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臀肌肌腱病:在其管理中整合病理力学与临床特征

Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Its Management.

作者信息

Grimaldi Alison, Fearon Angela

出版信息

J Orthop Sports Phys Ther. 2015 Nov;45(11):910-22. doi: 10.2519/jospt.2015.5829. Epub 2015 Sep 17.

Abstract

Synopsis Gluteal tendinopathy is now believed to be the primary local source of lateral hip pain, or greater trochanteric pain syndrome, previously referred to as trochanteric bursitis. This condition is prevalent, particularly among postmenopausal women, and has a considerable negative influence on quality of life. Improved prognosis and outcomes in the future for those with gluteal tendinopathy will be underpinned by advances in diagnostic testing, a clearer understanding of risk factors and comorbidities, and evidence-based management programs. High-quality studies that meet these requirements are still lacking. This clinical commentary provides direction to assist the clinician with assessment and management of the patient with gluteal tendinopathy, based on currently limited available evidence on this condition and the wider tendon literature and on the combined clinical experience of the authors. J Orthop Sports Phys Ther 2015;45(11):910-922. Epub 17 Sep 2015. doi:10.2519/jospt.2015.5829.

摘要

摘要 臀肌肌腱病现在被认为是髋部外侧疼痛或大转子疼痛综合征(以前称为转子滑囊炎)的主要局部病因。这种疾病很常见,尤其是在绝经后女性中,并且对生活质量有相当大的负面影响。臀肌肌腱病患者未来预后和治疗效果的改善将依赖于诊断测试的进展、对危险因素和合并症更清晰的认识以及循证管理方案。目前仍缺乏符合这些要求的高质量研究。本临床评论基于目前关于该疾病的有限可用证据、更广泛的肌腱文献以及作者的综合临床经验,为临床医生评估和管理臀肌肌腱病患者提供指导。《矫形与运动物理治疗杂志》2015年;45(11):910 - 922。2015年9月17日在线发表。doi:10.2519/jospt.2015.5829 。

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