Femoroacetabular impingement(FAI)is an increasingly recognized condition,which is believed to contribute to degenerative changes of the hip.This correlation has led to a great deal of interested in diagnosis and treat...Femoroacetabular impingement(FAI)is an increasingly recognized condition,which is believed to contribute to degenerative changes of the hip.This correlation has led to a great deal of interested in diagnosis and treatment of FAI.FAI can be divided into two groups:cam and pincer type impingement.FAI can lead to chondral and labral pathologies,that if left untreated,can progress rapidly to osteoarthritis.The diagnosis of FAI involves a detailed history,physical exam,and radiographs of the pelvis.Surgical treatment is indicated in anatomic variants known to cause FAI.The primary goal of surgical treatment is to increase joint clearance and decrease destructive forces being transmitted through the joint.Treatment has been evolving rapidly over the past decade and includes three primary techniques:open surgical dislocation,mini-open,and arthroscopic surgery.Open surgical dislocation is a technique for dislocating the femoral head from the acetabulum with a low risk of avascular necrosis in orderto reshape the neck or acetabular rim to improve joint clearance.Mini-open treatment is performed using the distal portion of an anterior approach to the hip to visualize and to correct acetabular and femoral head and neck junction deformities.This does not involve frank dislocation.Recently,arthroscopic treatment has gained popularity.This however does have a steep learning curve and is best done by an experienced surgeon.Short-to mid-term results have shown relatively equal success with all techniques in patients with no or only mild evidence of degenerative changes.Additionally,all techniques have demonstrated low rates of complications.展开更多
AIM: To investigate the association between sports hernias and femoroacetabular impingement(FAI) in athletes.METHODS: Pub Med, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases...AIM: To investigate the association between sports hernias and femoroacetabular impingement(FAI) in athletes.METHODS: Pub Med, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases were electronically searched for articles relating to sports hernia, athletic pubalgia, groin pain, long-standing adductor-related groin pain, Gilmore groin, adductor pain syndrome, and FAI. The initial search identified 196 studies, of which only articles reporting on the association of sports hernia and FAI or laparoscopic treatment of sports hernia were selected for systematic review. Finally, 24 studies were reviewed to evaluate the prevalence of FAI in cases of sports hernia and examine treatment outcomes and evidence for a common underlying pathogenic mechanism.RESULTS: FAI has been reported in as few as 12% to as high as 94% of patients with sports hernias, athletic pubalgia or adductor-related groin pain. Cam-type impingement is proposed to lead to increased symphyseal motion with overload on the surrounding extra-articular structures and muscle, which can result in the development of sports hernia and athletic pubalgia. Laparoscopic repair of sports hernias, via either the transabdominal preperitoneal or extraperitoneal approach, has a high success rate and earlier recovery of full sports activity compared to open surgery or conservative treatment. For patients with FAI and sports hernia, the surgical management of both pathologies is more effective than sports pubalgia treatment or hip arthroscopy alone(89% vs 33% of cases). As sports hernias and FAI are typically treated by general and orthopedic surgeons, respectively, a multidisciplinary approach for diagnosis and treatment is recommended for optimal treatment of patients with these injuries.CONCLUSION: The restriction in range of motion due to FAI likely contributes to sports hernias; therefore, surgical treatment of both pathologies represents an optimal therapy.展开更多
