无论诊断为股骨髋臼撞击综合征还是髋关节发育不良，坐位疼痛比站立位髋关节疼痛更常见：一项前瞻性比较研究。
Sitting Pain Is More Common Than Standing Hip Pain Regardless of Diagnosis of Femoroacetabular Impingement Syndrome Versus Hip Dysplasia: A Prospective Comparative Study.
作者信息
Kraeutler Matthew J, Nguyen Brian Q, Keeter Carson, Jamar Kyle S J, Samuelsson Kristian, Lee Jessica H, Mei-Dan Omer
机构信息
Department of Orthopaedic Surgery & Rehabilitation, Texas Tech University Health Sciences Center, Lubbock, Texas, U.S.A.
University of Gothenburg, Department of Orthopaedics, Institute of Clinical Sciences, University of Gothenburg Sahlgrenska Academy, Gothenburg, MöIndal, Sweden.
出版信息
Arthrosc Sports Med Rehabil. 2025 Mar 13;7(3):101116. doi: 10.1016/j.asmr.2025.101116. eCollection 2025 Jun.
PURPOSE
To explore a possible correlation between sitting versus standing hip pain and a primary diagnosis of femoroacetabular impingement syndrome (FAIS) versus hip dysplasia.
METHODS
All new patients presenting to a hip preservation clinic starting in September 2023 were prospectively asked, "Do you have more hip pain with sitting or standing for a long time?" Patients were divided into two groups based on primary diagnosis: FAIS or hip dysplasia. Primary diagnosis was based on a combination of history, physical examination, and imaging. Patients with concomitant FAIS and dysplasia were given a primary diagnosis of dysplasia if they were recommended to undergo a periacetabular osteotomy (PAO), although patients with concomitant dysplasia and a large cam lesion were excluded. Logistic regression analysis was performed to determine if any variables were significantly associated with sitting versus standing hip pain.
RESULTS
A total of 115 patients (118 hips) were included (30 male, 88 female). FAIS and hip dysplasia were the diagnoses in 71 and 47 hips, respectively. Mean age at initial presentation was 34 years. Overall, regardless of diagnosis, sitting pain (n = 74; 62.7%, 95% CI 53.7-70.9) was found to be more likely than standing hip pain (n = 44; 37.3%, 95% CI 29.1-46.3). There was no evidence of a difference in the odds of experiencing sitting versus standing hip pain between the FAIS and hip dysplasia groups ( = .85). There was also no evidence that age, sex, lateral center edge angle, femoral torsion angle, or alpha angle contribute to the odds of experiencing sitting versus standing pain.
CONCLUSIONS
Sitting pain is more common than standing pain regardless of diagnosis of FAIS versus hip dysplasia, with no evidence of an association between FAI/sitting pain and dysplasia/standing pain.
LEVEL OF EVIDENCE
Level II, consecutive series diagnostic study.
目的
探讨坐位与站位时髋关节疼痛与股骨髋臼撞击综合征（FAIS）或髋关节发育不良的初步诊断之间可能存在的相关性。
方法
对2023年9月起在髋关节保留诊所就诊的所有新患者前瞻性地询问：“长时间坐着或站着时，您的髋关节疼痛更严重吗？”患者根据初步诊断分为两组：FAIS组或髋关节发育不良组。初步诊断基于病史、体格检查和影像学检查相结合。伴有FAIS和发育不良的患者，如果建议接受髋臼周围截骨术（PAO），则初步诊断为发育不良，不过伴有发育不良和大凸轮病变的患者被排除在外。进行逻辑回归分析以确定是否有任何变量与坐位与站位时的髋关节疼痛显著相关。
结果
共纳入115例患者（118髋）（男性30例，女性88例）。FAIS和髋关节发育不良分别诊断出71髋和47髋。初次就诊时的平均年龄为34岁。总体而言，无论诊断如何，发现坐位疼痛（n = 74；62.7%，95%CI 53.7 - 70.9）比站位时髋关节疼痛（n = 44；37.3%，95%CI 29.1 - 46.3）更常见。没有证据表明FAIS组和髋关节发育不良组在经历坐位与站位髋关节疼痛的几率上存在差异（ = 0.85）。也没有证据表明年龄、性别、外侧中心边缘角、股骨扭转角或α角会影响经历坐位与站位疼痛的几率。
结论
无论诊断为FAIS还是髋关节发育不良，坐位疼痛都比站位疼痛更常见，没有证据表明FAI/坐位疼痛与发育不良/站位疼痛之间存在关联。
证据水平
二级，连续系列诊断研究。
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