Is there a distinct pattern to the acetabular labrum and articular cartilage damage in the non-dysplastic hip with instability?
| Autor: | Kotaro R Shibata, Marc R. Safran, Shuichi Matsuda |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Adult Cartilage Articular Joint Instability Male Adolescent Chondroplasty Lesion 03 medical and health sciences Young Adult 0302 clinical medicine medicine Femoracetabular Impingement Humans Orthopedics and Sports Medicine Femoroacetabular impingement Retrospective Studies 030222 orthopedics business.industry Acetabular labrum Cartilage Fibrocartilage Acetabulum 030229 sport sciences Articular cartilage damage medicine.disease medicine.anatomical_structure Surgery Female Hip Joint Hip arthroscopy medicine.symptom business Nuclear medicine |
| Zdroj: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 25(1) |
| ISSN: | 1433-7347 |
| Popis: | The purpose of this study was to determine whether or not there is a distinct pattern of injury to the acetabular labrum and/or cartilage in the hip with instability without bony dysplasia. Surgical records and intra-operative images of consecutive patients who underwent primary hip arthroscopy for femoroacetabular impingement (FAI) and/or hip instability by the senior author from April 2007 to December 2014 were retrospectively reviewed. Pathological changes were documented and charted on a novel diagram of the acetabulum, and classified into eight patterns corresponding to the lesion’s location and size. In patients who had acetabular chondroplasty treatment, the width of the cartilage lesion was recorded. A total of 953 hips in 886 patients were included, and patients who met our inclusion/exclusion criterion were grouped into an Instability-Only group (45 hips), an Instability-Dysplasia group (12 hips), as well as Pincer-FAI, Cam-FAI, and Combined-FAI groups consisting of 100, 54, and 269 hips, respectively. In the Instability-Only group, 42.2 % of the chondral and labral lesions demonstrated a “Straight-Anterior” pattern, which proportion was statistically significantly different compared with Pincer-FAI (p |
| Databáze: | OpenAIRE |
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