Anderson K, Strickland S M, Warren R
Center for Athletic Medicine, Henry Ford Health System, Detroit, Michigan 48202, USA.
Am J Sports Med. 2001 Jul-Aug;29(4):521-33. doi: 10.1177/03635465010290042501.
Although athletic injuries about the hip and groin occur less commonly than injuries in the extremities, they can result in extensive rehabilitation time. Thus, an accurate diagnosis and well-organized treatment plan are critical. Because loads of up to eight times body weight have been demonstrated in the hip joint during jogging, presumably even greater loads can occur during vigorous athletic competition. The available imaging modalities are effective diagnostic tools when selected on the basis of a thorough history and physical examination. Considerable controversy exists as to the cause and optimal treatment of groin pain in athletes, or the so-called "sports hernia." There has also been significant recent attention focused on intraarticular lesions that may be amenable to hip arthroscopy. This article briefly reviews several common hip and groin conditions affecting athletic patients and highlights some newer topics.
虽然髋部和腹股沟周围的运动损伤比四肢损伤发生得少,但它们可能导致较长的康复时间。因此,准确的诊断和精心组织的治疗计划至关重要。因为在慢跑时髋关节承受的负荷已被证明高达体重的八倍,据推测在激烈的体育比赛中负荷可能更大。根据详尽的病史和体格检查选择合适的成像方式,它们是有效的诊断工具。关于运动员腹股沟疼痛(即所谓的“运动疝”)的病因和最佳治疗方法存在相当大的争议。最近也有大量关注集中在可能适合髋关节镜检查的关节内病变上。本文简要回顾了几种影响运动员的常见髋部和腹股沟疾病,并突出了一些新的话题。