Department of Orthopedic Surgery, Gachon University Gil Medical Center, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon, 21565, South Korea.
Department of Orthopedic Surgery, Armed Forces Daejeon Hospital, 90, Jaun-ro, Yuseong-gu, Daejeon, 34059, South Korea.
Knee Surg Sports Traumatol Arthrosc. 2020 Oct;28(10):3365-3373. doi: 10.1007/s00167-020-05888-8. Epub 2020 Feb 13.
The purpose of this systematic review and meta-analysis was to evaluate the correlation between the incidence of herniation pits (HPs) and femoroacetabular impingement (FAI)-related morphologies.
A systematic search of the MEDLINE, EMBASE, and Cochrane Library databases was performed for studies evaluating the relationship between the incidence of HPs and FAI-related morphologies published up to August 16, 2019. Subgroup analyses were also performed to determine the differences in the relationship between the presence/absence of hip symptoms and cam-/pincer-type FAI.
Seven studies involving 7950 hips were included. The pooled odds ratio (OR) for the incidence of HPs in the presence of an FAI-related morphology was 1.64 (95% confidence interval [CI] = 1.09-2.46; P = 0.02). In the subgroup analyses, the ORs for the incidence of HPs in the symptomatic and asymptomatic hips were 1.00 (95% CI 0.40-2.51; P = 1.00) and 1.59 (95% CI 1.42-1.77; P < 0.0001), respectively; the ORs for the incidence of HPs in the cam- and pincer-type FAI were 1.61 (95% CI 1.43-1.81; P < 0.0001) and 1.42 (95% CI 0.77-2.61; P = n.s.), respectively.
The incidence of HPs has a significant relationship with FAI-related morphology, especially in asymptomatic patients and those with cam-type FAI morphology.
III.
本系统评价和荟萃分析的目的是评估疝窝（HP）的发生率与髋关节撞击症（FAI）相关形态之间的相关性。
对 MEDLINE、EMBASE 和 Cochrane 图书馆数据库进行系统检索，以评估截至 2019 年 8 月 16 日发表的评估 HP 发生率与 FAI 相关形态之间关系的研究。还进行了亚组分析，以确定有无髋关节症状和凸轮/钳夹型 FAI 之间关系的差异。
纳入了 7 项共涉及 7950 髋的研究。FAI 相关形态存在时 HP 发生率的合并优势比（OR）为 1.64（95%置信区间 [CI] = 1.09-2.46；P = 0.02）。在亚组分析中，症状性和无症状性髋关节 HP 发生率的 OR 分别为 1.00（95%CI 0.40-2.51；P = 1.00）和 1.59（95%CI 1.42-1.77；P < 0.0001）；凸轮和钳夹型 FAI 的 HP 发生率的 OR 分别为 1.61（95%CI 1.43-1.81；P < 0.0001）和 1.42（95%CI 0.77-2.61；P = n.s.）。
HP 的发生率与 FAI 相关形态有显著关系，尤其是在无症状患者和凸轮型 FAI 形态患者中。
III 级。