Femoroacetabular impingement is uncommonly associated with a large rim fragment of bone along the superolateral acetabulum. We report an unusual case of femoroacetabular impingement(FAI) with chronic acetabular rim fr...Femoroacetabular impingement is uncommonly associated with a large rim fragment of bone along the superolateral acetabulum. We report an unusual case of femoroacetabular impingement(FAI) with chronic acetabular rim fracture. Radiographic, 3D computed tomography, 3D magnetic resonance imaging and arthroscopy correlation is presented with discussion of relative advantages and disadvantages of various modalities in the context of FAI.展开更多
Background: The purpose of this study was to compare the frequency of femoroacetabular impingement(FAI) between matched groups of military veterans and civilian patients with end-stage hip osteoarthritis(OA).Methods: ...Background: The purpose of this study was to compare the frequency of femoroacetabular impingement(FAI) between matched groups of military veterans and civilian patients with end-stage hip osteoarthritis(OA).Methods: Patients who underwent a primary total hip arthroplasty(THA) between January 1, 2015 and December 31, 2015 at a single Veteran’s Affairs Hospital were identified. Veterans were then matched 1:2 with civilian patients from our prospective outcome registry. The alpha angle and lateral center-edge angle(LCEA) were measured by a single evaluator. Independent t-tests were used to compare joint angles, and Fisher exact tests were used to compare the prevalence of cam(alpha angle ≥60°), pincer(LCEA ≥40°), or mixed-type pathologies.Results: Twenty-one veterans were matched 1:2 with civilian patients. The mean alpha angle did not significantly differ between groups(P=0.33) nor did the prevalence of cam deformities(P=0.79). The LCEAs were significantly greater in veterans than in civilians(P=0.04), and veterans also demonstrated a significantly greater prevalence of pincer and mixed-type deformities than civilians(P=0.025 and P=0.004, respectively).Conclusions: These results suggest that FAI is perhaps a more common mechanism in the progression of OA in a veteran population than in a civilian population, as pincer and mixed-type deformities were significantly more common among veterans than civilians. The forces borne by the hip during military training exceed normal physiologic conditions. In addition, the time between symptom onset and surgical correction may be 10–12 months longer for active military personnel than for civilians. The combination of increased physical demands and a protracted time to treatment highlights the need for better recognition of FAI in military members. Future studies are necessary to determine whether earlier intervention may prevent or delay the progression to end-stage OA and the need for total hip arthroplasty.展开更多
