Mascarenhas Vasco V, Ayeni Olufemi R, Egund Niels, Jurik Anne G, Caetano António, Castro Miguel, Novo João, Gonçalves Sara, Sutter Reto
MSK Imaging Unit (UIME), Imaging Center, Hospital da Luz, Lisbon, Portugal.
Division of Orthopaedic Surgery, McMaster University, Ontario, Canada.
Semin Musculoskelet Radiol. 2019 Jun;23(3):197-226. doi: 10.1055/s-0039-1688714. Epub 2019 Jun 4.
The concept of hip impingement and hip-preserving surgery has been appreciated in more detail since 2001 when a new surgical approach was reported and a hypothesis linking femoroacetabular impingement (FAI) with osteoarthritis was presented. Paralleling the introduction of hip arthroscopy, these events led to an increasing interest in the hip, and the number of publications has risen rapidly over the past 15 years, despite limited evidence levels and inconsistent methodology. Accordingly, etiology, diagnosis, prognosis, and the effects of treatment for FAI are still elusive due to a number of uncertainties and a lack of clear diagnostic criteria.Future research must focus on developing high-quality scientific studies, so thorough and reproducible methodology is needed. This review provides researchers, radiologists, and clinicians with a comprehensive approach to hip imaging with a focus on strategies to help guide the clinical diagnosis. Using evidence from current literature and knowledge from experienced clinicians, some of the imaging methodology challenges are deciphered.
自2001年一种新的手术方法被报道且提出了将股骨髋臼撞击症（FAI）与骨关节炎联系起来的假说以来，髋关节撞击症和保髋手术的概念得到了更详细的认识。与髋关节镜检查的引入并行，这些事件引发了人们对髋关节的兴趣日益增加，尽管证据水平有限且方法不一致，但在过去15年里出版物数量迅速增长。因此，由于存在诸多不确定性和缺乏明确的诊断标准，FAI的病因、诊断、预后及治疗效果仍不明确。未来的研究必须专注于开展高质量的科学研究，因此需要全面且可重复的方法。本综述为研究人员、放射科医生和临床医生提供了一种全面的髋关节成像方法，重点是有助于指导临床诊断的策略。利用当前文献的证据和经验丰富的临床医生的知识，一些成像方法挑战得以破解。
