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髂腰肌撞击症

[Iliopsoas impingement].

作者信息

Banke Ingo J, Zimmerer Alexander, Goronzy Jens, von Eisenhart-Rothe Rüdiger, Twardy Vanessa

机构信息

Klinik und Poliklinik für Orthopädie und Sportorthopädie, School of Medicine and Health & Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, München, Deutschland.

AGA-Hüftkomitee, c/o Walder Wyss Ltd., Seefeldstr. 123, 8034, Zürich, Schweiz.

出版信息

Orthopadie (Heidelb). 2025 Aug;54(8):647-659. doi: 10.1007/s00132-025-04665-0. Epub 2025 Jun 23.

Abstract

Iliopsoas impingement refers to the painful contact between the iliopsoas tendon and the anterior acetabular rim of the hip joint. This mechanism can occur in the native hip as part of an internal snapping hip syndrome and, in particular, following total hip arthroplasty, leading to chronic groin pain and a substantial reduction in the quality of life. This review article outlines the diagnostic approaches for identifying iliopsoas impingement and presents both established open procedures and innovative minimally invasive arthroscopic techniques for iliopsoas tendon release, in order to facilitate precise treatment planning and avoid potential complications.

摘要

髂腰肌撞击是指髂腰肌肌腱与髋关节髋臼前缘之间的疼痛性接触。这种机制可发生在正常髋关节,作为髋关节内弹响综合征的一部分,尤其是在全髋关节置换术后,会导致慢性腹股沟疼痛并严重降低生活质量。这篇综述文章概述了识别髂腰肌撞击的诊断方法,并介绍了用于髂腰肌肌腱松解的既定开放手术和创新的微创关节镜技术,以便于进行精确的治疗规划并避免潜在并发症。

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