Here we describe a 28-year-old man with a history of right hip pain for the past 11 years and ankylosing spondylitis for the past 6 months. Imaging studies showed an exostosis in the femoral neck causing femoroacetabu...Here we describe a 28-year-old man with a history of right hip pain for the past 11 years and ankylosing spondylitis for the past 6 months. Imaging studies showed an exostosis in the femoral neck causing femoroacetabular imping- ement. The patient was diagnosed with coxar- throsis. This case report suggests that femoro- acetabular impingement may accelerate the degenerative process in the hip joint.展开更多
BACKGROUND Femoroacetabular impingement(FAI)is a predisposing factor for secondary osteoarthritis of the hip joint.The two extensively described impingement mechanisms of FAI are CAM and Pincer-type.Initially managed ...BACKGROUND Femoroacetabular impingement(FAI)is a predisposing factor for secondary osteoarthritis of the hip joint.The two extensively described impingement mechanisms of FAI are CAM and Pincer-type.Initially managed conservatively,operative intervention should be offered to the persistently symptomatic patient.The measurement of the alpha angle is considered a standard method of assessing the severity of pathology in Cam-type FAI on pre-operative plain radiographs.The radiological correction of the alpha angle has not been previously compared between different surgical approaches.We hypothesize that there is no difference in alpha angle correction between Ganz surgical hip dislocation and the anterior mini-open approach.AIM To compare the magnitude of alpha angle correction achieved by using the Ganz surgical hip dislocation and the anterior mini-open approach.METHODS This is a retrospective study assessing seventy-nine patients identified in a 5-year period.These patients had preoperative radiographic evidence of FAI and underwent surgery by a single surgeon at our institution,a tertiary care center.Patients with missing radiographic documentation,radiographs with insufficient quality which then precluded accurate measurement of the angleα,a diagnosed congenital condition,isolated type II pathology(Pincer),and history of prior surgery were excluded from the study.Either the Ganz surgical hip dislocation or the anterior mini open approach was used.Postoperative radiographic evaluation of the alpha angle between the two surgical methods was done and corrected for age and gender using two-sample t-tests and Chi-square analyses.RESULTS A total of 79 patients met the inclusion and exclusion criteria.Forty-seven males(mean age of 35.3,range 16-53)and 32 females(mean age 36.7,range 16-60)were enrolled.Forty-seven patients underwent the anterior mini-open approach,and 32 underwent the Ganz surgical hip dislocation.There were no significant differences in age between the two surgical groups or in pre-and post-operative alpha angles based on patient gender.The mean pre-operative alpha angle for the Ganz surgical hip dislocation group was 88.0 degrees(SD 12.3)and 99.4 degrees(SD 7.2)for the anterior mini-open group.Mean post-operative angles were 49.9 degrees(SD 4.3)for the Ganz surgical hip dislocation and 43.8(SD 4.3)degrees for the anterior mini-open group.There was a statistically significant difference in patient’s pre-operative and post-operative angles(P=0.000)with both surgical approaches.CONCLUSION Statistically significant decreases in alpha angle were noted for both surgical techniques,with larger decreases seen in the anterior mini-open group.展开更多
