Khan N Q, Woolson S T
Stanford University Hospital, Calif., USA.
Orthopedics. 1998 Feb;21(2):123-6. doi: 10.3928/0147-7447-19980201-05.
This study was undertaken to determine the most common referral patterns of hip pain in patients scheduled to undergo primary and revision total hip replacement. The exact location of pain from the hip was recorded prospectively for 323 patients (358 hips) who had primary total hip replacement and for 94 patients who had revision of a loose total hip. Seventy-three percent of patients with primary hip disease had pain in the groin, and 27% had groin pain that referred to the knee. Eighty-nine percent of 57 patients who had femoral component loosening had thigh or knee pain, and all of the 34 patients who had a loose acetabular component with a well-fixed femoral implant had pain in the hip region without distal radiation of pain. These results indicate that in patients who have a painful total hip, thigh pain is highly suggestive of femoral component loosening and pain located around the hip region that does not radiate distally is associated with isolated acetabular component loosening.
本研究旨在确定计划接受初次和翻修全髋关节置换术的患者中髋部疼痛最常见的转诊模式。前瞻性记录了323例接受初次全髋关节置换术的患者（358髋）以及94例翻修松动全髋关节的患者髋部疼痛的确切位置。患有原发性髋部疾病的患者中，73%有腹股沟疼痛，27%有腹股沟疼痛并向膝部放射。57例股骨部件松动的患者中，89%有大腿或膝部疼痛，34例髋臼部件松动但股骨植入物固定良好的患者均有髋部区域疼痛，且疼痛无向远端放射。这些结果表明，在全髋关节疼痛的患者中，大腿疼痛高度提示股骨部件松动，而位于髋部区域且无向远端放射的疼痛与孤立的髋臼部件松动有关。
