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臀部后指针损伤:两名优秀运动员髂后嵴处臀肌的骨膜下剥离

Posterior Hip Pointer: Subperiosteal Detachment of the Gluteal Muscles at the Posterior Iliac Crest in Two Elite Athletes.

作者信息

Drigny Joffrey, Labrousse Amélie, Remilly Marion, Reboursière Emmanuel

机构信息

Service de Médecine Physique et de Réadaptation, Service de Médecine du Sport, CHU de Caen Normandie, Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, 14000 Caen, France.

Service de Médecine du Sport, CHU de Caen Normandie, Normandie Univ, UNICAEN, 14000 Caen, France.

出版信息

Muscles. 2025 Apr 23;4(2):12. doi: 10.3390/muscles4020012.

DOI:10.3390/muscles4020012
PMID:40757555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12195931/
Abstract

Hip injuries are common in contact sports, particularly in high-impact activities. A well-known type of hip trauma is the hip pointer, which is a contusion of the iliac crest caused by a direct blow. Typically, hip pointers involve the lateral aspect of the iliac crest. In this case report, we present an unusual variation of this injury affecting the posterior iliac crest near the posterior superior iliac spine (PSIS). We describe two cases of elite athletes who sustained posterior iliac crest trauma, a condition we propose naming the "posterior hip pointer". This report highlights the clinical presentation, imaging findings, treatment approach, and implications for sports medicine.

摘要

髋部损伤在接触性运动中很常见,尤其是在高冲击力活动中。一种广为人知的髋部创伤类型是髋部指针伤,它是由直接打击导致的髂嵴挫伤。通常,髋部指针伤累及髂嵴的外侧。在本病例报告中,我们呈现了这种损伤的一种不寻常变异,累及靠近髂后上棘(PSIS)的髂嵴后部。我们描述了两名精英运动员发生髂嵴后部创伤的病例,我们建议将这种情况命名为“后髋部指针伤”。本报告重点介绍了临床表现、影像学表现、治疗方法以及对运动医学的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/49673ed42270/muscles-04-00012-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/377ae5cfebe8/muscles-04-00012-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/0e26d267a1a8/muscles-04-00012-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/fab05f531131/muscles-04-00012-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/8ab8ef481ee3/muscles-04-00012-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/5f930b1e3f20/muscles-04-00012-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/49673ed42270/muscles-04-00012-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/377ae5cfebe8/muscles-04-00012-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/0e26d267a1a8/muscles-04-00012-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/fab05f531131/muscles-04-00012-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/8ab8ef481ee3/muscles-04-00012-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/5f930b1e3f20/muscles-04-00012-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20f/12195931/49673ed42270/muscles-04-00012-g006.jpg

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本文引用的文献

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Distal Abdominal Oblique Avulsion Injuries in Two Collegiate Hockey Players: A Case Report.两名大学生曲棍球运动员的腹部远端斜肌撕脱伤:病例报告。
Curr Sports Med Rep. 2024 May 1;23(5):168-170. doi: 10.1249/JSR.0000000000001164.
2
Shock Waves and Therapeutic Exercise in Greater Trochanteric Pain Syndrome: A Prospective Randomized Clinical Trial with Cross-Over.冲击波与治疗性运动治疗大转子疼痛综合征:一项交叉设计的前瞻性随机临床试验
J Pers Med. 2023 Jun 10;13(6):976. doi: 10.3390/jpm13060976.
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Successful Repair of M. obliquus Internus Abdominis Avulsion at the Iliac Crest-Operative Technique in Professional Soccer Players.
髂嵴处腹内斜肌止点撕脱的成功修复——职业足球运动员的手术技术。
Orthop Surg. 2023 May;15(5):1399-1404. doi: 10.1111/os.13699. Epub 2023 Apr 11.
4
Injury Prevalence of the Lower Limbs in Handball Players: A Systematic Review.手球运动员下肢损伤的发生率:系统评价。
Int J Environ Res Public Health. 2021 Dec 29;19(1):332. doi: 10.3390/ijerph19010332.
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Clinical Measures of Pelvic Tilt in Physical Therapy.物理治疗中骨盆倾斜的临床测量
Int J Sports Phys Ther. 2021 Oct 1;16(5):1366-1375. doi: 10.26603/001c.27978. eCollection 2021.
6
Incidence, Prevalence, and Severity of and Risk Factors for Hip and Groin Problems in Swedish Male Ice Hockey Players: A 1-Season Prospective Cohort Study.瑞典男性冰球运动员髋部和腹股沟问题的发生率、患病率、严重程度和危险因素:一项为期 1 赛季的前瞻性队列研究。
J Athl Train. 2022 Jan 1;57(1):72-78. doi: 10.4085/1062-6050-0522.20.
7
The Franklin-Naismith Lesion: A Severe Variant of Hip Pointer.富兰克林-奈史密斯损伤:髋部指针伤的一种严重变体
Orthop J Sports Med. 2019 Jan 9;7(1):2325967118820507. doi: 10.1177/2325967118820507. eCollection 2019 Jan.
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Acta Biomed. 2018 Nov 15;89(4):470-476. doi: 10.23750/abm.v89i4.7632.
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Epidemiology of Hip and Groin Injuries in Collegiate Athletes in the United States.美国大学生运动员髋部和腹股沟损伤的流行病学
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