Vasudevan John M, Smuck Matthew, Fredericson Michael
PM&R Sports Medicine Service, Stanford University, Redwood City, CA, USA.
Curr Sports Med Rep. 2012 Jan-Feb;11(1):35-42. doi: 10.1249/JSR.0b013e3182423d71.
Buttock (gluteal) pain is commonly experienced by athletes of all ages and activity levels. Evaluation of buttock pain can be challenging because the differential diagnoses are extensive. Symptoms may originate from the pelvis or hip or be referred from the lumbosacral spine or neurovascular structures. Few articles in the literature are dedicated to the primary complaint of buttock pain. The purpose of this article is to provide a clinical algorithm to assist the sports clinician in reaching an accurate diagnosis and initiating the appropriate treatment.
各年龄段和不同活动水平的运动员都常经历臀部(臀肌)疼痛。臀部疼痛的评估颇具挑战性,因为鉴别诊断范围广泛。症状可能源于骨盆或髋关节,也可能是由腰骶部脊柱或神经血管结构传来的牵涉痛。文献中很少有文章专门论述臀部疼痛这一主要主诉。本文旨在提供一种临床诊疗流程,以协助运动临床医生做出准确诊断并开展适当治疗。