当前髋关节撞击综合征的诊断和治疗理念。
Current concepts in the diagnosis and management of femoroacetabular impingement.
机构信息
Department of Trauma & Orthopaedics, Addenbrooke's, - Cambridge University Hospitals NHS Trust, Box 37, Hills Road, Cambridge, CB2 0QQ, UK.
出版信息
Int Orthop. 2011 Oct;35(10):1427-35. doi: 10.1007/s00264-011-1278-7. Epub 2011 Jul 14.
Abstract
Femoroacetabular impingement is becoming increasingly recognised as a cause of hip pain in the young adult. It is thought that the condition may lead to acetabular labral tears, chondro-labral separation, chondral delamination and eventually predispose to osteoarthritis of the hip. Efforts have thus been directed to diagnosing and treating the underlying pathology and subsequent sequelae. This article presents the relevant literature with regards to the aetiology of femoroacetabular impingement, its clinical features, investigations and options of management. Finally outcomes relating to both open and arthroscopic approaches to treatment are discussed.
摘要
髋关节撞击综合征日益被认为是年轻成人髋关节疼痛的一个原因。据认为，这种情况可能导致髋臼唇撕裂、软骨-唇分离、软骨分层，最终导致髋关节骨关节炎。因此，人们一直在努力诊断和治疗潜在的病理和随后的后遗症。本文介绍了髋关节撞击综合征的病因、临床特征、检查和治疗选择的相关文献。最后，讨论了开放和关节镜两种治疗方法的结果。
相似文献
1
Current concepts in the diagnosis and management of femoroacetabular impingement.当前髋关节撞击综合征的诊断和治疗理念。
Int Orthop. 2011 Oct;35(10):1427-35. doi: 10.1007/s00264-011-1278-7. Epub 2011 Jul 14.
2
Legg-Calvé-Perthes disease and slipped capital femoral epiphysis: major developmental causes of femoroacetabular impingement.Legg-Calvé-Perthes 病和股骨头骨骺滑脱：髋关节撞击综合征的主要发育性病因。
J Am Acad Orthop Surg. 2013;21 Suppl 1:S59-63. doi: 10.5435/JAAOS-21-07-S59.
3
Hip Injuries in the Adolescent Athlete.青少年运动员的髋部损伤
Clin Sports Med. 2021 Apr;40(2):385-398. doi: 10.1016/j.csm.2020.12.003. Epub 2021 Feb 5.
4
Pediatric Hip and Pelvis.小儿髋关节和骨盆
Pediatr Clin North Am. 2020 Feb;67(1):139-152. doi: 10.1016/j.pcl.2019.09.003.
5
Diagnosis and treatment of femoroacetabular impingement in Legg-Calvé-Perthes disease.Legg-Calvé-Perthes病中股骨髋臼撞击症的诊断与治疗
J Pediatr Orthop. 2011 Sep;31(2 Suppl):S235-40. doi: 10.1097/BPO.0b013e3182260252.
6
Case reports: acetabular damage after mild slipped capital femoral epiphysis.病例报告：轻度股骨颈骨骺滑脱后髋臼损伤。
Clin Orthop Relat Res. 2013 Jul;471(7):2163-72. doi: 10.1007/s11999-012-2715-7.
7
[Femoroacetabular impingement related to Legg-Calvé-Perthes disease].[与Legg-Calvé-Perthes病相关的股骨髋臼撞击症]
Srp Arh Celok Lek. 2011 Nov-Dec;139(11-12):834-7. doi: 10.2298/sarh1112834v.
8
Arthroscopic treatment of femoroacetabular impingement following slipped capital femoral epiphysis.股骨头骨骺滑脱后股骨髋臼撞击症的关节镜治疗
Bone Joint J. 2016 Jan;98-B(1):21-7. doi: 10.1302/0301-620X.98B1.35831.
9
Femoroacetabular impingement: current concepts in diagnosis and treatment.股骨髋臼撞击症：诊断与治疗的当前概念
Orthopedics. 2015 Mar;38(3):185-99. doi: 10.3928/01477447-20150305-07.
10
Pathomorphology and treatment of femoroacetabular impingement.股骨髋臼撞击症的病理形态学与治疗
Instr Course Lect. 2012;61:263-72.
引用本文的文献
1
Arthroscopic Management for Patients with Secondary Femoroacetabular Impingement Resulting from Femoral Head Fracture Malunion in the Hip.髋关节股骨头骨折畸形愈合所致继发性股骨髋臼撞击症患者的关节镜治疗
Hip Pelvis. 2025 Jun 1;37(2):164-169. doi: 10.5371/hp.2025.37.2.164.
2
Effects of Preexisting Anxiety and Depression on Postoperative Outcomes in Patients Aged 30 Years and Younger Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome.既往焦虑和抑郁对30岁及以下股骨髋臼撞击综合征患者髋关节镜术后结局的影响。
HSS J. 2024 May;20(2):214-221. doi: 10.1177/15563316231164614. Epub 2023 Mar 31.
3
Comparison of 3T MR arthrography and 3T MRI in intra-articular hip pathology: a cost-analysis.3TMR 关节造影与 3T MRI 在髋关节腔内病变中的比较：成本分析。
Ir J Med Sci. 2024 Oct;193(5):2515-2523. doi: 10.1007/s11845-024-03708-3. Epub 2024 May 14.
