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髋关节撞击综合征手术:我们是否走得太快,超越了证据?

Femoroacetabular impingement surgery: are we moving too fast and too far beyond the evidence?

机构信息

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.

Sports Orthopedic Research Centre-Copenhagen (SORC-C), Amager-Hvidovre University Hospital, Copenhagen, Denmark Physical Medicine and Rehabilitation Research-Copenhagen (PMR-C), Amager-Hvidovre University Hospital, Copenhagen, Denmark.

出版信息

Br J Sports Med. 2015 Jun;49(12):782-4. doi: 10.1136/bjsports-2014-093821. Epub 2015 Feb 12.

DOI:10.1136/bjsports-2014-093821
PMID:25677797
Abstract

Femoroacetabuler impingement (FAI) is becoming increasingly recognised as a potential pathological entity for individuals with hip pain. Surgery described to correct FAI has risen exponentially in the past 10 years with the use of hip arthroscopy. Unfortunately, the strength of evidence supporting both the examination and treatment of FAI does not appear to accommodate this exponential growth. In fact, the direction currently taken for FAI is similar to previously described paths of other orthopaedic and sports medicine pathologies (eg, shoulder impingement, knee meniscus tear) for which we have learned valuable lessons. The time has come for improved terminology, study design, and focus on delineation of successful treatment variables in the interest of those individuals with clinical indications of FAI so that we can appropriately address their needs.

摘要

股髋臼撞击症(FAI)在髋痛患者中作为一种潜在的病理实体正日益受到关注。过去 10 年来,髋关节镜手术的应用使矫正 FAI 的手术呈指数级增长。不幸的是,支持 FAI 检查和治疗的证据强度似乎并不能适应这种指数级的增长。事实上,目前 FAI 的发展方向类似于以前描述的其他骨科和运动医学病理学(如肩撞击症、膝关节半月板撕裂)的发展路径,我们从中吸取了宝贵的经验教训。现在是时候改进术语、研究设计,并关注成功治疗变量的划定,以满足那些有 FAI 临床指征的患者的需求,以便我们能够妥善处理他们的问题。

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