Mlynarek Ryan A, Coleman Struan H
Sports Medicine and Hip Preservation, Hospital for Special Surgery, New York, NY, USA.
Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 E. 70th Street, New York, NY, 10021, USA.
Curr Rev Musculoskelet Med. 2018 Mar;11(1):19-25. doi: 10.1007/s12178-018-9455-6.
To discuss the clinical significance of the most common hip and groin injuries in baseball players, as well as an algorithmic approach to diagnosis and treatment of these injuries.
(a) Limitations in throwing velocity, pitch control, and bat swing speed may be secondary to decreased mobility and strength within the proximal kinetic chain, which must harness power from the lower extremities and core. (b) Approximately 5.5% of all baseball injuries per year involve the hip/groin and may lead to a significant amount of time spent on the disabled list. Injuries involving the hip and groin are relatively common in baseball players. Our knowledge of the mechanics of overhead throwing continues to evolve, as does our understanding of the contribution of power from the lower extremities and core. It is paramount that the team physician be able to accurately diagnose and treat injuries involving the hip/groin, as they may lead to significant disability and inability to return to elite levels of play. This review focuses on hip- and groin-related injuries in the baseball player, including femoroacetabular impingement, core muscle injury, and osteitis pubis.
探讨棒球运动员最常见的髋部和腹股沟损伤的临床意义，以及这些损伤的诊断和治疗的算法方法。
（a）投球速度、投球控制和击球挥棒速度的限制可能继发于近端动力链内活动度和力量的下降，而近端动力链必须利用下肢和核心的力量。（b）每年所有棒球损伤中约5.5%涉及髋部/腹股沟，可能导致大量时间在伤病名单上。涉及髋部和腹股沟的损伤在棒球运动员中相对常见。我们对过头投球力学的认识以及对下肢和核心力量贡献的理解都在不断发展。团队医生能够准确诊断和治疗涉及髋部/腹股沟的损伤至关重要，因为这些损伤可能导致严重残疾并无法恢复到精英比赛水平。本综述重点关注棒球运动员中与髋部和腹股沟相关的损伤，包括股骨髋臼撞击症、核心肌肉损伤和耻骨炎。
