髋关节发育不良性骨关节炎患者髋关节疼痛的分布。
Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip.
机构信息
Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8677, Japan.
出版信息
Mod Rheumatol. 2013 Jan;23(1):119-24. doi: 10.1007/s10165-012-0638-5. Epub 2012 Apr 11.
OBJECTIVES
Our aim was to clarify the distribution of hip pain in patients with osteoarthritis of the hip secondary to developmental dysplasia of the hip (DDH).
METHODS
We retrospectively studied 443 hips in 369 patients with osteoarthritis secondary to DDH; mean age was 61 years, and follow-up rate was 84 %. Hip pain was defined as preoperative pain that was relieved 3 months after total hip arthroplasty.
RESULTS
Distribution of pain originating in the hip was 89 % (393 hips) to the groin, 38 % (170 hips) to the buttock, 33 % (144 hips) to the anterior thigh, 29 % (130 hips) to the knee, 27 % (118 hips) to the greater trochanter, 17 % (76 hips) to the low back, and 8 % (34 hips) to the lower leg. When the groin, buttock, and greater trochanter were combined as the hip region, 95 % (421 hips) of pain was located in the hip region. On the other hand, when the anterior thigh, knee, lower leg, and low back were combined as the referral region, 55 % (242 hips) showed referred pain.
CONCLUSIONS
We suggest that rheumatologists be aware of hip disease masquerading as knee pain or low back pain.
目的
我们旨在阐明髋关节发育不良（DDH）继发髋关节骨关节炎患者髋关节疼痛的分布情况。
方法
我们回顾性研究了 369 例 DDH 继发骨关节炎患者的 443 髋；平均年龄为 61 岁，随访率为 84%。髋关节疼痛定义为全髋关节置换术后 3 个月缓解的术前疼痛。
结果
起源于髋关节的疼痛分布为腹股沟 89%（393 髋）、臀部 38%（170 髋）、大腿前侧 33%（144 髋）、膝关节 29%（130 髋）、大转子 27%（118 髋）、腰部 17%（76 髋）和小腿 8%（34 髋）。当腹股沟、臀部和大转子合并为髋关节区域时，95%（421 髋）的疼痛位于髋关节区域。另一方面，当大腿前侧、膝关节、小腿和腰部合并为放射痛区域时，55%（242 髋）出现放射痛。
结论
我们建议风湿病医生注意髋关节疾病伪装成膝关节疼痛或腰痛。
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