股骨髋臼撞击症的病因及发病机制
Etiology and Pathomechanics of Femoroacetabular Impingement.
作者信息
Grantham W Jeffrey, Philippon Marc J
机构信息
The Steadman Clinic, 181 West Meadow Drive, Suite 400, Vail, CO, 81657, USA.
Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 1000, Vail, CO, 81657, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Jul 5;12(3):253-259. doi: 10.1007/s12178-019-09559-1.
Abstract
PURPOSE OF REVIEW
Femoroacetabular impingement is a common cause of hip pain in young patients and has been shown to progress to osteoarthritis. The purpose of this review is to better understand the development of femoroacetabular impingement.
RECENT FINDINGS
Recent literature shows little genetic transmission of FAI. However, molecular studies show strong similarities with the cartilage in osteoarthritis. The development of cam lesions has a strong association with sports participation, particularly at the time of physeal closure suggesting abnormal development. Lumbar, pelvis, and femoral biomechanics may also play an important role in dynamic impingement. In summary, femoroacetabular impingement is a dynamic process with many influences. Further research is needed to clarify the pathophysiology of FAI development in hopes of finding preventative options to reduce symptoms and progression to osteoarthritis.
摘要
综述目的
股骨髋臼撞击症是年轻患者髋关节疼痛的常见原因，且已被证明会发展为骨关节炎。本综述的目的是更好地了解股骨髋臼撞击症的发展过程。
最新发现
近期文献显示股骨髋臼撞击症几乎没有遗传传递。然而，分子研究表明其与骨关节炎中的软骨有很强的相似性。凸轮样病变的发展与运动参与密切相关，尤其是在骨骺闭合时，提示发育异常。腰椎、骨盆和股骨的生物力学在动态撞击中也可能起重要作用。总之，股骨髋臼撞击症是一个受多种因素影响的动态过程。需要进一步研究以阐明股骨髋臼撞击症发展的病理生理学，以期找到预防措施来减轻症状并防止发展为骨关节炎。
相似文献
1
Etiology and Pathomechanics of Femoroacetabular Impingement.
Curr Rev Musculoskelet Med. 2019 Jul 5;12(3):253-259. doi: 10.1007/s12178-019-09559-1.
2
Surgical Hip Dislocation in the Era of Hip Arthroscopy Demonstrates High Survivorship and Improvements in Patient-reported Outcomes for Complex Femoroacetabular Impingement.
Clin Orthop Relat Res. 2024 Sep 1;482(9):1671-1682. doi: 10.1097/CORR.0000000000003032. Epub 2024 Mar 21.
3
Does Femoroacetabular Impingement Contribute to the Development of Hip Osteoarthritis? A Systematic Review.
Sports Med Arthrosc Rev. 2015 Dec;23(4):174-9. doi: 10.1097/JSA.0000000000000091.
4
Mini-open Femoroacetabular Osteoplasty in Patients With Tönnis Grade 2 or Higher Osteoarthritis is Associated With a Higher Risk of Subsequent Conversion to THA.
Clin Orthop Relat Res. 2024 Sep 1;482(9):1614-1623. doi: 10.1097/CORR.0000000000002944. Epub 2024 Jan 3.
5
Anatomical Mechanisms of Femoroacetabular Impingement and Its Role in the Progression to Hip Osteoarthritis: A Systematic Review.
Cureus. 2025 Jun 20;17(6):e86461. doi: 10.7759/cureus.86461. eCollection 2025 Jun.
6
Hip-Spine Relationship in Femoroacetabular Impingement: Does Hip Arthroscopy Affect Pelvic Mobility?
Clin Orthop Relat Res. 2025 May 1;483(5):846-852. doi: 10.1097/CORR.0000000000003348. Epub 2024 Dec 17.
7
Femoroacetabular Impingement Morphological Changes in Sample of Patients Living in Southern Mexico Using Tomographic Angle Measures.
Tomography. 2024 Dec 3;10(12):1947-1958. doi: 10.3390/tomography10120141.
8
Hip Arthroscopy Improves Sexual Function in Receptive Partners with Femoroacetabular Impingement Syndrome.
Clin Orthop Relat Res. 2024 Aug 1;482(8):1455-1468. doi: 10.1097/CORR.0000000000003016. Epub 2024 Feb 27.
9
How Is Variability in Femoral and Acetabular Version Associated With Presentation Among Young Adults With Hip Pain?
Clin Orthop Relat Res. 2024 Sep 1;482(9):1565-1579. doi: 10.1097/CORR.0000000000003076. Epub 2024 May 7.
10
FEMOROACETABULAR IMPINGEMENT: PREVALENCE OF RADIOGRAPHIC MORPHOLOGY IN INDIAN POPULATION, ETIOLOGY AND CLINICAL MANAGEMENT.
Georgian Med News. 2025 Jun(363):65-75.
引用本文的文献
1
Anatomical Mechanisms of Femoroacetabular Impingement and Its Role in the Progression to Hip Osteoarthritis: A Systematic Review.
