Etiology and Pathomechanics of Femoroacetabular Impingement
Etiology and Pathomechanics of Femoroacetabular Impingement
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DOI：
10.1007/978-3-319-96481-2_9
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发表时间：
2019-09-01
影响因子：
4.1
通讯作者：
Philippon, Marc J.
中科院分区：
文献类型：
--
作者：
Grantham, W. Jeffrey;Philippon, Marc J.
股髋臼撞击是年轻患者髋部疼痛的常见原因，并已被证明可发展为骨关节炎。本综述的目的是为了更好地了解股髋臼撞击的发展。最近的研究表明FAI的遗传传递很少。然而，分子研究显示与骨关节炎中的软骨有很强的相似性。凸轮病变的发展与运动参与密切相关，特别是在骨骺闭合时，这表明发育异常。腰椎、骨盆和股骨的生物力学也可能在动态撞击中起重要作用。综上所述，股髋臼撞击是一个具有多种影响因素的动态过程。需要进一步的研究来阐明FAI发展的病理生理学，希望找到预防方案来减少症状和进展为骨关节炎。
Purpose of review Femoroacetabular impingement is a common cause of hip pain in young patients and has been shown to progress to osteoarthritis. The purpose of this review is to better understand the development of femoroacetabular impingement. Recent findings Recent literature shows little genetic transmission of FAI. However, molecular studies show strong similarities with the cartilage in osteoarthritis. The development of cam lesions has a strong association with sports participation, particularly at the time of physeal closure suggesting abnormal development. Lumbar, pelvis, and femoral biomechanics may also play an important role in dynamic impingement. In summary, femoroacetabular impingement is a dynamic process with many influences. Further research is needed to clarify the pathophysiology of FAI development in hopes of finding preventative options to reduce symptoms and progression to osteoarthritis.