Acetabular labral tears
Acetabular labral tears
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DOI：
10.1093/ptj/86.1.110
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发表时间：
2006-01-01
期刊：
影响因子：
3.2
通讯作者：
Sahrmann, SA
中科院分区：
文献类型：
--
作者：
Lewis, CL;Sahrmann, SA
髋部或腹股沟前部疼痛是一种常见的主诉，人们被转介进行物理治疗，在高中运动员中，大约5%到9%的伤害涉及臀部。虽然髋关节前部疼痛已知是由许多肌肉骨骼和全身病理引起的，但髋臼唇撕裂是最近物理治疗师特别感兴趣的一个因素。这种机械诱导的病理被认为是髋关节过度受力的结果，并被认为是可能导致关节软骨退化的髋关节疾病的一部分。尽管最近在整形外科文献中确认髋臼唇裂是髋关节疼痛的来源的文章数量正在增加，但唇裂经常逃避检测，导致症状持续很长时间，平均超过两年后才被诊断。-研究表明，22%的患有腹股沟疼痛的运动员和55%的原因不明的机械性髋关节疼痛的患者在进一步评估后发现有唇裂。为了为髋关节或腹股沟前疼痛的患者提供最合适的干预，理疗师应该了解这种疼痛的所有可能的来源和原因，包括髋臼唇撕裂以及导致这些撕裂的可能因素。因此，本文的目的是回顾髋臼唇裂的解剖和功能，并介绍有关唇裂的病因、临床特点、诊断和治疗的最新概念。
Anterior hip or groin pain is a common complaint for which people are referred for physical therapy, with the hip region being involved in approximately 5% to 9% of injuries in high school athletes. Although anterior hip pain is known to result from a number of musculoskeletal and systemic pathologies, a tear of the acetabular labrum is a recent addition to the list that is of particular interest to physical therapists. This mechanically induced pathology is thought to result from excessive forces at the hip joint,and has been proposed as part of a continuum of hip joint disease that may result in articular cartilage degeneration. Although the number of recent articles in the orthopedic literature identifying acetabular labral tears as a source of hip pain is increasing, labral tears often evade detection, resulting in a long duration of symptoms, greater than 2 years on average, before diagnosis.–Studies have shown that 22% of athletes with groin pain and 55% of patients with mechanical hip pain of unknown etiology were found to have a labral tear upon further evaluation. In order to provide the most appropriate intervention for patients with anterior hip or groin pain, physical therapists should be knowledgeable about all of the possible sources and causes of this pain, including a tear of the acetabular labrum and the possible factors contributing to these tears. Therefore, the purpose of this article is to review the anatomy and function of the acetabular labrum and present current concepts on the etiology, clinical characteristics, diagnosis, and treatment of labral tears.