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关节过度活动症及其对髋关节的影响。

Hypermobile Disorders and Their Effects on the Hip Joint.

作者信息

Clapp Ian M, Paul Katlynn M, Beck Edward C, Nho Shane J

机构信息

Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, United States.

Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, NC, United States.

出版信息

Front Surg. 2021 Mar 25;8:596971. doi: 10.3389/fsurg.2021.596971. eCollection 2021.

DOI:10.3389/fsurg.2021.596971
PMID:33842528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8027473/
Abstract

Hypermobility, or joint hyperlaxity, can result from inherited connective tissue disorders or from micro- or macrotrauma to a joint. The supraphysiologic motion of the hip joint results in capsuloligamentous damage, and these patients have a propensity to develop femoroacetabular impingement syndrome (FAIS) and labral injury. In this review, the recent literature evaluating the definitions, history, incidence, genetics, and histology of hypermobile disorders is investigated. We then review the clinical evaluation, natural history, and resulting instability for patients presenting with a hypermobile hip. Lastly, treatment options and outcomes will be highlighted.

摘要

关节活动过度,即关节过度松弛,可能由遗传性结缔组织疾病或关节的微创伤或宏观创伤引起。髋关节的超生理运动导致关节囊韧带损伤,这些患者易患股骨髋臼撞击综合征(FAIS)和盂唇损伤。在本综述中,我们研究了评估关节活动过度疾病的定义、病史、发病率、遗传学和组织学的最新文献。然后,我们回顾了髋关节活动过度患者的临床评估、自然病史以及由此导致的关节不稳定情况。最后,将重点介绍治疗选择和治疗效果。

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本文引用的文献

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Achieving Successful Outcomes of Hip Arthroscopy in the Setting of Generalized Ligamentous Laxity With Labral Preservation and Appropriate Capsular Management: A Propensity Matched Controlled Study.在保留盂唇和适当处理关节囊的前提下,治疗广泛性韧带松弛症髋关节镜手术的成功结局:一项倾向评分匹配对照研究。
Am J Sports Med. 2020 Jun;48(7):1625-1635. doi: 10.1177/0363546520914604. Epub 2020 May 6.
2
The Dancer's Hip: The Hyperflexible Athlete: Anatomy and Mean 3-Year Arthroscopic Clinical Outcomes.舞者髋关节:高活动度运动员:解剖结构与平均 3 年关节镜临床结果。
Arthroscopy. 2020 Mar;36(3):725-731. doi: 10.1016/j.arthro.2019.09.023. Epub 2020 Jan 7.
3
Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students.美国大学生中全身关节过度活动、肌肉骨骼损伤和慢性肌肉骨骼疼痛的患病率。
PeerJ. 2019 Sep 11;7:e7625. doi: 10.7717/peerj.7625. eCollection 2019.
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Contemporary Management of the Hip Capsule During Arthroscopic Hip Preservation Surgery.关节镜下髋关节保留手术中髋关节囊的当代管理
Curr Rev Musculoskelet Med. 2019 Jul 5;12(3):260-270. doi: 10.1007/s12178-019-09564-4.
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J Hip Preserv Surg. 2019 Mar 14;6(1):33-40. doi: 10.1093/jhps/hnz004. eCollection 2019 Jan.
6
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