Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip
Distribution of hip pain in osteoarthritis patients secondary to developmental dysplasia of the hip
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DOI：
10.1007/s10165-012-0638-5
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发表时间：
2013-01-01
影响因子：
2.2
通讯作者：
Kishida, Shunji
中科院分区：
文献类型：
--
作者：
Nakamura, Junichi;Oinuma, Kazuhiro;Kishida, Shunji
我们的目的是澄清髋关节骨关节炎继发于发育性髋关节发育不良（DDH）患者髋关节疼痛的分布。我们回顾性研究了369例443髋继发于DDH的骨关节炎患者;平均年龄为61岁，随访率为84%。髋关节疼痛定义为全髋关节置换术后3个月缓解的术前疼痛，疼痛起源于髋关节的分布为89%（393例髋关节）至腹股沟，38%（170个髋关节）至髋关节，33% 29%（130髋）至膝关节，27%（118髋）至大转子，17%（76髋）至下背部，8%（34髋）至小腿。当腹股沟、股骨头和大转子合并为髋关节区域时，95%（421个髋关节）的疼痛位于髋关节区域。另一方面，当大腿前部、膝关节、小腿和下背部作为参考区域时，55%（242髋）显示参考疼痛。我们建议风湿病学家注意以膝关节疼痛或下背部疼痛为伪装的髋关节疾病。
Our aim was to clarify the distribution of hip pain in patients with osteoarthritis of the hip secondary to developmental dysplasia of the hip (DDH).We retrospectively studied 443 hips in 369 patients with osteoarthritis secondary to DDH; mean age was 61 years, and follow-up rate was 84 %. Hip pain was defined as preoperative pain that was relieved 3 months after total hip arthroplasty.Distribution of pain originating in the hip was 89 % (393 hips) to the groin, 38 % (170 hips) to the buttock, 33 % (144 hips) to the anterior thigh, 29 % (130 hips) to the knee, 27 % (118 hips) to the greater trochanter, 17 % (76 hips) to the low back, and 8 % (34 hips) to the lower leg. When the groin, buttock, and greater trochanter were combined as the hip region, 95 % (421 hips) of pain was located in the hip region. On the other hand, when the anterior thigh, knee, lower leg, and low back were combined as the referral region, 55 % (242 hips) showed referred pain.We suggest that rheumatologists be aware of hip disease masquerading as knee pain or low back pain.