From the Department of Radiology, Balgrist University Hospital, Forchstrasse 340, CH-8008 Zurich, Switzerland; and Faculty of Medicine, University of Zurich, Zurich, Switzerland.
Radiology. 2016 Aug;280(2):351-69. doi: 10.1148/radiol.2016151348.
Hip or groin pain in athletes is common and clinical presentation is often nonspecific. Imaging is a very important diagnostic step in the work-up of athletes with hip pain. This review article provides an overview on hip biomechanics and discusses strategies for hip imaging modalities such as radiography, ultrasonography, computed tomography, and magnetic resonance (MR) imaging (MR arthrography and traction MR arthrography). The authors explain current concepts of femoroacetabular impingement and the problem of high prevalence of cam- and pincer-type morphology in asymptomatic persons. With the main focus on MR imaging, the authors present abnormalities of the hip joint and the surrounding soft tissues that can occur in athletes: intraarticular and extraarticular hip impingement syndromes, labral and cartilage disease, microinstability of the hip, myotendinous injuries, and athletic pubalgia. (©) RSNA, 2016.
运动员髋关节或腹股沟疼痛很常见，临床表现通常不具特异性。影像学检查是髋关节疼痛运动员检查中的一个非常重要的诊断步骤。本文综述了髋关节的生物力学，并讨论了髋关节影像学检查方法的策略，如 X 线摄影、超声、计算机断层扫描和磁共振成像（磁共振关节造影和牵引磁共振关节造影）。作者解释了股骨髋臼撞击症的新概念以及在无症状人群中凸轮和钳形形态高发的问题。本文主要关注磁共振成像，介绍了运动员中可能出现的髋关节和周围软组织的异常：关节内和关节外髋关节撞击综合征、盂唇和软骨疾病、髋关节微不稳、肌肉肌腱损伤和运动员耻骨炎。（©）RSNA，2016 年。
