Acetabular labral tears of the hip in women.
Acetabular labral tears of the hip in women.
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DOI：
10.1016/j.pmr.2007.05.007
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发表时间：
2007-08-01
影响因子：
1.7
通讯作者：
Prather, Heidi
中科院分区：
文献类型：
--
作者：
Hunt, Devyani;Clohisy, John;Prather, Heidi
髋臼唇撕裂是年轻患者髋关节功能障碍的主要原因，也是髋关节骨关节炎的主要前兆。此外，唇疾病更常见于女性，并可能出现非特异性症状。在继发性关节恶化发生之前，诊断、量化和治疗盂唇撕裂是可能的。然而，诊断需要高度怀疑，特别注意微妙的表现模式，并及时考虑影像学检查。治疗方案仍在不断发展，包括广泛的非手术和手术技术。治疗还应解决可能与髋关节病理学相关的继发性功能障碍。建议进行保守治疗的初步试验，如果进展失败，则需要进行手术会诊。
Acetabular labral tears are a major cause of hip dysfunction in young patients and a primary precursor to hip osteoarthritis. In addition, labral disease more commonly occurs in women and can present with nonspecific symptoms. It is possible to diagnose, quantify, and treat labral tears before the onset of secondary joint deterioration. However, the diagnosis requires a high index of suspicion, special attention to subtle patterns of presentation, and timely consideration for imaging studies. Treatment options are still evolving and include a wide array of nonsurgical and surgical techniques. Treatment should also address secondary dysfunction that can be associated with hip pathology. An initial trial of conservative management is recommended and failure to progress is an indication for surgical consultation.