Abstract:
Large acetabular paralabral cysts can cause compression of the surrounding neurovascular structures leading to sensory and motor deficits. We present a 68-year-old man with obturator nerve denervation from a paralabral cyst secondary to a labral tear associated with femoroacetabular impingement syndrome. Resolution of symptoms and return to full activities were achieved at 3 months and maintained beyond 1 year through open cyst excision, obturator neurolysis, arthroscopic femoral osteoplasty, and labral repair in the same surgical setting. The patient had a successful clinical outcome, with pain and dysfunction resolution.
Large paralabral cysts may cause obturator nerve compression, which can be successfully treated with open nerve decompression and arthroscopic treatment of labral pathology.
摘要:
巨大的髋臼旁囊肿可引起周围神经血管结构的压迫,导致感觉和运动缺陷。我们介绍了一名68岁的男子,患有闭孔神经神经支配,原因是继发于股骨髋臼撞击综合征的唇撕裂。通过开放性囊肿切除术,在3个月时达到症状缓解并恢复到充分活动,并维持超过1年。闭孔神经松解术,关节镜下股骨骨成形术,在相同的手术环境中进行唇修复。患者有一个成功的临床结果,疼痛和功能障碍的解决。
巨大的骨旁囊肿可能导致闭孔神经压迫,其中可以成功治疗开放神经减压和关节镜治疗唇病理。