Department of Radiology and Biomedical Imaging, University of California, 400 Parnassus Avenue, Box 0628, San Francisco, CA 94143, USA.
Diagnostic Radiology, Oregon Health & Science University, L340, 3181 SW Sam Jackson Park Road Portland, OR 97239, USA.
Radiol Clin North Am. 2023 Mar;61(2):191-201. doi: 10.1016/j.rcl.2022.10.003. Epub 2022 Dec 13.
Overuse injuries of the hip are common, and clinical diagnosis may be difficult because of overlapping and nonspecific clinical symptoms. Imaging can play an essential role in guiding diagnosis and management. Femoroacetabular joint structural abnormalities result in various conditions that can predispose patients to early development of osteoarthritis. Repetitive stress on the skeletally immature hip can result in apophyseal injuries. Notable nonosseous overuse hip pathologies include athletic pubalgia, trochanteric bursitis, and injuries involving the iliopsoas myotendinous unit. Timely diagnosis of overuse injuries of the hip can facilitate improved response to conservative measures and prevent irreversible damage.
髋关节过度使用损伤很常见，由于临床表现重叠且不具特异性，临床诊断可能较为困难。影像学检查在指导诊断和治疗方面发挥着重要作用。髋关节结构异常导致多种情况，可使患者容易发生早期骨关节炎。骨骼未成熟的髋关节反复受到应力作用可导致骺板损伤。值得注意的非骨过度使用性髋关节病变包括运动性耻骨炎、转子滑囊炎和累及髂腰肌肌腱单位的损伤。髋关节过度使用损伤的及时诊断有助于提高对保守治疗的反应，防止不可逆转的损伤。
