Röling Maarten A, Pilot Peter, Krekel Peter R, Bloem Rolf M
Reinier de Graaf Gasthuis, afd. Orthopedie, Delft, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(51):A4898.
Femoroacetabular impingement is a diagnosis that is often missed in patients with chronic groin pain. The condition often appears in young athletes. An anatomic deformity of the femoral head and the acetabular ridge causes an impingement that damages the subchondral tissue. This damage can result in sharp pain in the groin during specific hip movements and the acetabular labrum may also be ruptured. Diagnosing femoroacetabular impingement and a labral tear can be a challenge. We present the case of a 19-year-old male who twisted his right hip joint during a game of football. Physiotherapy only aggravated the pain. Further diagnostics showed femoroacetabular impingement and a labral tear. Arthroscopic intervention in the hip joint by an orthopedic surgeon lead to immediate pain relief, and two years after surgery the patient is still free of pain and has returned playing sport at his previous level. Femoroacetabular impingement can be a cause of chronic groin pain in young athletes. Hip arthroscopy is a safe and effective treatment, enabling the patient to return to playing sport at their previous level.
股骨髋臼撞击症是一种在慢性腹股沟疼痛患者中常被漏诊的病症。这种情况常出现在年轻运动员身上。股骨头和髋臼嵴的解剖畸形会导致撞击，进而损伤软骨下组织。这种损伤会在特定的髋关节活动时导致腹股沟处剧痛，髋臼盂唇也可能破裂。诊断股骨髋臼撞击症和盂唇撕裂可能具有挑战性。我们报告一例19岁男性病例，他在一场足球比赛中扭伤了右髋关节。物理治疗仅加重了疼痛。进一步检查显示为股骨髋臼撞击症和盂唇撕裂。骨科医生对髋关节进行关节镜干预后疼痛立即缓解，术后两年患者仍无疼痛，并已恢复到之前的运动水平。股骨髋臼撞击症可能是年轻运动员慢性腹股沟疼痛的一个原因。髋关节镜检查是一种安全有效的治疗方法，能使患者恢复到之前的运动水平。
