MedSport, University of Michigan Orthopaedics, Ann Arbor, MI 48106, USA.
J Bone Joint Surg Am. 2013 Jan 2;95(1):82-92. doi: 10.2106/JBJS.K.01219.
Both arthroscopic and open operative treatment of femoroacetabular impingement (FAI) can reproducibly relieve hip pain with correction of the underlying osseous deformity and treatment of the associated labral pathology, particularly in patients without substantial articular cartilage injury at the time of surgery. Between 75% and 90% of athletes undergoing FAI surgery return to sports at their pre-injury level of function. There is no peer-reviewed evidence to date reporting on the efficacy of nonoperative treatment and return to play with FAI. Successful operative treatment of impingement requires appropriate and complete correction of the mechanical injury that led to the symptomatic labral pathology. Early intervention prior to the onset of irreversible chondral damage is critical to the long-term success of FAI surgery. Complex deformities involving combinations of static and dynamic mechanical factors often coexist, so careful preoperative evaluation of the underlying structural anatomy is critical to successful treatment planning.
无论是关节镜还是开放性手术治疗髋关节撞击综合征（FAI），都可以通过纠正潜在的骨畸形和治疗相关的盂唇病变，可重复性地缓解髋关节疼痛，尤其是在手术时关节软骨损伤不明显的患者中。75%至 90%接受 FAI 手术的运动员可以恢复到术前的运动功能水平。目前还没有经过同行评审的证据报告非手术治疗和 FAI 重返赛场的效果。成功的手术治疗撞击需要对导致症状性盂唇病变的机械损伤进行适当和完全的纠正。在不可逆的软骨损伤发生之前进行早期干预对于 FAI 手术的长期成功至关重要。涉及静态和动态机械因素组合的复杂畸形通常并存，因此仔细的术前评估潜在的结构解剖结构对于成功的治疗计划至关重要。
