Dumont Guillaume D
Department of Orthopaedic Surgery, University of South Carolina School of Medicine, 2 Medical Park Road, Suite 404, Columbia, SC 29203, USA.
Clin Sports Med. 2016 Jul;35(3):435-447. doi: 10.1016/j.csm.2016.02.008. Epub 2016 Apr 20.
Instability of the hip can manifest in a wide range of settings, with presenting symptoms including subtle discomfort at end range of motion or more dramatic dislocation of the joint. It can result from traumatic injury with dislocation or subluxation; atraumatic capsular laxity; structural bony abnormality, such as acetabular dysplasia; and iatrogenic injury. Initial treatment of the concentrically reduced joint often begins with physical therapy to strengthen dynamic stabilizers and to allow time for resolution of acute symptoms. Surgical treatment is aimed at repairing injured soft tissue structures, including static stabilizers, and addressing underlying bony structural deficiencies.
髋关节不稳定可在多种情况下表现出来，其呈现的症状包括运动终末的轻微不适或关节更明显的脱位。它可能由脱位或半脱位的创伤性损伤、非创伤性关节囊松弛、结构性骨异常（如髋臼发育不良）以及医源性损伤引起。对于同心复位的关节，初始治疗通常从物理治疗开始，以加强动态稳定器，并为急性症状的缓解留出时间。手术治疗旨在修复受损的软组织结构，包括静态稳定器，并解决潜在的骨结构缺陷。
