Potalivo Gabriele, Bugiantella Walter
Orthopaedic and Traumatology Department, "San Matteo degli Infermi" Hospital, Spoleto - Italy.
Emergency Department, "San Matteo degli Infermi" Hospital, Spoleto - Italy.
Hip Int. 2017 Mar 31;27(2):111-121. doi: 10.5301/hipint.5000464. Epub 2017 Feb 18.
The snapping hip (SH) syndrome is characterised by an audible snapping, often accompanied by pain, which usually occurs with the flexion and extension of the hip during exercise or ordinary daily activities.The causes of SH can be classified as external, internal and intraarticular. The prevalence of asymptomatic SH in the population is unknown and the incidence of symptomatic cases is not well-defined. The painless snapping in the hip is common in the general population; the symptomatic SH with debilitating pain and weakness is often seen in those who take part in activities such as ballet and running hurdles.The clinician's goal is to determine the cause and treat patients who have symptomatic SH so that they may return to their activities or to athletic peak performance.Most patients with SH can be treated conservatively. However, surgery may be indicated if the condition becomes chronically symptomatic. Arthroscopy may prove useful in the treatment of intraarticular lesions that are causing discomfort. Various techniques have been described with different grades of success. The aim is to achieve the least invasive procedure with the lowest potential complications that corrects the painful snapping, according to the patient's characteristics.The purpose of this systematic review is to clarify the results of the surgical treatment of SH, after the failure of the conservative treatment.
弹响髋综合征的特点是可听到弹响，常伴有疼痛，通常在运动或日常活动中髋关节屈伸时出现。弹响髋的病因可分为外部、内部和关节内原因。人群中无症状弹响髋的患病率未知，有症状病例的发病率也不明确。髋关节无痛弹响在普通人群中很常见；伴有使人衰弱的疼痛和无力的有症状弹响髋常见于从事芭蕾舞和跨栏等活动的人群。临床医生的目标是确定病因并治疗有症状的弹响髋患者，以便他们能够恢复活动或达到运动巅峰表现。大多数弹响髋患者可采用保守治疗。然而，如果病情长期有症状，可能需要手术治疗。关节镜检查可能对治疗引起不适的关节内病变有用。已经描述了各种技术，成功率各不相同。目的是根据患者的特点，采用侵入性最小、潜在并发症最少的手术来纠正疼痛性弹响。本系统评价的目的是阐明保守治疗失败后弹响髋手术治疗的结果。
