正确认识临界型髋关节发育不良  

Proper interpretation of borderline hip dysplasia

作　　者：陈康明 陈晓东[2] Chen Kangming;Chen Xiaodong(Department of Orthopedics,Huashan Hospital,Fudan University,Shanghai,200040;Department of Orthopedics,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,200092,China)

机构地区：[1]复旦大学附属华山医院骨科,上海200040 [2]上海交通大学医学院附属新华医院骨科,上海200092

出　　处：《生物骨科材料与临床研究》2023年第4期1-3,13,共4页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：国家自然科学基金项目(82172473)。

摘　　要：临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋关节不稳定和/或髋股撞击。但迄今缺乏诊断及鉴别诊断的“金标准”。因此,术前需从症状、体征和影像学三方面全面评估BHD患髋,以明确是否存在髋关节不稳定和/或髋股撞击,以采取合适的治疗手段。Borderline hip dysplasia(BHD)is a controversial condition,from its definition to its treatment.Traditionally,the radiographic diagnostic criterion for BHD has been an LCEA of 20 to 25 degrees.Due to the variability of borderline hip morphology,hip instability and/or impingement may exist.However,there is no gold standard for hip instability with or without femoroacetabular impingement.Therefore,it is better for a surgeon to perform a thorough workup including patient history,physical examination,and imaging findings for borderline hips to determine an appropriate treatment option.

关 键 词：临界型髋关节发育不良 髋股撞击综合征 髋关节镜 髋臼周围截骨 

分 类 号：R684[医药卫生—骨科学]