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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.

DOI:10.1007/s00264-011-1278-7
PMID:21755334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3174304/
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。

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本文引用的文献

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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.
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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.
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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.
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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.