...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Open Journal of Urology >Intra- and Periarticular Ganglia (Synovial Cysts) of the Hip with Compression of the Obturator Nerve, Concomitant with Lesions of the Ligamentum Teres—A Report of 3 Cases
【24h】

Intra- and Periarticular Ganglia (Synovial Cysts) of the Hip with Compression of the Obturator Nerve, Concomitant with Lesions of the Ligamentum Teres—A Report of 3 Cases

机译：髋关节髋关节和膜状神经节（滑膜囊肿）具有闭合剂神经的压缩，伴随着韧带韧带的病变 - 一个3例的报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background : Synovial cysts of the hip are commonly found in patients with intra- or extraarticular pathologies of the joint. Symptoms are mostly unspecific. To date there are no guidelines for a gold standard of treatment. Aim of this article is to show up how lesions of the ligamentum teres (LT) might possibly lead to a specific formation of synovial cysts of the hip joint and how this can be treated arthroscopically. Methods : This case series included 3 patients with ganglia of the hip. All patients had impingement symptoms, combined with untypical location of pain. All patients qualified for joint preserving surgery and underwent hip arthroscopy with pre- and postoperative MRI imaging. The mean follow-up time was 22 months. Results : MRI imaging showed extensive ganglia, presumably originating from the pelvic root of LT, extending to the obturator lodge. In 2 of 3 cases MRI showed lesions of the LT. Hip arthroscopy revealed damage of the LT in all cases, caused by chronic instability of the joint. The postoperative MRI showed a complete regression of the ganglia in all patients after offset correction. After follow-up, 2 of 3 patients were mostly symptom free. One patient was still suffering from a chronic weakness of the gluteus medius muscle. Conclusion : Whenever unspecific radiating pain of surrounding areas of the hip is encountered and cannot be explained by common pathologies of the hip, possible compression of nerves by ganglion cysts should be excluded. This should be done by MRI arthrography. A partial rupture of the LT can occur during FAI with consecutive formation of ganglia in the obturator canal, compressing the obturator nerve. Primarily the articular pathology needs to be repaired. In our cases, this was feasible by hip arthroscopy, as a minimally invasive and safe technique.
机译：背景：髋关节的滑膜常见于关节内或特征病理的患者中。症状大多是无特异性的。迄今为止，没有指导金标准的治疗标准。本文的目的是展现韧带曲线（LT）的病变程度可能导致髋关节的滑膜囊肿的特定形成以及如何关节诊断。 方法：本案例系列包括3例髋关节神经节患者。所有患者患有冲击症状，结合痛苦的无典型位置。所有患者符合关节保存手术和接受髋关节关节镜检查，具有预先和术后MRI成像。平均随访时间为22个月。 结果：MRI成像显示出广泛的神经节，大概来自LT的骨盆根，延伸到闭塞器小屋。在3例中，MRI显示出LT的病变。髋关节视镜检查所有病例中LT的损伤，由关节的慢性不稳定性引起。术后MRI在抵消校正后，所有患者的GANGLIA都表现出完全回归。随访后，3名患者中的2个主要是无症状。一名患者仍然患有眩晕胚胎肌肉的慢性弱点。 结论

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号