股骨支柱的撞击 - 风湿病学家需要知道的东西
Aricia Jieqi Thirumaran1, Nicholas J Murphy2, Kai Fu3
1Nepean Hospital, Kingswood, NSW, 2747, Australia; Sydney Musculoskeletal Health, Kolling Institute, Faculty of Medicine and Health, The University of Sydney, St Leonards, NSW, 2065, Australia.
Best practice & research. Clinical rheumatology
|February 9, 2024
概括
由部形态特征的雌雄体塞综合征 (FAI) 在年轻成年人中引起疼痛. 治疗方案包括物理治疗或手术,但长期结果和骨关节炎的发展仍然不清楚.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 腿骨支部阻塞综合征 (FAI) 是年轻人部和大腿痛的常见原因之一.
- FAI综合征是由临床迹象,症状和成像发现的三位一体定义的.
- 和/或形态是必要的,但不足以FAI诊断,未定义的病理值.
研究的目的:
- 审查FAI综合征的管理策略.
- 为了比较物理治疗与FAI综合征手术干预的短期和长期结果.
- 研究FAI综合征与关节骨关节炎的未来发展之间的潜在联系.
主要方法:
- 对FAI综合征管理的当前文献的综述.
- 对临床试验数据的分析,比较物理治疗和关节镜检查的结果.
- 审查评估FAI综合征对关节骨关节炎发展的长期影响的研究.
主要成果:
- 理疗师领导的管理包括炼,活动修改和止痛.
- 手术管理包括对冲形态的关节镜切除和软组织病理的修复.
- 在临床试验中,患者报告的短期结果通常有利于关节透镜而不是物理治疗.
结论:
- FAI综合征需要谨慎管理,因为它有可能使个人易患关节骨关节炎.
- 与FAI综合征的物理治疗相比,关节镜术的长期疗效尚未得到充分证实.
- 需要进一步的研究来确定关节镜是否会影响关节骨关节炎的未来发展.
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