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Arthroskopische Behandlung des femoroazetabulären Impingements

Arthroscopic treatment of femoroacetabular impingement

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Eine erst kürzlich etablierte, aber häufige Ätiologie der Hüftschmerzen beim jungen Erwachsenen ist das femoroazetabuläre Impingement (FAI), das eine leichte Form der frühzeitigen degenerativen Erkrankung des Hüftgelenks darstellt. Die klinischen Aspekte und diagnostischen Möglichkeiten sollen im Folgenden diskutiert und eine komplett arthroskopische Korrektur dieser Pathologie präsentiert werden. Mit dieser Technik können die azetabuläre Komponente ebenso wie die pathologischen Veränderungen am Femurkopf behandelt werden. Das schließt — falls notwendig — auch eine Labrumnaht mit ein. Neurologische Komplikationen durch lange Distraktionszeiten können durch die Anwendung einer invasiven Distraktionsmethode vermieden werden. Die Ergebnisse der arthroskopischen Behandlung sind mit denen der offenen chirurgischen Technik vergleichbar.

Abstract

A newly established frequent etiology of hip pain in the young adult is femoroacetabular impingement, which is a subtle form of early degenerative hip disease. This contribution discusses clinical aspects and diagnostic features. A thorough arthroscopic correction of this pathology is presented. The technique treats the acetabular component as well as the head component. This also includes labral repair when necessary. Neurological complications are avoided during long distraction periods using invasive distraction. The results thus obtained are very similar to the open surgical technique.

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Authors and Affiliations

  1. Unité d’Orthopédie et Traumatologie du Sport, Clinique d’Orthopédie des Hôpitaux Universitaires de Genève

    H. Sadri, J. Menetrey & P. Hoffmeyer

  2. Département de Chirurgie Orthopédique, Hôpital Sud Fribourgeois Riaz/Schweiz

    E. Kraus

  3. Unité d’Orthopédie et Traumatologie du Sport, Clinique d’Orthopédie des Hôpitaux Universitaires, 24, rue Micheli-du-Crest, CH-1211, Genf 14, Schweiz

    H. Sadri

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  1. H. Sadri
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  2. J. Menetrey
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  3. E. Kraus
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  4. P. Hoffmeyer
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Correspondence to H. Sadri.

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Sadri, H., Menetrey, J., Kraus, E. et al. Arthroskopische Behandlung des femoroazetabulären Impingements. Arthroskopie 19, 67–74 (2006). https://doi.org/10.1007/s00142-005-0330-2

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  • DOI: https://doi.org/10.1007/s00142-005-0330-2

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