Duke Matt P R, Jones Ashley, Takla Amir, Johnson Mark I
School of Health Leeds Beckett University.
University of Melbourne.
Int J Sports Phys Ther. 2025 Mar 1;20(3):476-484. doi: 10.26603/001c.129974. eCollection 2025.
Intra-articular and degenerative hip pathologies have become common place with the number of total hip replacements rising year on year in the United Kingdom (UK). Pathology is identified by clinicians using special tests which are researched maneuvers used by clinicians to rule in or rule out specific musculoskeletal pathologies. Special tests used for hip pathology usually have high specificity to exclude degenerative and intraarticular pathology but vary in sensitivity. These special tests are usually only conducted when a person is symptomatic and typically require radiological confirmation to diagnose. The aim of this review was to appraise research to determine whether functional changes in the TFL and UGM muscle complex could indicate degenerative and/or intra articular pathology, with a specific focus on the utility of the ratio in strength of TFL and UGM to assist clinical diagnosis. The hypothesis was that the ratio of the strength of Tensor Fascia Latae (TFL) and the upper fibres of Gluteus Maximus (UGM) could suggest early intra-articular hip pathology, and that changes to this ratio could indicate deterioration of the hip joint before symptoms present/progress.
随着英国全髋关节置换手术数量逐年增加，关节内和退行性髋关节病变已变得很常见。临床医生通过特殊检查来识别病变，这些检查是临床医生用于判定或排除特定肌肉骨骼病变的研究性手法。用于髋关节病变的特殊检查通常具有较高的特异性以排除退行性和关节内病变，但敏感性各不相同。这些特殊检查通常仅在患者出现症状时进行，并且通常需要影像学确认才能确诊。本综述的目的是评估研究，以确定阔筋膜张肌（TFL）和臀大肌上束（UGM）肌肉复合体的功能变化是否可提示退行性和/或关节内病变，特别关注TFL与UGM肌力比在辅助临床诊断方面的效用。假设是阔筋膜张肌（TFL）和臀大肌上束（UGM）的肌力比可提示早期关节内髋关节病变，并且该比值的变化可在症状出现/进展之前表明髋关节的恶化。
5级。
