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DOI: 10.1055/s-0029-1245347
© Georg Thieme Verlag KG Stuttgart · New York
Herniation Pits und ihre Renaissance im Zusammenhang mit femoroazetabulärem Impingement
Herniation Pits and their Renaissance in Association with Femoroacetabular ImpingementPublication History
eingereicht: 31.10.2009
angenommen: 14.3.2010
Publication Date:
06 May 2010 (online)
![](https://www.thieme-connect.de/media/roefo/201007/lookinside/thumbnails/10.1055-s-0029-1245347-1.jpg)
Zusammenfassung
Herniation Pits (HPs) des Femurhalses wurden erstmals 1982 beschrieben. Ziel dieser Arbeit ist zum einen, das seitdem publizierte Wissen über HPs zusammenzufassen und zum anderen, ihren in den letzten Jahren neu aufgetretenen Zusammenhang mit der Diagnosestellung des femoroazetabulären Impingements (FAI) darzustellen. HPs sind überwiegend am anterioren superioren Femurhals lokalisiert und haben ein typisches radiologisches Erscheinungsbild, wodurch sie von zahlreich genannten Differenzialdiagnosen gut zu unterscheiden sind. In den ersten Publikationen wurden HPs als eigene Entität beschrieben, wohingegen sie in aktuelleren Arbeiten zunehmend intraossären Ganglien zugeordnet werden. Im Gegensatz zu den frühen Publikationen, in denen sie als Zufallsbefund dargestellt wurden, werden sie aktuell überwiegend im Zusammenhang mit dem FAI genannt und hierbei teilweise als radiologischer Indikator für das FAI angesehen. Zusammenfassend sollten HPs in jedem Fall wahrgenommen und dokumentiert werden, da sie zur Diagnosestellung eines FAI beitragen können, was im klinischen Kontext letztendlich für die Möglichkeit einer frühen Arthroseprophylaxe am Hüftgelenk entscheidend ist.
Abstract
Hernitation pits (HPs) of the femoral neck were first described in 1982. The purpose of this paper is to summarize the information concerning HPs published since then and to show their association with the diagnosis of femoroacetabular impingement (FAI) which has occurred within the last years. HPs are predominantly located at the anterior-superior femoral neck with a typical radiological appearance, which makes it possible to differentiate them from the numerous differential diagnoses mentioned. In the early publications HPs were described as a separate entity, while recent studies increasingly assign them to intra-osseous ganglia. In contrast to the early publications depicting HPs as an incidental finding, they are currently mainly mentioned in association with FAI and at the same time are partly considered to be a radiological indicator of FAI. In summary, HPs should always be recognized and documented because they may contribute to the diagnosis of FAI which is essential for preventing or delaying osteoarthritis of the hip joint in the early stage.
Key words
femur - skeletal-appendicular - CT high resolution - MR imaging - radiography
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Dr. Stephanie Panzer
Radiologie, Unfallklinik Murnau
Prof.-Küntscher-Straße 8
82418 Murnau am Staffelsee
Phone: ++ 49/88 41/48 42 65
Fax: ++ 49/88 41/48 27 28
Email: stephanie.panzer@bgu-murnau.de