Wittke R
Allgemein- und Sportmedizinische Praxis, Bayreuth.
MMW Fortschr Med. 2005 Jun 23;147(25):33-6.
The criterion "positive or negative capsular pattern" serves as a signpost in the differential diagnosis of pain in the groin. Slipped capital femoral epiphysis, Legg-Calvé-Perthes disease, necrosis of the femoral head in adults, and the coxarthrosis of athletes belong to the first group. Inguinal hernia, osteitis pubis, and adductor tendinosis have no capsular pattern. Pain not localized in the groin is referred to as pelvic girdle pain. Pelvic girdle pain can arise suddenly after an intense trauma such as after a traffic accident, overstraining during sports or as apophyseal injuries. If chronic pelvic girdle pain exists, the cause of the problem is frequently primary or insertion tendinosis or bursitis.
“关节囊形态阳性或阴性”这一标准是腹股沟疼痛鉴别诊断中的一个路标。股骨头骨骺滑脱、Legg-Calvé-Perthes病、成人股骨头坏死以及运动员的髋关节炎属于第一组。腹股沟疝、耻骨炎和内收肌肌腱病没有关节囊形态。非局限于腹股沟的疼痛称为骨盆带疼痛。骨盆带疼痛可能在诸如交通事故、运动过度劳损或骨骺损伤等强烈创伤后突然出现。如果存在慢性骨盆带疼痛，问题的原因通常是原发性或附着点肌腱病或滑囊炎。
