髋关节撞击综合征诊疗研究进展

Research progress in diagnosis and treatment of femoroacetabular impingement syndrome

股骨髋臼撞击征(FAI),又称为髋关节撞击综合征,近年来在骨科以及运动医学领域愈发受到关注。FAI主要是由于髋关节形态异常,股骨近端与髋臼异常接触,从而造成局部受到反复的负荷刺激,这种股骨近端与髋臼在形态学上存在的不匹配状态可能是关节盂唇和软骨损伤的一个重要机制。FAI在运动人群中更为普遍,尤其是那些在较年轻时即从事高水平运动的群体。针对该疾病的治疗主要包括了保守治疗与手术治疗,如果保守治疗失败,那么可通过髋关节镜手术治疗,其效果确切。文章主要就FAI的流行病学、病因及致病机制、诊断以及治疗等方面进行综述。

Femoral acetabular impingement(FAI),otherwise known as hip impingement syndrome,has received increasing attention in orthopedics and sports medicine in recent years.FAI is mainly due to the abnormal morphology of the hip joint,the abnormal contact between the proximal femur and the acetabulum,resulting in repeated local load stimulation.This morphological mismatch between the proximal femur and the acetabulum may be an important mechanism of the glenoid labrum and cartilage damage.FAI is more common among sports population,especially those who are engaged in high-level sports when they are young.The treatment for this disease mainly includes conservative treatment and surgical treatment.If the conservative treatment fails,the surgical treatment can be performed through hip arthroscope,with definite effect.This review will conclude the epidemiology,etiology,pathogenesis,diagnosis and treatment of FAI,and look forward to its future research.