Walker Paul, Ellis Emily, Scofield John, Kongchum Thaksin, Sherman William F, Kaye Alan D
Weill Cornell Medical College.
Louisiana State University Health Science Center Shreveport.
Orthop Rev (Pavia). 2021 Jun 22;13(2):25088. doi: 10.52965/001c.25088. eCollection 2021.
This is a comprehensive literature review regarding the pathogenesis, diagnosis, and treatment of snapping hip syndrome (SHS). It covers the diverse etiology of the syndrome and management steps from conservative to more advanced surgical techniques.
Recent advances in imaging modalities may help in diagnosing and treating SHS. Additionally, arthroscopic procedures can prove beneficial in treating recalcitrant cases of SHS and have recently gained popularity due to their non-invasive nature.
SHS presents as an audible snap due to anatomical structures in the medial thigh compartment and hip. While often asymptomatic, in some instances, the snap is associated with pain. Its etiology can be broadly classified between external SHS and internal SHS, which involve different structures but share similar management strategies. The etiology can be differentiated by imaging and physical exam maneuvers. Treatment is recommended for symptomatic SHS and begins conservatively with physical therapy, rest, and anti-inflammatory medications. Most cases resolve after 6-12 months of conservative management. However, arthroscopic procedures or open surgical management may be indicated for those with persistent pain and symptoms. Different surgical approaches are recommended when treating internal SHS vs. external SHS. Due to advancements in treatment options, symptomatic SHS commonly becomes asymptomatic following intervention.
这是一篇关于弹响髋综合征（SHS）的发病机制、诊断和治疗的全面文献综述。它涵盖了该综合征的多种病因以及从保守治疗到更先进手术技术的管理步骤。
成像方式的最新进展可能有助于诊断和治疗SHS。此外，关节镜手术在治疗顽固性SHS病例中可能有益，并且由于其无创性最近受到欢迎。
SHS表现为大腿内侧隔室和髋关节的解剖结构引起的可闻及弹响。虽然通常无症状，但在某些情况下，弹响与疼痛相关。其病因可大致分为外侧SHS和内侧SHS，它们涉及不同结构但有相似的管理策略。病因可通过影像学和体格检查手法进行区分。对于有症状的SHS建议进行治疗，首先采用保守治疗，包括物理治疗、休息和抗炎药物。大多数病例在保守治疗6 - 12个月后可缓解。然而，对于持续疼痛和症状的患者可能需要关节镜手术或开放手术治疗。治疗内侧SHS与外侧SHS时建议采用不同的手术方法。由于治疗选择的进步，有症状的SHS在干预后通常会变得无症状。