4
Injections prior to hip arthroscopy are associated with increased risk of repeat hip arthroscopy at 1 and 5 years.髋关节镜检查前的注射与 1 年和 5 年时髋关节镜检查再手术的风险增加相关。
Arch Orthop Trauma Surg. 2024 Feb;144(2):823-829. doi: 10.1007/s00402-023-05164-7. Epub 2023 Dec 16.
5
Elimination of a Postoperative Brace Does Not Increase Complications Following Hip Arthroscopy.术后去除支具不会增加髋关节镜检查后的并发症。
Cureus. 2023 Jun 12;15(6):e40321. doi: 10.7759/cureus.40321. eCollection 2023 Jun.
6
The growth of hip preservation as a speciality.髋关节保留作为一个专业领域的发展。
Knee Surg Sports Traumatol Arthrosc. 2023 Jul;31(7):2540-2543. doi: 10.1007/s00167-023-07409-9. Epub 2023 Apr 12.
7
No evidence exists on outcomes of non-operative management in patients with femoroacetabular impingement and concomitant Tönnis Grade 2 or more hip osteoarthritis: a scoping review.在患有股骨髋臼撞击症和伴发 Tönnis 分级 2 级或更高级别的髋骨关节炎的患者中，非手术治疗的结果尚无证据：范围综述。
Knee Surg Sports Traumatol Arthrosc. 2023 Jun;31(6):2103-2122. doi: 10.1007/s00167-022-07274-y. Epub 2022 Dec 9.
8
Patterns of labral tears and cartilage injury are different in femoroacetabular impingement and dysplasia.髋臼盂唇撕裂和软骨损伤的模式在股骨髋臼撞击症和髋臼发育不良中有所不同。
J Hip Preserv Surg. 2022 Jun 30;9(3):151-157. doi: 10.1093/jhps/hnac026. eCollection 2022 Aug.
9
Hip arthroscopy for femoroacetabular impingement is associated with significant improvement in early patient reported outcomes: analysis of 4963 cases from the UK non-arthroplasty registry (NAHR) dataset.髋关节镜治疗股骨髋臼撞击症与早期患者报告结局的显著改善相关：来自英国非关节置换登记处（NAHR）数据集的 4963 例分析。
Knee Surg Sports Traumatol Arthrosc. 2023 Jan;31(1):58-69. doi: 10.1007/s00167-022-07042-y. Epub 2022 Jul 14.
10
Outcomes in arthroscopic surgery and proposal rehabilitative treatment in femoral acetabular impingement syndrome.髋关节撞击综合征关节镜手术治疗结果与康复治疗建议
Acta Biomed. 2022 Mar 10;92(S3):e2021575. doi: 10.23750/abm.v92iS3.12710.
本文引用的文献
1
Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study.髋关节撞击综合征的关节镜治疗评估。一项前瞻性多中心研究。
Orthop Traumatol Surg Res. 2010 Dec;96(8 Suppl):S59-67. doi: 10.1016/j.otsr.2010.08.002. Epub 2010 Oct 28.
2
Prevalence of cam-type femoroacetabular impingement morphology in asymptomatic volunteers.无症状志愿者中凸轮型股骨髋臼撞击症形态的流行率。
J Bone Joint Surg Am. 2010 Oct 20;92(14):2436-44. doi: 10.2106/JBJS.J.01280.
3
The diagnosis and management of femoro-acetabular impingement.股骨髋臼撞击症的诊断与治疗
Ann R Coll Surg Engl. 2010 Jul;92(5):363-7. doi: 10.1308/003588410X12699663903791.
4
Clinical results after anterior mini-open approach for femoroacetabular impingement in early degenerative stage.早期退变阶段股骨髋臼撞击症前路微创入路术后的临床结果
Hip Int. 2010;20 Suppl 7:S36-42. doi: 10.1177/11207000100200s707. Epub 2010 May 27.
5
The outcome of hip arthroscopy in Australian football league players: a review of 27 hips.澳大利亚足球联赛球员髋关节镜手术的结果：27 髋回顾。
Arthroscopy. 2010 Jun;26(6):743-9. doi: 10.1016/j.arthro.2009.10.010. Epub 2010 Mar 31.
6
Update to femoroacetabular impingement arthroscopic management.髋关节撞击症关节镜治疗的更新。
Orthop Traumatol Surg Res. 2010 May;96(3):222-7. doi: 10.1016/j.otsr.2009.12.002. Epub 2010 Apr 10.
7
Arthroscopic treatment of femoral acetabular impingement in patients with preoperative generalized degenerative changes.关节镜治疗术前广泛性退行性改变的股骨髋臼撞击症患者。
Arthroscopy. 2010 May;26(5):623-9. doi: 10.1016/j.arthro.2009.09.003. Epub 2010 Feb 11.
8
Genetic influences in the aetiology of femoroacetabular impingement: a sibling study.股骨髋臼撞击症病因中的遗传影响：一项同胞研究。
J Bone Joint Surg Br. 2010 Feb;92(2):209-16. doi: 10.1302/0301-620X.92B2.22850.
9
Arthroscopic labral repair and treatment of femoroacetabular impingement in professional hockey players.关节镜下盂唇修复和髋关节撞击征治疗职业冰球运动员。
Am J Sports Med. 2010 Jan;38(1):99-104. doi: 10.1177/0363546509346393. Epub 2009 Dec 4.
10
Acetabular labral tears in patients with sports injury.髋关节盂唇撕裂伤患者（伴有运动损伤）。
Clin Orthop Surg. 2009 Dec;1(4):230-5. doi: 10.4055/cios.2009.1.4.230. Epub 2009 Nov 25.
Zotero 插件