labral tears and chondral defects. In addition, preexisting femoroacetabular impingement can be addressed at the time of surgery. Arthroscopically guided fracture reduction and fixation has been described. We present two case reports of intra-articular lesions after traumatic hip dislocation. The first is a case of a man with an anterior labral tear and loose bodies after closed hip reduction. The second case is a man with a large anterior labral tear with preexisting femoroacetabular impingement. Both of them were treated by arthroscopic debridement of the unstable labrum. In addition loose bodies were removed in the first patient and a femoral osteoplasty was performed in the second patient. Hip arthroscopy has proven to be a safe and effective surgical technique for treating specific post-traumatic lesions and preexisting femoroacetabular impingement. The current case reports provide an overview of the indication for hip arthroscopy following traumatic injuries to the hip.

Keywords

Dislocation Fracture Hip arthroscopy Femoroacetabular impingement Labrum tear 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • C. Mella
    • 1
  • J. del Río
    • 1
  • J. Lara
    • 1
  • D. Parodi
    • 1
  • L. Moya
    • 1
  • A. Schmidt-Hebbel
    • 1
  • F. Boettner
    • 2
  1. 1.Departamento de Traumatología y OrtopediaUnidad de Cadera Clínica Alemana de Santiago-Universidad del DesarrolloSantiagoChile
  2. 2.Hospital for Special SurgeryNew YorkUSA

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