Alshameeri Zeiad, Khanduja Vikas
Department of Trauma and Orthopaedics, Addenbrooke's - Cambridge University Hospitals NHS Foundation Trust, Box 37, Hills Road, Cambridge, CB2 0QQ, UK.
Int Orthop. 2014 Aug;38(8):1615-20. doi: 10.1007/s00264-014-2302-5. Epub 2014 Apr 1.
Gait analysis is an objective tool that has been used to assess and monitor treatment for many musculoskeletal conditions. Recently, it has been used to assess the impact of femoro-acetabular impingement (FAI) on the hip and lower limb movements. There have been a fairly limited number of studies published so far reporting unexpected and inconsistent results, which calls for more research to be conducted in this arena. In the light of the limited data available, it has been challenging to reconcile the contradictions in some of these results, and therefore no coherent conclusions could be drawn. In this short article, we attempt to explain some of the abnormal kinematic and kinetic patterns associated with FAI by highlighting similarities between the gait seen in early osteoarthritis (OA) and that of FAI. We also propose an approach for future research in this field and emphasise the importance of quantifying early OA in FAI based on magnetic resonance imaging (MRI) scans and the amount of chondral damage seen during open or arthroscopic surgery.
步态分析是一种客观工具,已被用于评估和监测多种肌肉骨骼疾病的治疗。最近,它被用于评估股骨髋臼撞击症(FAI)对髋关节和下肢运动的影响。到目前为止,发表的研究数量相当有限,报告的结果出人意料且不一致,这就需要在这个领域进行更多的研究。鉴于现有数据有限,调和其中一些结果的矛盾具有挑战性,因此无法得出连贯的结论。在这篇短文中,我们试图通过强调早期骨关节炎(OA)和FAI患者步态之间的相似性,来解释一些与FAI相关的异常运动学和动力学模式。我们还提出了该领域未来研究的方法,并强调基于磁共振成像(MRI)扫描以及开放手术或关节镜手术中所见软骨损伤量来量化FAI中早期OA的重要性。