Borody Cameron
Department of Clinical Education, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
J Manipulative Physiol Ther. 2005 Jul-Aug;28(6):449-51. doi: 10.1016/j.jmpt.2005.06.003.
To discuss herniation pits of the femoral neck as a possible source of hip pain in a young athletic population.
A 25-year-old former varsity volleyball player sought treatment for recurrent episodes of sharp left hip pain after intense physical activity. Radiographs revealed a small, oval, lobulated radiolucency with a thin sclerotic border in the superolateral aspect of the left femoral neck. Passive internal rotation of the left hip reproduced the complaint. Iliopsoas tendinitis/bursitis tests did not reproduce the complaint.
The patient reported no significant reduction of hip pain after a variety of conservative therapies including soft tissue therapy, stretching, interferential current, and long-axis distraction.
There is evidence to suggest that herniation pits of the femoral neck are a result of mechanical stress from the overlying joint capsule and iliopsoas tendon. Herniation pits of the femoral neck should be considered a potential cause of hip pain, particularly if the patient is physically active.
探讨股骨颈疝窝作为年轻运动员人群髋部疼痛可能来源的情况。
一名25岁的前大学排球运动员，因剧烈体育活动后反复出现左髋部剧痛前来就诊。X线片显示左股骨颈上外侧有一个小的、椭圆形、分叶状的透亮区，边界有薄的硬化带。左髋部被动内旋可重现症状。髂腰肌肌腱炎/滑囊炎检查未重现症状。
在接受包括软组织治疗、拉伸、干扰电流和长轴牵引等多种保守治疗后，患者报告髋部疼痛无明显减轻。
有证据表明股骨颈疝窝是由上方关节囊和髂腰肌肌腱的机械应力导致的。股骨颈疝窝应被视为髋部疼痛的一个潜在原因，特别是对于身体活跃的患者。