背景:股骨头骨骺滑脱是影响儿童和青少年常见的髋关节疾病,造成髋关节疼痛及跛行。股骨头骨骺滑脱的发病率差异很大,病因与性别、机械、内分泌、肥胖和遗传等因素相关。目的:综述股骨头骨骺滑脱的核心机制,讨论基于病理生理机制的影像...背景:股骨头骨骺滑脱是影响儿童和青少年常见的髋关节疾病,造成髋关节疼痛及跛行。股骨头骨骺滑脱的发病率差异很大,病因与性别、机械、内分泌、肥胖和遗传等因素相关。目的:综述股骨头骨骺滑脱的核心机制,讨论基于病理生理机制的影像学表现及定量指标评价、治疗方法进展及尚未解决的问题。方法:第一作者以“Slipped epiphysis of femoral head,Complications,AVN,FAI,hip chondrolysis,SCFE imaging diagnose,X-ray,CT,MRI”为英文数据库检索词,以“股骨头骨骺滑脱、并发症、AVN、FAI、软骨溶解、X射线、CT、MRI”为中文数据库检索词,通过计算机检索PubMed、Web of Science、Embase、中国知网及万方数据库中的相关文献,并进行筛选、评估、归纳,最终纳入63篇相关文献进行综述。结果与结论:(1)目前关于股骨头骨骺滑脱发病机制的国际主流观点倾向于机械损伤因素、内分泌因素及肥胖遗传多种因素的共同作用。(2)影像手段在股骨头骨骺滑脱诊断中可发挥重要作用,X射线片及三维CT在股骨头骨骺滑脱诊断中较为常用,MRI可用来观察除骨质改变以外的骺板水肿等变化。(3)不同的诊断方式及测量参数能够全面且定量地从骨质改变、软化损伤及肌肉萎缩等方面来评估股骨头骨骺滑脱患者的情况。(4)股骨头骨骺滑脱的并发症包括股骨头缺血坏死、股骨髋臼撞击征、软骨溶解和退行性关节炎,会造成长期且具有破坏性的临床预后。(5)基于主要病理机制,治疗手段主要包括手术、内分泌及康复治疗,且取得了一定的成果。(6)临床上,股骨头骨骺滑脱患者多因患侧髋部及膝部疼痛及跛行就诊,影像学表现以骺板增宽、股骨头骨骺及干骺端相对移位为主。(7)因此,针对股骨头骨骺滑脱患者临床病理特征及并发症的特点,医生需正确认识影像学检查在股骨头骨骺滑脱中的辅助诊断作用,需要做好患者入院的诊断及病情评估、手术效果评价及术后的随访及单侧股骨头骨骺滑脱患者对侧骨骺滑脱的预测,以期为临床诊疗提供准确客观的诊疗依据。展开更多
背景:股骨髋臼撞击综合征是髋关节疼痛的主要原因之一,而中国对股骨髋臼撞击综合征康复领域的研究较为缺乏。目的:采用Web of Science和Citespace软件以科学数据结合图谱的形式呈现股骨髋臼撞击综合征康复领域内的研究趋势和研究热点,...背景:股骨髋臼撞击综合征是髋关节疼痛的主要原因之一,而中国对股骨髋臼撞击综合征康复领域的研究较为缺乏。目的:采用Web of Science和Citespace软件以科学数据结合图谱的形式呈现股骨髋臼撞击综合征康复领域内的研究趋势和研究热点,并进行分析以展望研究和提出未来可研究方向。方法:在Web of Science核心集中检索2012-2021年股骨髋臼撞击综合征康复领域的相关关键词,并进行文献计量学分析,而后采用Citespace软件进行国家、机构、作者、期刊、关键词及文献共被引可视化分析,总结近10年的研究趋势和研究热点。结果与结论:①股骨髋臼撞击综合征康复领域逐渐受到学者的关注,发文量和被引量逐年增加,其中美国处于领先地位;②中国学者发文量较少,仅与澳大利亚和美国学者有合作关系,在此领域内的影响力有待提升;③通过关键词和文献共被引突现分析可知:研究趋势为股骨髋臼撞击综合征患者的步态功能、股骨髋臼撞击综合征非手术治疗/保守治疗/物理治疗的临床疗效、髋关节镜与非手术治疗的疗效对比;④结合关键词和文献共被引高频次、高中心性和聚类分析可知此领域研究热点包括:探究股骨髋臼撞击综合征疼痛的诊断、非手术治疗与髋关节镜手术治疗的短期/中期/长期的临床效果、股骨髋臼撞击综合征患者应用物理治疗的康复疗效、自我报告量表的适用性、股骨髋臼撞击综合征伴有软骨损伤或盂唇损伤的康复方案和关注它们的康复进程、预防股骨髋臼撞击综合征进展为骨关节炎;⑤文章通过对近10年文献分析可知探究非手术/手术治疗的临床疗效、非手术治疗与手术治疗中长期的疗效对比、股骨髋臼撞击综合征的并发损失以及预后、康复干预手段的随机对照试验及其细节描述是未来此领域可研究的方向。展开更多
临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋...临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋关节不稳定和/或髋股撞击。但迄今缺乏诊断及鉴别诊断的“金标准”。因此,术前需从症状、体征和影像学三方面全面评估BHD患髋,以明确是否存在髋关节不稳定和/或髋股撞击,以采取合适的治疗手段。展开更多
基金Supported by Orthopaedic Research and Education FoundationZachary B Friedenberg,MD,Clinician Scientist Award to Dr.CuiQ
文摘Femoroacetabular impingement(FAI)is an increasingly recognized condition,which is believed to contribute to degenerative changes of the hip.This correlation has led to a great deal of interested in diagnosis and treatment of FAI.FAI can be divided into two groups:cam and pincer type impingement.FAI can lead to chondral and labral pathologies,that if left untreated,can progress rapidly to osteoarthritis.The diagnosis of FAI involves a detailed history,physical exam,and radiographs of the pelvis.Surgical treatment is indicated in anatomic variants known to cause FAI.The primary goal of surgical treatment is to increase joint clearance and decrease destructive forces being transmitted through the joint.Treatment has been evolving rapidly over the past decade and includes three primary techniques:open surgical dislocation,mini-open,and arthroscopic surgery.Open surgical dislocation is a technique for dislocating the femoral head from the acetabulum with a low risk of avascular necrosis in orderto reshape the neck or acetabular rim to improve joint clearance.Mini-open treatment is performed using the distal portion of an anterior approach to the hip to visualize and to correct acetabular and femoral head and neck junction deformities.This does not involve frank dislocation.Recently,arthroscopic treatment has gained popularity.This however does have a steep learning curve and is best done by an experienced surgeon.Short-to mid-term results have shown relatively equal success with all techniques in patients with no or only mild evidence of degenerative changes.Additionally,all techniques have demonstrated low rates of complications.
