Zusammenfassung
Das Labrum acetabulare spielt eine wichtige Rolle in der Stabilität des Hüftgelenks. Die Hüftarthroskopie hat die Diagnostik und Behandlung der pathologischen Veränderungen des Labrums grundlegend verändert. Auch solche Läsionen, die früher nicht diagnostiziert worden wären, sind heutzutage einer Glättung, Resektion und in ausgewählten Fällen einer Naht zugänglich. Die Ergebnisse der arthroskopischen Behandlung von traumatischen Läsionen sind meistens gut. Bei gleichzeitigem Vorliegen von degenerativen Knorpelschäden sind die Resultate schlechter. Langzeitergebnisse der arthroskopischen Labrumbehandlung stehen noch aus.
Abstract
The acetabular labrum makes a vital contribution to the stability of the hip joint. Hip arthroscopy has revolutionized the diagnosis and treatment of labral pathology. Lesions that would otherwise have gone unrecognised are now amenable to resection and in some cases repair. Symptomatic relief is generally good after treatment of traumatic tears but patients with co-existing articular cartilage degeneration do less well. The long-term results of arthroscopic surgery for the acetabular labrum are awaited.
Literatur
Baber YF, Robinson AH, Villar RN (1999) Is diagnostic arthroscopy of the hip worthwhile? A prospective review of 328 adults investigated for hip pain. J Bone Joint Surg Br 81(4): 600–603
Byrd JWT (1996) Labral lesions: An elusive source of hip pain. Case reports and literature review. Arthroscopy 12(5): 603–612
Byrd JWT (2000) Technical note. Avoiding the labrum in hip arthroscopy. Arthroscopy 16(7): 770–773
Byrd JWT, Chern KY (1997) Traction versus distension for distraction of the joint during hip arthroscopy. Arthroscopy 13(3): 346–349
Byrd JWT, Jones KS (2002) Osteoarthritis caused by an inverted acetabular labrum: Radiographic diagnosis and arthroscopic treatment. Arthroscopy 18(7): 741–747
Dienst M, Seil R, Gödde S, Brang M, Becker K, Georg T, Kohn D (2002) Effects of traction, distension, and joint position on distraction of the hip joint: An experimental study in cadavers. Arthroscopy 18(8): 865–871
Edwards DJ, Lomas D, Villar RN (1995) Diagnosis of the painful hip by magnetic resonance imaging and arthroscopy. J Bone Joint Surg Br 77(3): 374–376
Farjo LA, Glick JM, Sampson TG (1999) Hip arthroscopy for acetabular labrum tears. Arthroscopy 15(2): 132–137
Ikeda T, Awaya G, T, Suzuki S, T G, Okada Y, Tada H (1988) Torn acetabular labrum in young patients. Arthroscopic diagnosis and management. J Bone Joint Surg Am 70(1): 13–16
Keene GS, Villar RN (1994) Arthroscopic anatomy of the hip: An in vivo study. Arthroscopy 10(4): 392–399
Lage LA, Patel JV, Villar R (1996) The acetabular labral tear: An arthroscopic classification. Arthroscopy 12(3): 269–272
Leunig M, Beck M, Woo A, Dora C, Kerboull M, Ganz R (2003) Acetabular rim degeneration: A constant finding in the aged hip. Clin Orthop 413: 201–207
Mason JB, McCarthy JC, O’Donnel J et al. (2003) Hip arthroscopy: Surgical approach, positioning, and distraction. Clin Orthop 406: 29–37
McCarthy JC (2004) The diagnosis and treatment of labral and chondral injuries. Instr Course Lect 53: 573–577
McCarthy JC, Noble PC, Schuck MR, Wright J, Lee JA (2001) The otto e. Aufranc award: The role of labral lesions to development of early degenerative hip disease. Clin Orthop 393: 25–37
McMinn RMH (1994) Lower limb. In: Last’s anatomy regional and applied. Churchill Livingstone, Edinburgh, pp 166–167
Mitchell B, McCrory P, Brukner P, O’Donnell J, Colson E, Howells R (2003) Hip joint pathology: Clinical presentation and correlation between magnetic resonance arthrography, ultrasound and arthroscopic findings in 25 consecutive cases. Clin J Sport Med 13(3): 152–156
Norman-Taylor FH, Villar RN (1994) Arthroscopic surgery of the hip: Current status. Knee Surg Sports Traumatol Arthrosc 2(4): 255–258
O’Leary JA, Berend K, Parker Vail T (2001) The relationship between diagnosis and outcome on arthroscopy of the hip. Arthroscopy 17(2): 181–188
Philippon M (2004) Unpublished data. Paper presented at the International Hip Arthroscopy Symposium, Cambridge, UK
Santori N, Villar RN (1999) Arthroscopic findings in the initial stages of hip osteoarthritis. Orthopedics 22: 405–409
Santori N, Villar RN (2000) Acetabular labral tears: Result of arthroscopic partial limbectomy. Arthroscopy 16(1): 11–15
Suenaga E, Noguchi Y, Jingushi S, Shuto T, Nakashima Y, Miyanishi K, Iwamoto Y (2002) Relationship between the maximum flexion-internal rotation test and the torn acetabular labrum of a dysplastic hip. J Orthop Sci 7(1): 26–32
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Übersetzung: Dr. M. Wettstein, Service d’Orthopédie et de Traumatologie, CHUV, CH-1011 Lausanne, Schweiz
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Costa, M.L., Villar, R.N. Labrum acetabulare. Orthopäde 35, 54–58 (2006). https://doi.org/10.1007/s00132-005-0895-5
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DOI: https://doi.org/10.1007/s00132-005-0895-5