Frizziero Antonio, Vittadini Filippo, Pignataro Andrea, Gasparre Giuseppe, Biz Carlo, Ruggieri Pietro, Masiero Stefano
Department of Physical Medicine And Rehabilitation, University of Padua, Italy.
Department of Surgery, Onchology, Gastroentherology DiSCOG, University of Padua, Italy.
Muscles Ligaments Tendons J. 2016 Dec 21;6(3):281-292. doi: 10.11138/mltj/2016.6.3.281. eCollection 2016 Jul-Sep.
The anatomy of hip is widely complex and several anatomical structures interact and contribute to its functioning. For position and role, hip and the surrounding tendons, which have their insertion around, are overstressed and often overloaded, especially in athletes. This could lead to the developing of several tendinopathies, among which the differential diagnosis is often complicated. Many conservative treatments are used in clinical practice, while actually, no defined conservative protocol is recommended.
This is a review article. The aim of this manuscript is to evaluate the current evidences about the effectiveness of conservative management in hip tendinopathies.
Conservative treatment is effective in the management of hip tendinopathies and may be considered the first-line approach for patients affected. However, there is lack of evidences about which is the most effective treatment. Exercise therapy seems to provide long-term pain relief, but the literature is still lacking about the correct type, dose, posology, intensity of exercise prescribed. Further studies about different local approaches, as PRP or hyaluronic acid injections, may be encouraged.
I.
髋关节的解剖结构非常复杂，多个解剖结构相互作用并对其功能发挥作用。就位置和作用而言，髋关节及其周围的肌腱在其周围附着，承受着过度的压力且经常负荷过重，尤其是在运动员中。这可能导致多种肌腱病的发生，其中鉴别诊断往往很复杂。临床实践中使用了许多保守治疗方法，但实际上，并未推荐明确的保守治疗方案。
这是一篇综述文章。本文的目的是评估当前关于髋关节肌腱病保守治疗有效性的证据。
保守治疗对髋关节肌腱病的治疗有效，可被视为受影响患者的一线治疗方法。然而，缺乏关于哪种治疗最有效的证据。运动疗法似乎能提供长期的疼痛缓解，但关于规定运动的正确类型、剂量、服用方法、强度的文献仍然不足。鼓励开展关于不同局部治疗方法的进一步研究，如富血小板血浆（PRP）或透明质酸注射。
I级