文摘AIM: To investigate the association between sports hernias and femoroacetabular impingement(FAI) in athletes.METHODS: Pub Med, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases were electronically searched for articles relating to sports hernia, athletic pubalgia, groin pain, long-standing adductor-related groin pain, Gilmore groin, adductor pain syndrome, and FAI. The initial search identified 196 studies, of which only articles reporting on the association of sports hernia and FAI or laparoscopic treatment of sports hernia were selected for systematic review. Finally, 24 studies were reviewed to evaluate the prevalence of FAI in cases of sports hernia and examine treatment outcomes and evidence for a common underlying pathogenic mechanism.RESULTS: FAI has been reported in as few as 12% to as high as 94% of patients with sports hernias, athletic pubalgia or adductor-related groin pain. Cam-type impingement is proposed to lead to increased symphyseal motion with overload on the surrounding extra-articular structures and muscle, which can result in the development of sports hernia and athletic pubalgia. Laparoscopic repair of sports hernias, via either the transabdominal preperitoneal or extraperitoneal approach, has a high success rate and earlier recovery of full sports activity compared to open surgery or conservative treatment. For patients with FAI and sports hernia, the surgical management of both pathologies is more effective than sports pubalgia treatment or hip arthroscopy alone(89% vs 33% of cases). As sports hernias and FAI are typically treated by general and orthopedic surgeons, respectively, a multidisciplinary approach for diagnosis and treatment is recommended for optimal treatment of patients with these injuries.CONCLUSION: The restriction in range of motion due to FAI likely contributes to sports hernias; therefore, surgical treatment of both pathologies represents an optimal therapy.
文摘Femoroacetabular impingement is uncommonly associated with a large rim fragment of bone along the superolateral acetabulum. We report an unusual case of femoroacetabular impingement(FAI) with chronic acetabular rim fracture. Radiographic, 3D computed tomography, 3D magnetic resonance imaging and arthroscopy correlation is presented with discussion of relative advantages and disadvantages of various modalities in the context of FAI.
文摘Background: The purpose of this study was to compare the frequency of femoroacetabular impingement(FAI) between matched groups of military veterans and civilian patients with end-stage hip osteoarthritis(OA).Methods: Patients who underwent a primary total hip arthroplasty(THA) between January 1, 2015 and December 31, 2015 at a single Veteran’s Affairs Hospital were identified. Veterans were then matched 1:2 with civilian patients from our prospective outcome registry. The alpha angle and lateral center-edge angle(LCEA) were measured by a single evaluator. Independent t-tests were used to compare joint angles, and Fisher exact tests were used to compare the prevalence of cam(alpha angle ≥60°), pincer(LCEA ≥40°), or mixed-type pathologies.Results: Twenty-one veterans were matched 1:2 with civilian patients. The mean alpha angle did not significantly differ between groups(P=0.33) nor did the prevalence of cam deformities(P=0.79). The LCEAs were significantly greater in veterans than in civilians(P=0.04), and veterans also demonstrated a significantly greater prevalence of pincer and mixed-type deformities than civilians(P=0.025 and P=0.004, respectively).Conclusions: These results suggest that FAI is perhaps a more common mechanism in the progression of OA in a veteran population than in a civilian population, as pincer and mixed-type deformities were significantly more common among veterans than civilians. The forces borne by the hip during military training exceed normal physiologic conditions. In addition, the time between symptom onset and surgical correction may be 10–12 months longer for active military personnel than for civilians. The combination of increased physical demands and a protracted time to treatment highlights the need for better recognition of FAI in military members. Future studies are necessary to determine whether earlier intervention may prevent or delay the progression to end-stage OA and the need for total hip arthroplasty.
