This article presents a narrative review of cystic lesions around the hip and primarily consists of 5 sections:Radiological examination, prevalence, pathogenesis, symptoms, and treatment. Cystic lesions around the hip...This article presents a narrative review of cystic lesions around the hip and primarily consists of 5 sections:Radiological examination, prevalence, pathogenesis, symptoms, and treatment. Cystic lesions around the hip are usually asymptomatic but may be observed incidentally on imaging examinations, such as computed tomography and magnetic resonance imaging. Some cysts may enlarge because of various pathological factors, such as trauma, osteoarthritis, rheumatoid arthritis, or total hip arthroplasty(THA), and may become symptomatic because of compression of surrounding structures, including the femoral, obturator, or sciatic nerves, external iliac or common femoral artery, femoral or external iliac vein, sigmoid colon, cecum, small bowel, ureters, and bladder. Treatment for symptomatic cystic lesions around the hip joint includes rest, nonsteroidal anti-inflammatory drug administration, needle aspiration, and surgical excision. Furthermore, when these cysts are associated with osteoarthritis, rheumatoid arthritis, and THA, primary or revision THA surgery will be necessary concurrent with cyst excision. Knowledge of the characteristic clinical appearance of cystic masses around the hip will be useful for determining specific diagnoses and treatments.展开更多
Urinary incontinence and hematuria are frequent complaints evaluated by urologists often with readily identifiable etiologies. Occasionally, an unlikely source is found. We present an unusual case of urinary incontine...Urinary incontinence and hematuria are frequent complaints evaluated by urologists often with readily identifiable etiologies. Occasionally, an unlikely source is found. We present an unusual case of urinary incontinence and hematuria in an elderly female. Evaluation revealed that the complaints were due to a large cyst emanating from her right hip which was the result of a previous right hip arthroplasty in 1970 with three subsequent revisions. Her symptoms resolved spontaneously and the cyst has remained unchanged.展开更多
目的探讨髋关节镜手术治疗髋臼盂唇损伤合并囊肿的临床疗效。方法回顾性分析2017年1月至2022年4月于天津市天津医院运动损伤与关节镜科接受髋关节镜手术治疗髋臼盂唇损伤合并囊肿的患者14例,男5例、女9例,年龄(35.46±12.62)岁(范围...目的探讨髋关节镜手术治疗髋臼盂唇损伤合并囊肿的临床疗效。方法回顾性分析2017年1月至2022年4月于天津市天津医院运动损伤与关节镜科接受髋关节镜手术治疗髋臼盂唇损伤合并囊肿的患者14例,男5例、女9例,年龄(35.46±12.62)岁(范围26~57岁)。左髋8例、右髋6例,体质指数(24.35±3.14)kg/m^(2)(范围20.2~28.4 kg/m^(2))。症状持续时间(6.25±4.39)个月(范围3~11个月)。所有患者行髋关节镜下囊肿清理、盂唇缝合术。比较患者手术前后的股骨颈α角、外侧中心边缘角、视觉模拟评分(visual analogue score,VAS)、Harris髋关节评分(Harris hip score,HHS)和国际髋关节结果工具(international hip outcome tool,iHOT-12)评分。结果所有患者均顺利完成手术并获得随访,随访时间为(10.23±2.45)个月(范围1.5~18个月)。患者手术前后髋关节VAS的差异有统计学意义(F=108.47,P<0.001)。术后18个月的VAS为(1.34±0.83)分,小于术前和术后6周的(7.85±1.12)分和(5.03±1.60)分,差异有统计学意义(P<0.05)。患者手术前后髋关节HHS评分的差异有统计学意义(F=96.89,P<0.001)。术后18个月的HHS评分为(85.58±4.65)分,大于术前和术后6周的(54.36±2.31)分和(61.12±1.20)分,差异有统计学意义(P<0.05)。患者手术前后iHOT-12评分的差异有统计学意义(F=117.92,P<0.001)。术后18个月的iHOT-12评分为(78.36±2.28)分,大于术前和术后6周的(31.39±5.21)分和(47.88±2.20)分,差异有统计学意义(P<0.05)。患者手术前后股骨颈α角的差异有统计学意义(F=101.56,P<0.001)。术后12个月的股骨颈α角为45.32°±3.16°,小于术前的50.86°±8.41°,差异有统计学意义(P<0.05)。患者手术前后外侧中心边缘角的差异有统计学意义(F=100.38,P<0.001)。术后12个月的外侧中心边缘角为28.23°±5.32°,小于术前的32.16°±5.13°,差异有统计学意义(P<0.001)。结论髋关节镜手术治疗髋臼盂唇损伤合并囊肿可改善髋部疼痛和提高髋关节功能。展开更多
