Femoroacetabuläres Pincer-Impingement View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-06

AUTHORS

R.F. Herzog

ABSTRACT

Beim Pincer-Impingement kommt es durch repetitive Kontusionen zwischen Pfannenrand und Schenkelhals primär zu einer Schädigung des Labrums und sekundär zu progredienten Knorpelschäden. Ohne frühzeitige Diagnostik und Behandlung ist mit der Entstehung einer vorzeitigen Arthrose zu rechnen. Ursprünglich erfolgte die Therapie im Rahmen eines offenen Eingriffs, meist in Kombination mit einer chirurgischen Hüftluxation. Wie gestaltet sich eine adäquate Diagnostik und welchen Stellenwert hat die Hüftarthroskopie in der Behandlung des femoroacetabulären Pincer-Impingements heute. Die Übersichtsarbeit basiert auf einer selektiven Literaturrecherche und der persönlichen Erfahrung. Eine gezielte klinische Untersuchung und radiologische Abklärung, insbesondere mittels Arthro-MRT, ermöglicht eine frühzeitige, sichere Diagnosestellung. Die Literatur zeigt, dass eine arthroskopische Behandlung möglich ist. Bei ausreichender Erfahrung des Operateurs lassen sich heute die meisten Fälle arthroskopisch behandeln. Bei dieser minimal-invasiven Technik sind die Risiken gering. Neben der Reduktion des Pfannenrandes sind eine Refixation des Labrums und eine Sanierung von Knorpeldefekten technisch möglich geworden. Gleichzeitig können Pathologien am proximalen Femur angegangen werden. Die Erfolgsraten sind bei frühzeitiger Operation hoch, sinken jedoch mit zunehmenden Knorpelschäden. Entsprechend ist bei Hüftbeschwerden des jungen Patienten eine frühzeitige Diagnostik dringend indiziert. More... »

PAGES

109-117

References to SciGraph publications

Journal

TITLE

Arthroskopie

ISSUE

2

VOLUME

27

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00142-013-0781-9

DOI

http://dx.doi.org/10.1007/s00142-013-0781-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034515058


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