文摘Here we describe a 28-year-old man with a history of right hip pain for the past 11 years and ankylosing spondylitis for the past 6 months. Imaging studies showed an exostosis in the femoral neck causing femoroacetabular imping- ement. The patient was diagnosed with coxar- throsis. This case report suggests that femoro- acetabular impingement may accelerate the degenerative process in the hip joint.
文摘BACKGROUND Femoroacetabular impingement(FAI)is a predisposing factor for secondary osteoarthritis of the hip joint.The two extensively described impingement mechanisms of FAI are CAM and Pincer-type.Initially managed conservatively,operative intervention should be offered to the persistently symptomatic patient.The measurement of the alpha angle is considered a standard method of assessing the severity of pathology in Cam-type FAI on pre-operative plain radiographs.The radiological correction of the alpha angle has not been previously compared between different surgical approaches.We hypothesize that there is no difference in alpha angle correction between Ganz surgical hip dislocation and the anterior mini-open approach.AIM To compare the magnitude of alpha angle correction achieved by using the Ganz surgical hip dislocation and the anterior mini-open approach.METHODS This is a retrospective study assessing seventy-nine patients identified in a 5-year period.These patients had preoperative radiographic evidence of FAI and underwent surgery by a single surgeon at our institution,a tertiary care center.Patients with missing radiographic documentation,radiographs with insufficient quality which then precluded accurate measurement of the angleα,a diagnosed congenital condition,isolated type II pathology(Pincer),and history of prior surgery were excluded from the study.Either the Ganz surgical hip dislocation or the anterior mini open approach was used.Postoperative radiographic evaluation of the alpha angle between the two surgical methods was done and corrected for age and gender using two-sample t-tests and Chi-square analyses.RESULTS A total of 79 patients met the inclusion and exclusion criteria.Forty-seven males(mean age of 35.3,range 16-53)and 32 females(mean age 36.7,range 16-60)were enrolled.Forty-seven patients underwent the anterior mini-open approach,and 32 underwent the Ganz surgical hip dislocation.There were no significant differences in age between the two surgical groups or in pre-and post-operative alpha angles based on patient gender.The mean pre-operative alpha angle for the Ganz surgical hip dislocation group was 88.0 degrees(SD 12.3)and 99.4 degrees(SD 7.2)for the anterior mini-open group.Mean post-operative angles were 49.9 degrees(SD 4.3)for the Ganz surgical hip dislocation and 43.8(SD 4.3)degrees for the anterior mini-open group.There was a statistically significant difference in patient’s pre-operative and post-operative angles(P=0.000)with both surgical approaches.CONCLUSION Statistically significant decreases in alpha angle were noted for both surgical techniques,with larger decreases seen in the anterior mini-open group.
