Lexington Orthopaedics, 146 East Hospital Drive, Suite 140, West Columbia, SC 29169, USA.
Slocum Center for Orthopaedics and Sports Medicine, 55 Coburg Road, Eugene, OR 97401, USA.
Clin Sports Med. 2021 Apr;40(2):259-270. doi: 10.1016/j.csm.2020.11.003. Epub 2021 Jan 18.
Femoroacetabular impingement and associated labral tearing is a common source of hip pain in athletes. This article reviews the hip joint anatomy and complex interplay between alterations on the femoral and acetabular sides, in addition to evaluation of soft tissue stabilizers and spinopelvic parameters. Symptom management with a focus on arthroscopic treatment of abnormal bony morphology and labral repair or reconstruction is discussed. In select patients with persistent pain who have failed conservative measures, hip arthroscopy with correction of bony impingement and labral repair or reconstruction has yielded good to excellent results in recreational and professional athletes.
髋关节撞击症和相关的盂唇撕裂是运动员髋关节疼痛的常见原因。本文回顾了髋关节的解剖结构以及股骨侧和髋臼侧改变之间的复杂相互作用，此外还评估了软组织稳定器和脊柱骨盆参数。本文重点讨论了关节镜治疗异常骨形态和盂唇修复或重建的症状管理。对于那些经保守治疗无效且持续疼痛的特定患者，髋关节镜检查联合纠正骨撞击和盂唇修复或重建已在业余和职业运动员中取得了良好至优秀的效果。
