Itthipanichpong Thun, Thamrongskulsiri Napatpong, Menta Samarth Venkata, Ranawat Anil S
Hospital for Special Surgery, New York, New York, USA.
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
EFORT Open Rev. 2025 Oct 1;10(10):733-744. doi: 10.1530/EOR-2023-0179.
Hip pain can be caused by extra-articular conditions such as subspine impingement, iliopsoas impingement, and ischiofemoral impingement. These syndromes are frequently secondary to underlying pathologies involving the hip joint or lumbar spine. While most cases are managed conservatively through activity modification and physiotherapy, surgical intervention is considered for refractory cases. Imaging, such as computed tomography (CT) scans and magnetic resonance imaging (MRI) is crucial for diagnosing these conditions, as clinical symptoms can be nonspecific. CT scans help identify predisposing factors such as acetabular morphology, femoral version, and acetabular version, while MRI is useful for ruling out other conditions and detecting soft tissue pathology. Although positive treatment outcomes are generally observed, there are variations in results and procedures, and long-term follow-up studies are lacking. Complications of the treatments are a concern, but most reported complications are minor in nature.
髋部疼痛可能由关节外疾病引起，如脊柱下撞击、髂腰肌撞击和坐骨股骨撞击。这些综合征通常继发于涉及髋关节或腰椎的潜在病变。虽然大多数病例通过改变活动方式和物理治疗进行保守治疗，但难治性病例则考虑手术干预。成像检查，如计算机断层扫描（CT）和磁共振成像（MRI）对于诊断这些疾病至关重要，因为临床症状可能不具有特异性。CT扫描有助于识别诸如髋臼形态、股骨旋转和髋臼旋转等易感因素，而MRI则有助于排除其他疾病并检测软组织病变。尽管通常观察到积极的治疗结果，但结果和程序存在差异，并且缺乏长期随访研究。治疗的并发症令人担忧，但大多数报告的并发症性质较轻。
