Cohen M, Vuillemin V, Jacob D
Service de Radiologie, Clinique Juge, 116 rue Jean-Memoz, 13008 Marseille, France.
J Radiol. 2011 Jun;92(6):515-23. doi: 10.1016/j.jradio.2011.05.001. Epub 2011 Jun 8.
Multiple periarticular structures are present around the hip joint: tendons, bursae, muscles and entheses, fascias, nerves and vessels. Periarticular diseases of the hip in young adults include, in decreasing order of functional impairment: posttraumatic lesions of muscles and tendons that should not be overlooked because of the risk of functional sequelae, enthesopathy detected on plain films and ultrasound, snapping hip syndrome frequent in athletes and tunnel syndromes (such as compression of the lateral femoral cutaneous nerve where ultrasound is valuable). The main pitfalls to avoid are the stress fracture, trauma to a pelvic muscle and calcium deposition.
肌腱、滑囊、肌肉和附着点、筋膜、神经和血管。年轻成年人髋关节的关节周围疾病按功能损害程度递减依次包括:肌肉和肌腱的创伤后病变,因其存在功能后遗症风险而不应被忽视;X线平片和超声检查发现的附着点病;运动员中常见的弹响髋综合征和隧道综合征(如股外侧皮神经受压,超声检查对此有重要价值)。需要避免的主要陷阱是应力性骨折、骨盆肌肉创伤和钙沉积。