Duke University, Durham, North Carolina, USA.
Sports Orthopedic Research Center-Copenhagen (SORC-C), Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
Br J Sports Med. 2017 Nov;51(22):1605-1610. doi: 10.1136/bjsports-2016-096936. Epub 2017 Feb 20.
The purpose of this review was to analyse and report criteria used for open and arthroscopic surgical treatment of femoroacetabular impingement syndrome (FAIS).
A librarian-assisted computer search of Medline, CINAHL and Embase for studies related to criterion for FAIS surgery was used in this study. Inclusion criteria included studies with the primary purpose of surgery or surgical outcomes for treatment of FAIS with and without labral tear, and reporting criteria for FAIS surgery.
Diagnostic imaging was a criterion for surgery in 92% of the included studies, with alpha angle the most frequently reported (68% of studies) criterion. Reporting of symptoms was a criterion for surgery in 75%, and special tests a criterion in 70% of studies. Range-of-motion limitations were only a required criterion in 30%, only 12% of studies required intra-articular injection and 44% of studies described previously failed treatment (non-surgical or physiotherapist-led rehabilitation) as a criterion for surgery. Only 56% of included studies utilised the combination of symptoms, clinical signs and diagnostic imaging combined for diagnosis of FAIS as suggested by the Warwick Agreement on FAIS meeting.
Diagnostic imaging evidence of FAIS was the most commonly reported criterion for surgery. Only 56% of included studies utilised the combination of symptoms, clinical signs and diagnostic imaging for diagnosis of FAIS as suggested by the Warwick Agreement on FAIS meeting, and only 44% of studies had failed non-surgical treatment (and 18% a failed trial of physiotherapy) as a criterion for surgery.
本研究旨在分析和报告用于髋关节撞击综合征（FAIS）开放和关节镜手术治疗的标准。
本研究采用图书馆员辅助计算机检索 Medline、CINAHL 和 Embase 中与 FAIS 手术标准相关的研究。纳入标准包括主要目的为 FAIS 手术或手术结果的研究，以及有无盂唇撕裂的 FAIS 治疗报告标准。
92%的纳入研究将影像学诊断作为手术标准，其中阿尔法角是最常报告的标准（68%的研究）。75%的研究报告了症状作为手术标准，70%的研究报告了特殊检查作为手术标准。运动范围受限仅作为 30%的必需标准，只有 12%的研究需要关节内注射，44%的研究描述了以前的治疗失败（非手术或物理治疗师主导的康复）作为手术标准。只有 56%的纳入研究如 FAIS 会议的沃里克协议所建议的那样，将症状、临床体征和影像学诊断结合起来用于 FAIS 的诊断。
FAIS 的影像学证据是最常报告的手术标准。只有 56%的纳入研究如 FAIS 会议的沃里克协议所建议的那样，将症状、临床体征和影像学诊断结合起来用于 FAIS 的诊断，只有 44%的研究将非手术治疗失败（18%为物理治疗失败）作为手术标准。
