Clapp Ian M, Paul Katlynn M, Beck Edward C, Nho Shane J
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.
Front Surg. 2021 Mar 25;8:596971. doi: 10.3389/fsurg.2021.596971. eCollection 2021.
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.
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。