Department of Orthopaedic Surgery, University of Michigan, 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106. E-mail address for A. Bedi:
J Bone Joint Surg Am. 2013 Sep 18;95(18):e133. doi: 10.2106/JBJS.L.01611.
The mechanical causes of hip pain in a young athlete often reflect a complex combination of static and dynamic factors. A comprehensive diagnostic approach is paramount to the development of a rational treatment strategy that will address all underlying pathologic factors. The goals of this paper are to highlight the pertinent biomechanical factors of the hip joint in femoroacetabular impingement and to discuss the clinical history, physical examination, and radiographic findings that are essential to formulating a proper diagnosis and an effective treatment plan. In addition, the current literature and reported outcomes of femoroacetabular impingement surgery in athletic patients are reviewed.
髋关节疼痛的机械原因在年轻运动员中通常反映了静态和动态因素的复杂组合。全面的诊断方法对于制定合理的治疗策略至关重要,该策略将解决所有潜在的病理因素。本文的目的是强调髋关节在股骨髋臼撞击症中的相关生物力学因素,并讨论临床病史、体格检查和影像学发现,这些对于制定正确的诊断和有效的治疗计划是必不可少的。此外,还回顾了运动患者中股骨髋臼撞击症手术的当前文献和报告结果。