特发性股骨头坏死患者髋关节疼痛的分布。
Distribution of hip pain in patients with idiopathic osteonecrosis of the femoral head.
机构信息
a Department of Orthopaedic Surgery, Graduate School of Medicine , Chiba University , Chiba City , Chiba , Japan.
出版信息
Mod Rheumatol. 2017 May;27(3):503-507. doi: 10.1080/14397595.2016.1209830. Epub 2016 Jul 26.
OBJECTIVE
To determine the distribution of referred hip pain in patients with idiopathic osteonecrosis of the femoral head (ION).
METHODS
We prospectively documented 119 hips in 90 patients with ION (mean age 51 years). Patients identified the location of pain originating in their hip on a drawing of the body. Osteoarthritis of the hip (OA) was used as a historical cohort.
RESULTS
Referral of pain originating from the hip in patients with ION was 93% (111 hips) to the groin, 68% (81 hips) to the knee, 36% (43 hips) to the anterior thigh, 34% (40 hips) to the buttock, 18% (22 hips) to the lower leg, 9% (11 hips) to the greater trochanter, and 8% (9 hips) to the low back. About 97% (115 hips) of pain was located in the hip region (groin, buttock, and greater trochanter) and 77% (92 hips) showed referred pain (anterior thigh, knee, lower leg, and low back). Pain from ION was significantly more frequent in the knee and lower leg, but significantly less frequent in the lower back than pain from OA.
CONCLUSION
We should be aware of ION masquerading as pain in the knee or anterior thigh.
目的
确定特发性股骨头坏死（ION）患者髋关节疼痛的分布。
方法
我们前瞻性地记录了 90 例 ION 患者的 119 髋（平均年龄 51 岁）。患者在身体绘图上标记髋关节疼痛的起始位置。以髋关节骨关节炎（OA）为历史队列。
结果
ION 患者髋关节疼痛的放射部位为腹股沟 93%（111 髋）、膝关节 68%（81 髋）、大腿前侧 36%（43 髋）、臀部 34%（40 髋）、小腿 18%（22 髋）、大转子 9%（11 髋）和下背部 8%（9 髋）。约 97%（115 髋）的疼痛位于髋关节区域（腹股沟、臀部和大转子），77%（92 髋）表现出放射痛（大腿前侧、膝关节、小腿和下背部）。ION 引起的疼痛在膝关节和小腿更为常见，但在背部明显较 OA 引起的疼痛少见。
结论
我们应该意识到 ION 可能表现为膝关节或大腿前侧的疼痛。
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