文摘This article presents a narrative review of cystic lesions around the hip and primarily consists of 5 sections:Radiological examination, prevalence, pathogenesis, symptoms, and treatment. Cystic lesions around the hip are usually asymptomatic but may be observed incidentally on imaging examinations, such as computed tomography and magnetic resonance imaging. Some cysts may enlarge because of various pathological factors, such as trauma, osteoarthritis, rheumatoid arthritis, or total hip arthroplasty(THA), and may become symptomatic because of compression of surrounding structures, including the femoral, obturator, or sciatic nerves, external iliac or common femoral artery, femoral or external iliac vein, sigmoid colon, cecum, small bowel, ureters, and bladder. Treatment for symptomatic cystic lesions around the hip joint includes rest, nonsteroidal anti-inflammatory drug administration, needle aspiration, and surgical excision. Furthermore, when these cysts are associated with osteoarthritis, rheumatoid arthritis, and THA, primary or revision THA surgery will be necessary concurrent with cyst excision. Knowledge of the characteristic clinical appearance of cystic masses around the hip will be useful for determining specific diagnoses and treatments.
文摘Urinary incontinence and hematuria are frequent complaints evaluated by urologists often with readily identifiable etiologies. Occasionally, an unlikely source is found. We present an unusual case of urinary incontinence and hematuria in an elderly female. Evaluation revealed that the complaints were due to a large cyst emanating from her right hip which was the result of a previous right hip arthroplasty in 1970 with three subsequent revisions. Her symptoms resolved spontaneously and the cyst has remained unchanged.
文摘目的探讨髋关节镜手术治疗髋臼盂唇损伤合并囊肿的临床疗效。方法回顾性分析2017年1月至2022年4月于天津市天津医院运动损伤与关节镜科接受髋关节镜手术治疗髋臼盂唇损伤合并囊肿的患者14例,男5例、女9例,年龄(35.46±12.62)岁(范围26~57岁)。左髋8例、右髋6例,体质指数(24.35±3.14)kg/m^(2)(范围20.2~28.4 kg/m^(2))。症状持续时间(6.25±4.39)个月(范围3~11个月)。所有患者行髋关节镜下囊肿清理、盂唇缝合术。比较患者手术前后的股骨颈α角、外侧中心边缘角、视觉模拟评分(visual analogue score,VAS)、Harris髋关节评分(Harris hip score,HHS)和国际髋关节结果工具(international hip outcome tool,iHOT-12)评分。结果所有患者均顺利完成手术并获得随访,随访时间为(10.23±2.45)个月(范围1.5~18个月)。患者手术前后髋关节VAS的差异有统计学意义(F=108.47,P<0.001)。术后18个月的VAS为(1.34±0.83)分,小于术前和术后6周的(7.85±1.12)分和(5.03±1.60)分,差异有统计学意义(P<0.05)。患者手术前后髋关节HHS评分的差异有统计学意义(F=96.89,P<0.001)。术后18个月的HHS评分为(85.58±4.65)分,大于术前和术后6周的(54.36±2.31)分和(61.12±1.20)分,差异有统计学意义(P<0.05)。患者手术前后iHOT-12评分的差异有统计学意义(F=117.92,P<0.001)。术后18个月的iHOT-12评分为(78.36±2.28)分,大于术前和术后6周的(31.39±5.21)分和(47.88±2.20)分,差异有统计学意义(P<0.05)。患者手术前后股骨颈α角的差异有统计学意义(F=101.56,P<0.001)。术后12个月的股骨颈α角为45.32°±3.16°,小于术前的50.86°±8.41°,差异有统计学意义(P<0.05)。患者手术前后外侧中心边缘角的差异有统计学意义(F=100.38,P<0.001)。术后12个月的外侧中心边缘角为28.23°±5.32°,小于术前的32.16°±5.13°,差异有统计学意义(P<0.001)。结论髋关节镜手术治疗髋臼盂唇损伤合并囊肿可改善髋部疼痛和提高髋关节功能。
