Trigg Steven D, Schroeder Jeremy D, Hulsopple Chad
National Capital Consortium Military Primary Care Sports Medicine Fellowship, Uniformed Services University of Health Sciences, Bethesda, MD.
Curr Sports Med Rep. 2020 Sep;19(9):360-366. doi: 10.1249/JSR.0000000000000748.
Femoroacetabular impingement (FAI) syndrome is one of the most rapidly evolving etiologies of hip pain. The 2016 Warwick Agreement consensus statement defined FAI syndrome as a triad of symptoms, signs, and radiographic findings. Cam morphology is more likely in athletes and is associated with repetitive hip loading in maximal flexion during adolescence. Much less is known about the development of pincer morphology. Physical therapy improves pain and function, justifying a trial before pursuing surgery. Musculoskeletal injections are utilized for FAI syndrome, but the evidence is limited. Arthroscopic surgery for FAI syndrome can correct the morphological changes and address the underlying soft tissue injuries. Recent studies evaluated reliable indicators of surgical outcomes, the most reliable of which is the presurgical presence of osteoarthritis. Recent studies demonstrate the efficacy of surgery, but with the risk of complication and no guarantee of a return to the same level of sport.
股骨髋臼撞击症（FAI）综合征是导致髋关节疼痛的病因中发展最为迅速的病症之一。2016年《沃里克协议》共识声明将FAI综合征定义为症状、体征及影像学表现三联征。凸轮形态在运动员中更为常见，且与青春期最大屈曲时髋关节反复受力有关。关于钳夹形态的发展，人们了解得要少得多。物理治疗可改善疼痛和功能，这为在考虑手术之前进行试验提供了依据。肌肉骨骼注射用于FAI综合征，但证据有限。针对FAI综合征的关节镜手术可纠正形态学改变并处理潜在的软组织损伤。近期研究评估了手术结果的可靠指标，其中最可靠的指标是术前存在骨关节炎。近期研究证实了手术的疗效，但存在并发症风险，且不能保证恢复到之前的运动水平。