Cureus. 2025 Jun 20;17(6):e86461. doi: 10.7759/cureus.86461. eCollection 2025 Jun.
2
Review of femoroacetabular impingement syndrome.
J Hip Preserv Surg. 2024 Oct 15;11(4):315-322. doi: 10.1093/jhps/hnae034. eCollection 2024 Dec.
3
Current understanding of articular cartilage lesions in femoroacetabular impingement syndrome.
J Orthop Surg Res. 2024 Dec 30;19(1):886. doi: 10.1186/s13018-024-05322-6.
4
A novel radiographic finding for estimation of the cortical-cancellous boundary: A magnetic resonance imaging case series of patients with femoroacetabular impingement.
J Orthop. 2024 Oct 18;63:64-69. doi: 10.1016/j.jor.2024.10.001. eCollection 2025 May.
5
Arthroscopic Pincer Resection Utilizing an Outside-In Approach for Intra-articular Access.
Arthrosc Tech. 2024 Jun 14;13(10):103074. doi: 10.1016/j.eats.2024.103074. eCollection 2024 Oct.
6
How to start with hip arthroscopy in a safe and effective manner, using an evidence-based approach.
SICOT J. 2024;10:35. doi: 10.1051/sicotj/2024031. Epub 2024 Sep 19.
7
MRI texture analysis of acetabular cancellous bone can discriminate between normal, cam positive, and cam-FAI hips.
Eur Radiol. 2023 Nov;33(11):8324-8332. doi: 10.1007/s00330-023-09748-0. Epub 2023 May 26.
8
Open and arthroscopic management of femoroacetabular impingement: a review of current concepts.
J Hip Preserv Surg. 2022 Oct 13;9(4):265-275. doi: 10.1093/jhps/hnac043. eCollection 2022 Dec.
9
Hip arthroscopy is a successful treatment for femoroacetabular impingement in under-16 competitive football players: a prospective study with minimum 2-year follow-up.
Arch Orthop Trauma Surg. 2023 May;143(5):2641-2646. doi: 10.1007/s00402-022-04584-1. Epub 2022 Sep 6.
10
Slipped Capital Femoral Epiphysis Associated With Athletic Activity.
Sports Health. 2023 May;15(3):422-426. doi: 10.1177/19417381221093045. Epub 2022 May 2.
本文引用的文献
1
The role of lumbar lordosis and pelvic sagittal balance in femoroacetabular impingement.
Bone Joint J. 2018 Oct;100-B(10):1275-1279. doi: 10.1302/0301-620X.100B10.BJJ-2018-0060.R1.
2
Femoral Version Abnormalities Significantly Outweigh Effect of Cam Impingement on Hip Internal Rotation.
J Bone Joint Surg Am. 2018 Feb 7;100(3):205-210. doi: 10.2106/JBJS.17.00376.
3
Population-based prevalence of multiple radiographically-defined hip morphologies: the Johnston County Osteoarthritis Project.
Osteoarthritis Cartilage. 2018 Jan;26(1):54-61. doi: 10.1016/j.joca.2017.10.002. Epub 2017 Oct 9.
4
Prevalence of Femoral and Acetabular Version Abnormalities in Patients With Symptomatic Hip Disease: A Controlled Study of 538 Hips.
Am J Sports Med. 2018 Jan;46(1):122-134. doi: 10.1177/0363546517726983. Epub 2017 Sep 22.
5
Prevalence of FAI radiographic hip abnormalities in elite soccer players: are there differences related to skeletal maturity?
BMJ Open Sport Exerc Med. 2017 Feb 21;2(1):e000162. doi: 10.1136/bmjsem-2016-000162. eCollection 2016.
6
Physical activity during adolescence and the development of cam morphology: a cross-sectional cohort study of 210 individuals.
Br J Sports Med. 2018 May;52(9):601-610. doi: 10.1136/bjsports-2017-097626. Epub 2017 Aug 10.
7
Properties of the cartilage layer from the cam-type hip impingement deformity.
J Biomech. 2017 Apr 11;55:78-84. doi: 10.1016/j.jbiomech.2017.02.007. Epub 2017 Feb 21.
8
Relationship between physical activity and hip pain in persons with and without cam or pincer morphology: a population-based case-control study.
Osteoarthritis Cartilage. 2017 Jul;25(7):1055-1061. doi: 10.1016/j.joca.2017.02.795. Epub 2017 Feb 20.
9
Pelvic posture and kinematics in femoroacetabular impingement: a systematic review.
J Orthop Traumatol. 2017 Sep;18(3):187-196. doi: 10.1007/s10195-016-0439-2. Epub 2017 Feb 1.
10
Femoroacetabular Impingement and Pelvic Incidence: Radiographic Comparison to an Asymptomatic Control.
Arthroscopy. 2017 Mar;33(3):545-550. doi: 10.1016/j.arthro.2016.08.033. Epub 2016 Dec 8.
Zotero 插件