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巴西骨科医生对股骨髋臼撞击症的看法与认知

BRAZILIAN ORTHOPEDISTS' OPINIONS AND PERCEPTIONS ON FEMOROACETABULAR IMPINGEMENT.

作者信息

Ejnisman Leandro, Khan Moin, Ayeni Olufemi Rolland, Bhandari Mohit, Miyahara Helder de Souza, Vicente Jose Ricardo Negreiros

机构信息

. Universidade de São Paulo, Faculdade de Medicina (School of Medicine), Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

. McMaster University, Department of Surgery, Division of Orthopaedics, Hamilton, Ontario, Canada.

出版信息

Acta Ortop Bras. 2016 Nov-Dec;24(6):322-326. doi: 10.1590/1413-785220162406162400.

Abstract

OBJECTIVE

To assess the opinion of Brazilian orthopedists surgeons on the diagnosis and treatment of femoroacetabular impingement (FAI).

METHODS

A questionnaire was sent to several orthopedic societies around the world, including the (SBOT). This questionnaire was sent electronically and included questions on many topics related to FAI.

RESULTS

253 Brazilian orthopedists responded the questionnaire. Sixty-eight point nine percent worked in private practice and 23.1% in academic institutions. Pain during hip rotation was the most important finding in the clinical history according to 81.8% of the respondents and the anterior impingement sign was the most important finding in the physical examination according to 88.2%. Initial treatment was physiotherapy according to 86.2%. Surgical treatment was hip arthroscopy according to 38.8%, and via surgical hip dislocation for 14.7%.

CONCLUSION

Brazilian orthopedists' opinions on FAI are similar to their international colleagues. There is considerable discrepancy in the answers provided, demonstrating a need for future investigation on FAI, in order to institute proper treatment and diagnosis protocols. Level of Evidence V. Expert Opinion.

摘要

目的

评估巴西骨科医生对股骨髋臼撞击症(FAI)诊断和治疗的看法。

方法

向包括巴西骨科协会(SBOT)在内的全球多个骨科协会发送了一份问卷。该问卷通过电子方式发送,包含许多与FAI相关主题的问题。

结果

253名巴西骨科医生回复了问卷。68.9%的人从事私人执业,23.1%在学术机构工作。根据81.8%的受访者,髋关节旋转时疼痛是临床病史中最重要的发现;根据88.2%的受访者,前方撞击征是体格检查中最重要的发现。86.2%的人初始治疗采用物理治疗。38.8%的人手术治疗采用髋关节镜检查,14.7%采用髋关节手术脱位。

结论

巴西骨科医生对FAI的看法与其国际同行相似。所提供答案存在相当大的差异,表明未来需要对FAI进行调查,以便制定适当的治疗和诊断方案。证据等级V。专家意见。

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