| 正确认识临界型髋关节发育不良 |
| Proper interpretation of borderline hip dysplasia |
| 投稿时间：2023-05-24 |
| DOI：10.3969/j.issn.1672-5972.2023.04.001 |
| 中文关键词: 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 |
| 英文关键词:Borderline hip dysplasia Femoroacetabular impingement syndrome Hip arthroscopy Periacetabular osteotomy |
| 基金项目:国家自然科学基金项目（82172473） |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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