Karrasch Christopher, Lynch Scott
Department of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 30 Hope Drive, Hershey, PA 17033, USA.
Department of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 30 Hope Drive, Hershey, PA 17033, USA.
Med Clin North Am. 2014 Jul;98(4):737-54, xi. doi: 10.1016/j.mcna.2014.03.003.
Hip pain is a common complaint among patients presenting to outpatient clinics. Stratifying patients based on age, acuity, and location of pain (extra-articular vs intra-articular) can help to aid in appropriate imaging and timely referral to an orthopedic surgeon. A thorough history and an organized physical examination combined with radiographs are usually sufficient to diagnose most hip complaints. If the diagnosis remains uncertain, magnetic resonance imaging, usually with intra-articular gadolinium, is the imaging modality of choice in diagnosing both intra-articular and extra-articular pathologies.
髋关节疼痛是门诊患者常见的主诉。根据年龄、疼痛的急性程度以及疼痛部位(关节外与关节内)对患者进行分层,有助于进行适当的影像学检查并及时转诊至骨科医生处。详细的病史、有条理的体格检查以及X线片通常足以诊断大多数髋关节疾病。如果诊断仍不明确,磁共振成像(通常使用关节内钆剂)是诊断关节内和关节外病变的首选影像学检查方法。