[1]中国医师协会运动医学医师分会.青少年凸轮型髋关节撞击综合征诊治专家共识[J].中国微创外科杂志,2022,01(10):769-778.
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青少年凸轮型髋关节撞击综合征诊治专家共识()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年10期
页码:
769-778
栏目:
专家共识
出版日期:
2023-01-20

文章信息/Info

作者:
中国医师协会运动医学医师分会
关键词:
青少年髋关节髋关节撞击综合征凸轮型凸轮畸形关节镜
文献标志码:
A
摘要:
髋关节撞击综合征(femoroacetabular impingement,FAI)是青壮年髋关节疼痛的首要病因,是导致髋关节骨关节炎的重要因素。FAI的分型包括髋臼过度覆盖(钳夹型FAI,pincertype FAI)、股骨头颈凸轮畸形(凸轮型FAI,camtype FAI)以及两者兼具的混合型FAI(mixedtype FAI)。研究指出,股骨头颈凸轮畸形(cam deformity)与先天发育及青少年时期不当的剧烈运动有关。不同于钳夹型FAI,凸轮畸形导致的髋关节撞击损伤发病年龄相对更为年轻,且在青少年患者中占主导地位。由于青少年处于生长发育的关键阶段,使疾病的诊断、治疗及预防均具有特殊性,因此,针对青少年髋关节凸轮畸形的发生发展及其导致的髋关节撞击损伤,需要更为清晰、更为循证的认识。本共识以循证医学证据为基础,以青少年人群最常见的凸轮型FAI为研讨对象,精细化选择以最大化利用现有循证医学证据,经国内运动医学及关节外科专家讨论,从青少年股骨头颈凸轮畸形的发生机制,凸轮型FAI的诊断、治疗、康复等方面形成共识意见,为青少年人群FAI的临床诊疗及疾病预防提供参考。

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备注/Memo

备注/Memo:
基金项目:国家重点研发计划项目(2018YFF0301100);北京大学第三医院临床队列项目(BYSYDL2021014)通讯作者:徐雁(北京大学第三医院运动医学科,北京100191),Email:yanxu@139.com;王健全(北京大学第三医院运动医学科,北京100191),Email:wjqsportsmed@163.com
更新日期/Last Update: 2023-01-20