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Arthroskopische Korrektur des extraartikulären Subspine-Impingements am Hüftgelenk

Arthroscopic correction of extra-articular subspinal impingement in the hip joint

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Zusammenfassung

Wir beschreiben den Fall eines symptomatischen extraartikulären Subspine-Impingements am Hüftgelenk, hervorgerufen durch den pathologischen Kontakt zwischen einer hypertrophen Spina iliaca anterior inferior (SIAI) und dem ventralen Schenkelhals. Die Untersuchung eines 28-jährigen Patienten mit rechtsseitigen belastungsabhängigen Leistenschmerzen und positivem Impingementtest zeigte im Röntgen und CT eine Hypertrophie der SIAI mit Ausdehnung nach kaudal. Bei positivem Infiltrationstest erfolgte die arthroskopische partielle Resektion der SIAI, woraufhin der Patient eine verbesserte und nahezu schmerzfreie Hüftgelenkbeweglichkeit zeigte.

Abstract

We report the case of symptomatic extra-articular subspinal impingement in the hip joint caused by a pathological contact between the anterior inferior iliac spine (AIIS) and the femoral neck. A 28-year-old patient presented with activity-related inguinal pain on the right side and a positive anterior impingement test in the clinical examination. Radiological examinations revealed a hypertrophic AIIS with caudal extension below the acetabulum. After a positive injection test confirmed the AIIS as the origin of the pain, arthroscopic correction with partial resection of the AIIS was performed resulting in significant pain relief and improved range of motion.

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Einhaltung der ethischen Richtlinien

Interessenkonflikt. J.H. Schröder, M. Hufeland, T. Hartwig, D. Krüger, C. Perka, N.P. Haas geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland

    M. Hufeland, T. Hartwig, D. Krüger, C. Perka, N.P. Haas &  J.H. Schröder

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  1. M. Hufeland
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  2. T. Hartwig
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  3. D. Krüger
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  4. C. Perka
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  5. N.P. Haas
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  6. J.H. Schröder
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Correspondence to J.H. Schröder.

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Hufeland, M., Hartwig, T., Krüger, D. et al. Arthroskopische Korrektur des extraartikulären Subspine-Impingements am Hüftgelenk. Orthopäde 42, 879–883 (2013). https://doi.org/10.1007/s00132-013-2130-0

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  • DOI: https://doi.org/10.1007/s00132-013-2130-0

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