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运动员群体中的髋关节后侧疼痛:鉴别诊断和治疗选择。

Posterior hip pain in an athletic population: differential diagnosis and treatment options.

机构信息

Rush University Medical Center, Chicago, Illinois.

出版信息

Sports Health. 2010 May;2(3):237-46. doi: 10.1177/1941738110366000.

DOI:10.1177/1941738110366000
PMID:23015944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3445101/
Abstract

CONTEXT

Posterior hip pain is a relatively uncommon but increasingly recognized complaint in the orthopaedic community. Patient complaints and presentations are often vague or nonspecific, making diagnosis and subsequent treatment decisions difficult. The purposes of this article are to review the anatomy and pathophysiology related to posterior hip pain in the athletic patient population.

EVIDENCE ACQUISITION

Data were collected through a thorough review of the literature via a MEDLINE search of all relevant articles between 1980 and 2010.

RESULTS

Many patients who complain of posterior hip pain actually have pain referred from another part of the body-notably, the lumbar spine or sacroiliac joint. Treatment options for posterior hip pain are typically nonoperative; however, surgery is warranted in some cases.

CONCLUSIONS

Recent advancements in the understanding of hip anatomy, pathophysiology, and treatment options have enabled physicians to better diagnosis athletic hip injuries and select patients for appropriate treatment.

摘要

背景

髋关节后部疼痛在骨科领域是一种相对少见但日益受到关注的症状。患者的主诉和表现往往含糊不清或缺乏特异性,这使得诊断和后续的治疗决策变得困难。本文的目的是回顾与运动人群髋关节后部疼痛相关的解剖学和病理生理学。

资料收集

通过对 MEDLINE 数据库中 1980 年至 2010 年间所有相关文章进行全面的文献复习收集数据。

结果

许多主诉髋关节后部疼痛的患者实际上疼痛源自身体的其他部位,特别是腰椎或骶髂关节。髋关节后部疼痛的治疗方法通常是非手术的;然而,在某些情况下手术是必要的。

结论

近年来对髋关节解剖、病理生理学和治疗选择的理解的进步使医生能够更好地诊断运动性髋关节损伤,并为合适的治疗选择患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/1d433867adc3/10.1177_1941738110366000-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/f1dfac72d791/10.1177_1941738110366000-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/3f4170da9c66/10.1177_1941738110366000-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/11ff48a17729/10.1177_1941738110366000-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/dd2eb9d5b176/10.1177_1941738110366000-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/1d433867adc3/10.1177_1941738110366000-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/f1dfac72d791/10.1177_1941738110366000-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/3f4170da9c66/10.1177_1941738110366000-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/11ff48a17729/10.1177_1941738110366000-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/dd2eb9d5b176/10.1177_1941738110366000-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/3445101/1d433867adc3/10.1177_1941738110366000-fig5.jpg

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