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非关节炎性髋关节疼痛的十大病因:一项综合综述。

Top ten causes of non-arthritic hip pain: A comprehensive review.

作者信息

Yeo Ping-Yen, Kasivishvanaath Ayyadarshan, Pérez-Carro Luis, T Jegathesan

机构信息

Department of Orthopedic Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore.

Orthopedic Surgery Department Clinica Mompia, Hospital Mompía, Santander 39100, Cantabria, Spain.

出版信息

World J Orthop. 2025 Jun 18;16(6):107397. doi: 10.5312/wjo.v16.i6.107397.

DOI:10.5312/wjo.v16.i6.107397
PMID:40547238
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12179863/
Abstract

Hip pain in young patients is a common complaint that can pose diagnostic challenges. Clinical evaluation of hip pain requires strong foundational knowledge of relevant anatomy, careful history-taking, focused physical examination, and appropriate imaging techniques. Rapid advancements in hip arthroscopy techniques over the past decade has made it an essential tool in assessing and managing hip pain. This article aims to provide an evidence-based update on ten common causes of non-arthritic hip pain. These causes are categorized into three groups based on predominant symptom location to facilitate the readers' understanding and enhance evaluation of hip pain in the clinical setting. Each condition is discussed with an overview of relevant anatomy, clinical features and evaluation methods, as well as management strategies, emphasizing arthroscopic techniques where applicable.

摘要

年轻患者的髋部疼痛是一种常见的主诉,可能带来诊断挑战。对髋部疼痛进行临床评估需要扎实的相关解剖学基础知识、仔细的病史采集、有针对性的体格检查以及合适的影像学技术。在过去十年中,髋关节镜技术的迅速发展使其成为评估和处理髋部疼痛的重要工具。本文旨在提供关于非关节炎性髋部疼痛十种常见病因的循证性更新内容。这些病因根据主要症状部位分为三组,以方便读者理解并加强临床环境中对髋部疼痛的评估。每种情况都结合相关解剖学、临床特征、评估方法以及管理策略进行讨论,在适用的情况下强调关节镜技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/d28e9f524060/wjo-16-6-107397-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/2db0cd5b4c83/wjo-16-6-107397-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/5eb23fcaabf0/wjo-16-6-107397-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/d28e9f524060/wjo-16-6-107397-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/2db0cd5b4c83/wjo-16-6-107397-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/5eb23fcaabf0/wjo-16-6-107397-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55dd/12179863/d28e9f524060/wjo-16-6-107397-g003.jpg

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本文引用的文献

1
Hip Arthroscopy for Femoroacetabular Impingement With Initial Access to the Peripheral Compartment: A Systematic Review of Clinical Outcomes.髋关节镜治疗股骨髋臼撞击症并首次进入外周间隙:临床疗效的系统评价
Cureus. 2025 Jan 3;17(1):e76887. doi: 10.7759/cureus.76887. eCollection 2025 Jan.
2
Sex-Based Differences in the Arthroscopic Treatment of Femoroacetabular Impingement Syndrome: 10-Year Outcomes With a Nested Propensity-Matched Comparison.股骨髋臼撞击综合征关节镜治疗中的性别差异:倾向评分匹配比较的10年结果
Am J Sports Med. 2025 Feb;53(2):281-290. doi: 10.1177/03635465241302806. Epub 2025 Jan 18.
3
Ultrasound Evaluation of the Hip.
髋关节的超声评估
Curr Rev Musculoskelet Med. 2024 Dec;17(12):548-558. doi: 10.1007/s12178-024-09929-4. Epub 2024 Oct 31.
4
Femoroacetabular impingement syndrome in middle-aged individuals is strongly associated with the development of hip osteoarthritis within 10-year follow-up: a prospective cohort study (CHECK).中年人群的股骨髋臼撞击综合征与 10 年随访内髋关节骨关节炎的发展密切相关:一项前瞻性队列研究(CHECK)。
Br J Sports Med. 2024 Sep 9;58(18):1061-1067. doi: 10.1136/bjsports-2024-108222.
5
Mid- to Long-Term Outcomes in Patients After Hip Arthroscopy With Labral Reconstruction: A Systematic Review.髋关节镜下盂唇重建术后患者的中长期结局:一项系统评价
Orthop J Sports Med. 2024 Jun 1;12(6):23259671241232306. doi: 10.1177/23259671241232306. eCollection 2024 Jun.
6
Long-Term Outcomes of Arthroscopic Labral Treatment of Femoroacetabular Impingement in Adolescents: A Nested Propensity-Matched Analysis.青少年髋关节撞击综合征关节镜下盂唇治疗的长期结果:嵌套倾向匹配分析。
J Bone Joint Surg Am. 2024 Jun 19;106(12):1062-1068. doi: 10.2106/JBJS.23.00648. Epub 2024 Apr 25.
7
Management of chondral and osteochondral lesions of the hip : A comprehensive review.髋关节软骨和软骨下病变的治疗:全面综述。
Orthopadie (Heidelb). 2024 Jan;53(1):23-38. doi: 10.1007/s00132-023-04444-9. Epub 2023 Oct 10.
8
Labral tears in hip dysplasia and femoroacetabular impingement: A systematic review.髋关节发育不良和股骨髋臼撞击症中的盂唇撕裂:系统评价。
Orthop Traumatol Surg Res. 2023 Jun;109(4):103539. doi: 10.1016/j.otsr.2022.103539. Epub 2022 Dec 29.
9
Diagnosing Hip Microinstability: an international consensus study using the Delphi methodology.诊断髋关节微不稳定:一项采用德尔菲法的国际共识研究。
Knee Surg Sports Traumatol Arthrosc. 2023 Jan;31(1):40-49. doi: 10.1007/s00167-022-06933-4. Epub 2022 Apr 30.
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