Atrapamiento femoroacetabular

Noemí Navarro, Cristóbal Orellana, Mireia Moreno, Jordi Gratacós, Marta Larrosa
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摘要

股髋臼撞击(FAI)是一种临床和放射学综合征,由髋臼缘和股骨之间的重复基台引起。该综合征应包括在髋关节疼痛的鉴别诊断中,特别是在年轻人中。对疑似FAI最重要的成像技术是标准放射学,但诊断的金标准是关节磁共振成像(MRI)。治疗的基石是手术,但结果取决于几个因素,如体力活动、FAI类型、疾病持续时间、手术技术,尤其是软骨是否受损。为了使非假体手术治疗有效,早期诊断FAI至关重要。晚期诊断,当髋关节骨关节炎已经出现,限制手术髋关节置换术。
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Atrapamiento femoroacetabular

Femoroacetabular impingement (FAI) is a clinical and radiological syndrome resulting from repetitive abutment between the acetabular rim and the femur. This syndrome should be included in the differential diagnosis of hip pain, especially in the young. The most important imaging technique for suspected FAI is standard radiology, but the gold-standard for diagnosis is arthro-magnetic resonance imaging (MRI). The cornerstone of treatment is surgery but outcome depends on several factors such as physical activity, FAI type, disease duration, surgical technique and, especially, whether the cartilage is damaged. For non-prosthetic surgical treatment to be effective, early diagnosis of FAI is essential. Late diagnosis, when hip osteoarthritis is already present, limits surgery to hip replacement.

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