[1]钟名金 欧阳侃** 柳海峰 彭亮权 许鉴 朱伟民 陆伟 王大平.髋关节镜手术治疗髋臼盂唇钙化沉积病[J].中国微创外科杂志,2019,01(11):1039-1042.
　Zhong Mingjin,Ouyang Kan,Liu Haifeng,et al.Clinical Outcomes of Hip Arthroscopic Treatment for Acetabular Labrum Calcification Deposition[J].Chinese Journal of Minimally Invasive Surgery,2019,01(11):1039-1042.
点击复制

髋关节镜手术治疗髋臼盂唇钙化沉积病()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年11期
页码:
1039-1042
栏目:
经验交流
出版日期:
2019-11-25

文章信息/Info

Title:
Clinical Outcomes of Hip Arthroscopic Treatment for Acetabular Labrum Calcification Deposition
作者:
钟名金 欧阳侃** 柳海峰 彭亮权 许鉴 朱伟民 陆伟 王大平
（深圳市第二人民医院深圳大学第一附属医院运动医学科，深圳518000）
Author(s):
Zhong Mingjin;  Ouyang Kan;  Liu Haifeng;  et al.
Department of Sports Medicine, First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital, Shenzhen 518000, China
关键词:
髋臼盂唇; 钙化沉积; 髋关节镜
Keywords:
Acetabular labrum; Calcification deposition; Hip arthroscopy
文献标志码:
B
摘要:
目的探讨髋关节镜手术治疗髋臼盂唇钙化沉积病的临床疗效。方法2012年12月~2018年8月行髋关节镜手术治疗髋臼盂唇钙化沉积病12例，采用疼痛视觉模拟评分（Visual Analogue Scale，VAS）、改良髋关节Harris评分（modified Harris Hip Score，mHHS）及髋关节非骨关节炎评分（Nonarthritic Hip Score，NAHS）进行髋关节功能评估。结果手术均顺利完成，术后随访（16.2±8.8）月（12~36个月）。末次随访时VAS由术前的（4.2±1.7）分降至（1.5±0.9）（t=6490，P=0.000）；mHHS由（53.6±12.6）分提高至（80.3±8.9）分（t=7.853，P=0.000）；NAHS评分由（57.0±12.5）分提高至（79.0±9.5）分（t=5.338，P=0.000）。无血管、神经损伤，无伤口感染、股骨头坏死、异位骨化等并发症，无需翻修、髋关节置换。结论髋关节镜手术治疗髋臼盂唇钙化沉积病能显著缓解疼痛，改善髋关节功能，是一种安全有效的治疗方式。
Abstract:
ObjectiveTo investigate clinical outcomes of hip arthroscopic treatment for acetabular labrum calcification deposition.MethodsA total of 12 patients with acetabular labrum calcification deposition were treated by hip arthroscopic procedure from December 2012 to August 2018. The hip function was evaluated by Visual Analogue Scale (VAS), modified Harris Hip Score (mHHS) and Nonarthritic Hip Score (NAHS).ResultsAll the operations were successful. The mean followup period was (16.2±8.8) months (range, 12-36 months). At the last followup, the mean VAS scores were improved from (4.2±1.7) points preoperatively to (1.5±0.9) points (t=6.490, P=0.000), the mHHS scores were improved from (53.6±12.6) points to (80.3±8.9) points (t=7.853, P=0.000), and the NAHS scores from (57.0±12.5) points to (79.0±9.5) points (t=5.338, P=0.000). During the followup period, there were no vascular or nerve injury, wound infection, femoral head necrosis, heterotopic ossification or other complications, and no cases of revision or hip replacement were noted.ConclusionsHip arthroscopic treatment for acetabular labrum calcification deposition has advantages of minimal invasion, less complications and quick recovery, significantly relieving pain and improving the function of hip joint. It is a safe and effective treatment method for this kind of disease.

参考文献/References:

[1]Sansone V,Maiorano E,Galluzzo A,et al.Calcific tendinopathy of the shoulder: clinical perspectives into the mechanisms,pathogenesis,and treatment.Orthop Res Rev,2018,10(3):63-72.
[2]Merolla G,Singh S,Paladini P,et al.Calcific tendinitis of the rotator cuff: state of the art in diagnosis and treatment.J Orthop Traumatol,2016,17(1):7-14.
[3]Verstraelen FU,Fievez E,Janssen L,et al.Surgery for calcifying tendinitis of the shoulder:a systematic review.World J Orthop,2017,8(5):424-430.
[4]Peng X,Feng Y,Chen G,et al.Arthroscopic treatment of chronically painful calcific tendinitis of the rectus femoris.Eur J Med Res,2013,18:49.
[5]Hubert J,Hawellek T,Moe M,et al.Labral calcification in endstage osteoarthritis of the hip correlates with pain and clinical function.J Orthop Res,2018,36(4):1248-1255.
[6]Di Benedetto P,Zangari A,Magnanelli S,et al.Heterotopic ossification in primary total hip arthroplasty:which is the role of drainage?Acta Biomed,2019,90(1-S):92-97.
[7]牛星跃,鞠晓东,王健全.髋关节盂唇钙化性疾病研究进展.中国运动医学杂志,2018,37(9):77-80.
[8]Schmitz CC,Haas H,MullerStromberg J.Endoscopic treatment of calcinosis circumscripta of the hip joint:a report of 2 cases of arthroscopic removal of a calcific deposition between the labrum and capsule.Arthroscopy,2010,26(8):1135-1138.
[9]Jackson TJ,Stake CE,Stone JC,et al.Radiographic,histologic,and arthroscopic findings in amorphous calcifications of the hip labrum.Arthroscopy,2014,30(4):456-461.
[10]Perets I,Hartigan DE,Walsh JP,et al.Excision of labral amorphous calcification as a part of hip arthroscopy：clinical outcomes in a matchedcontrolled study.Arthroscopy,2018,34(4):1227-1233.
[11]Uhthoff HK,Sarkar K,Maynard JA.Calcifying tendinitis:a new concept of its pathogenesis.Clin Orthop Relat Res,1976,(118):164-168.
[12]Leunig M,Ganz R.Femoroacetabular impingement:a common cause of hip complaints leading to arthrosis.Unfallchirurg,2005,108(1):9-10,12-17.
[13]陈康,陆伟,朱伟民,等.关节镜下治疗肩袖钙化性肌腱炎的临床疗效研究.中华骨与关节外科杂志,2018,11(10):776-779.
[14]Martinez AE,Li SM,Ganz R,et al.Os acetabuli in femoroacetabular impingement: stress fracture or unfused secondary ossification centre of the acetabular rim?Hip Int,2006,16(4):281-286.
[15]Yokoyama M,Aono H,Takeda A,et al.Cimetidine for chronic calcifying tendinitis of the shoulder.Reg Anesth Pain Med,2003,28(3):248-252.
[16]Ross JR,Larson CM,Bedi A.Indications for hip arthroscopy.Sports Health,2017,9(5):402-413.

备注/Memo

备注/Memo:
基金项目：深圳市第二人民医院临床研究项目（20193357019）**通讯作者，Email：510296924@qq.com
更新日期/Last Update: 2020-03-03