【摘要】 <正>髋关节撞击综合征也称股骨髋臼撞击综合征(femoroacetabular impingement,FAI),是指各种内外因素引起髋关节解剖结构或运动方式的改变,导致髋关节盂唇与股骨近端在活动时反复撞击而引起相应的临床症状。临床表现为间歇性腹股沟区疼痛,在活动增加或长时间受力后可转变为持续性疼痛,疼痛位于腹股沟区或转子处,关节弹响、交锁;髋关节活动受限,撞击试验阳性。而疼痛是导致患者的生活质量严重下降和就更多还原

【Abstract】 The concept of femoroacetabular impingement(FAI) was first proposed by Ganz,which had been more and more concerned in recent 10 years.FAI refers to abnormal impact or entrapment in the femoral head and neck border and in the margin of the acetabulum and the related clinical symptoms in the hip movement process caused by dysplasia of the hip joint,injuries,operation and so on.Muscular tissues around the hip joint act as the powerplant.The coordination and antagonism among muscles promote the completion of movement and the avoidance of impact in the joint,when the structures and functions of the innervation and muscles are perfect.Even in the patients with developmental or acquired abnormal anatomy,the occurrence of impact or FAI is not inevitable.Due to developmental or acquired abnormal anatomy,the imbalance of motivation functions of muscles or both abnormal structures and abnormal motivation functions,the occurrence of FAI becomes possible.The long-term,frequent and repeating impact makes the articular cartilage be further involved by injures,degeneration and stripping of the glenoid labrum,and it is hard to avoid the occurrence and development of osteoarthritis.Due to the impact in the joint,the rhythm in the corresponding direction will be certainly changed.Therefore,it is supposed that the understanding of the occurrence,development course and discipline of impact is helpful for the investigation and research of early prevention and compensation training.A long-term longitudinal survey is performed in the adolescents majoring in sports,in which some persuasive evidences may be found.Individualized diagnosis and treatment will always be the basic principle of thinking and practice in the clinical work.The etiology,pathological mechanism and prognosis of FAI should be further explored and more evidences on the basis of the evidence-based medicine should be accumulated clinically,so as to improve the understanding and prevention level of this disease.更多还原