[Ortho] Фиброзная дисплазия подвздошной кости

[Ivan Petrov]

Полностью согласен с Вами, уважаемые коллеги. Спорил исключительно для поддержания дискуссии.
Однако,как говорил H. Oligue:"Whatever we wish to believe we can find in experimental work to prove our theory". 
1.Sanchez-Sotelo J, Trousdale R, Berry D, and Cabanela M: Surgical Treatment of Developmental Dysplasia of the Hip in Adults. J Am Acad Orthop Surg 2002;10:321-333.
«Patients who present with dysplasia with no or minimal symptoms should be treated nonsurgically. The natural history of dysplasia should be discussed with the patient and radiographs taken every 1 to 2 years to monitor the joint for development of arthritis. Nonsteroidal anti-inflammatory agents can be used and high-impact activities should be avoided. The surgical alternatives should be reserved for patients with persistent symptoms and severe limitation of their daily activities».
2.McCarthy JC, Mason JB, Wardell SR: Hip arthroscopy for acetabular dysplasia: A pipe dream? Orthopedics 1998;21:977-979.
« on 20 arthroscopies in 20 patients with mild dysplasia and mechanical pain that was reproduced with flexion and internal rotation. Eighteen had labral tears, seven had significant acetabular cartilage lesions, and three had loose bodies. After a minimum follow-up of 2 years, 85% of the patients reported improved pain and were able to return to sport and
leisure activities. Three patients had persistent pain; two of them required hip replacement».


Ivan Petrov