股髋撞击综合征病理特点和诊断现状研究

Pathomechanism and diagnosis of femoroacetabular impingement

髋关节疼痛和髋骨性关节炎病理机制是多因素的,近年来股髋撞击综合征被认为会造成这些症状,而且有可能是髋骨性关节炎潜在原因。准确的诊断该病是手术矫形成功的基础。本文综述了股髋撞击综合征的分型、病理碰撞机制和诊断现状,并进一步探索了诊断该病所需X线片要求和多个参数如髋臼旋转、α角、头颈偏心距、偏心指数等,将有助于提高该病的诊断率,并合理地制定治疗方案,使髋关节疾病的治疗效果得到提高。

The pathomechanism of hip pain and hip osteoarthritis is multi-factorial.Recently,abnormal impingement between proximal femur and the acetabular rim,femoroacetabular impingement（FAI）,has been recognized as a relatively common and possibly prearthritic cause of these symptoms.Accurate diagnosis of the impingement disease pattern is the basis of successful surgical care.The article summarizes the pathomechanism of three types of femoroacetabular impingement and important diagnosis criteria.In addition,this paper further explores requirements for a diagnostic pelvis radiograph and multiple-parameters in pelvic imaging concerning femoroacetabular impingement,such as acetabular retroversion alpha angle,offset,the offset ratio.It will improve the diagnostic rate of FAI and formulating a reasonable treatment plan,so that the therapeutic effect of hip joint disease is improved.