J Orthop Sports Phys Ther. 2018 Apr;48(4):230-238. doi: 10.2519/jospt.2018.7816. Epub 2018 Mar 16.
Synopsis Our understanding of femoroacetabular impingement syndrome is slowly improving. The number of studies on all aspects (etiology, prevalence, pathophysiology, natural history, treatment, and preventive measures) of femoroacetabular impingement syndrome has grown exponentially over the past few years. This commentary provides the latest updates on the prevalence of cam and pincer hip morphology and its relationship with development of hip osteoarthritis (OA). Cam and pincer morphology is highly prevalent in the general population and in this paper is presented for different subgroups based on age, sex, ethnicity, and athletic activity. Methodological issues in determining prevalence of abnormal hip morphology are also discussed. Cam morphology has been associated with development of hip OA, but the association between pincer morphology and hip OA is much less clear. Results from reviewed studies, as well as remaining gaps in literature on this topic, are critically discussed and put into perspective for the clinician. J Orthop Sports Phys Ther 2018;48(4):230-238. doi:10.2519/jospt.2018.7816.
概要 我们对股骨髋臼撞击综合征的认识正在缓慢提高。近年来，关于股骨髋臼撞击综合征的各个方面（病因、患病率、病理生理学、自然病史、治疗和预防措施）的研究数量呈指数级增长。本述评提供了凸轮和钳夹髋形态患病率的最新更新及其与髋关节骨关节炎（OA）发展的关系。凸轮和钳夹形态在普通人群中非常普遍，本文根据年龄、性别、种族和运动活动对不同亚组进行了介绍。还讨论了确定异常髋形态患病率的方法学问题。凸轮形态与髋关节 OA 的发展有关，但钳夹形态与髋关节 OA 的关系则不太明确。对综述研究的结果以及该主题文献中的遗留差距进行了批判性讨论，并为临床医生提供了参考。 美国骨科物理治疗杂志 2018;48(4):230-238.doi:10.2519/jospt.2018.7816.