文摘背景:股骨头骨骺滑脱是影响儿童和青少年常见的髋关节疾病,造成髋关节疼痛及跛行。股骨头骨骺滑脱的发病率差异很大,病因与性别、机械、内分泌、肥胖和遗传等因素相关。目的:综述股骨头骨骺滑脱的核心机制,讨论基于病理生理机制的影像学表现及定量指标评价、治疗方法进展及尚未解决的问题。方法:第一作者以“Slipped epiphysis of femoral head,Complications,AVN,FAI,hip chondrolysis,SCFE imaging diagnose,X-ray,CT,MRI”为英文数据库检索词,以“股骨头骨骺滑脱、并发症、AVN、FAI、软骨溶解、X射线、CT、MRI”为中文数据库检索词,通过计算机检索PubMed、Web of Science、Embase、中国知网及万方数据库中的相关文献,并进行筛选、评估、归纳,最终纳入63篇相关文献进行综述。结果与结论:(1)目前关于股骨头骨骺滑脱发病机制的国际主流观点倾向于机械损伤因素、内分泌因素及肥胖遗传多种因素的共同作用。(2)影像手段在股骨头骨骺滑脱诊断中可发挥重要作用,X射线片及三维CT在股骨头骨骺滑脱诊断中较为常用,MRI可用来观察除骨质改变以外的骺板水肿等变化。(3)不同的诊断方式及测量参数能够全面且定量地从骨质改变、软化损伤及肌肉萎缩等方面来评估股骨头骨骺滑脱患者的情况。(4)股骨头骨骺滑脱的并发症包括股骨头缺血坏死、股骨髋臼撞击征、软骨溶解和退行性关节炎,会造成长期且具有破坏性的临床预后。(5)基于主要病理机制,治疗手段主要包括手术、内分泌及康复治疗,且取得了一定的成果。(6)临床上,股骨头骨骺滑脱患者多因患侧髋部及膝部疼痛及跛行就诊,影像学表现以骺板增宽、股骨头骨骺及干骺端相对移位为主。(7)因此,针对股骨头骨骺滑脱患者临床病理特征及并发症的特点,医生需正确认识影像学检查在股骨头骨骺滑脱中的辅助诊断作用,需要做好患者入院的诊断及病情评估、手术效果评价及术后的随访及单侧股骨头骨骺滑脱患者对侧骨骺滑脱的预测,以期为临床诊疗提供准确客观的诊疗依据。
文摘背景:股骨髋臼撞击综合征是髋关节疼痛的主要原因之一,而中国对股骨髋臼撞击综合征康复领域的研究较为缺乏。目的:采用Web of Science和Citespace软件以科学数据结合图谱的形式呈现股骨髋臼撞击综合征康复领域内的研究趋势和研究热点,并进行分析以展望研究和提出未来可研究方向。方法:在Web of Science核心集中检索2012-2021年股骨髋臼撞击综合征康复领域的相关关键词,并进行文献计量学分析,而后采用Citespace软件进行国家、机构、作者、期刊、关键词及文献共被引可视化分析,总结近10年的研究趋势和研究热点。结果与结论:①股骨髋臼撞击综合征康复领域逐渐受到学者的关注,发文量和被引量逐年增加,其中美国处于领先地位;②中国学者发文量较少,仅与澳大利亚和美国学者有合作关系,在此领域内的影响力有待提升;③通过关键词和文献共被引突现分析可知:研究趋势为股骨髋臼撞击综合征患者的步态功能、股骨髋臼撞击综合征非手术治疗/保守治疗/物理治疗的临床疗效、髋关节镜与非手术治疗的疗效对比;④结合关键词和文献共被引高频次、高中心性和聚类分析可知此领域研究热点包括:探究股骨髋臼撞击综合征疼痛的诊断、非手术治疗与髋关节镜手术治疗的短期/中期/长期的临床效果、股骨髋臼撞击综合征患者应用物理治疗的康复疗效、自我报告量表的适用性、股骨髋臼撞击综合征伴有软骨损伤或盂唇损伤的康复方案和关注它们的康复进程、预防股骨髋臼撞击综合征进展为骨关节炎;⑤文章通过对近10年文献分析可知探究非手术/手术治疗的临床疗效、非手术治疗与手术治疗中长期的疗效对比、股骨髋臼撞击综合征的并发损失以及预后、康复干预手段的随机对照试验及其细节描述是未来此领域可研究的方向。
文摘临界型髋关节发育不良(borderline hip dysplasia,BHD)是从定义到治疗均具争议的概念。传统上将外侧中心边缘角(lateral center-edge angle,LCEA)20°~25°作为BHD的影像学诊断标准。由于BHD患者髋关节畸形的多态性,可能存在髋关节不稳定和/或髋股撞击。但迄今缺乏诊断及鉴别诊断的“金标准”。因此,术前需从症状、体征和影像学三方面全面评估BHD患髋,以明确是否存在髋关节不稳定和/或髋股撞击,以采取合适的治疗手段。
