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Femoroacetabular 撞击 (FAI)

Overview

Femoroacetabular impingement (FAI) is a condition in which the hip joint bones rub against one another during physical activity. 髋关节是一个球窝关节, with the femoral head (the thighbone’s ball-like top end) located within the acetabulum (hip bone socket). FAI患者, either the femur or acetabulum is shaped abnormally – or both are – so they don't fit together as they should. People can be born with the abnormality (there may be a genetic component) or they can develop bone spurs (small bone growths) that result in the condition, 哪一种会引起疼痛并可能损害关节.

随着时间的推移,FAI会导致撕裂 上唇 (the hip socket's protective cartilage) and break down other cartilage lining the joint, 哪些会导致骨关节炎.

最常, 患有FAI的人在成年早期首先注意到症状, 尽管有些人直到晚年才被诊断出来.

请浏览 UCSF髋关节保存中心网站 了解更多信息.

我们治疗股髋臼撞击的入路

UCSF is committed to helping patients with FAI return to the highest level of activity possible, whether they're enthusiastic weekend warriors or elite professional athletes. 我们的团队包括整形外科十大赌博平台排行榜, 初级保健运动医学十大赌博平台排行榜, 物理治疗师和运动教练, all of whom work together to develop individualized treatment plans for each patient.

Treatment for FAI typically begins with rest, anti-inflammatory medications and physical therapy. 我们提供全方位的物理治疗, 包括锻炼方案, functional fitness training and neuromuscular reeducation (techniques that condition the area to move normally again), in addition to providing information on the condition and instruction on proper technique.

When this approach doesn't relieve pain, patients may decide to have surgery. 髋关节镜专家, our orthopedic surgeons make very small incisions and use specialized instruments to remove the bone spurs or address the abnormal bone shapes causing impingement and repair any associated damage. This minimally invasive approach has many benefits to patients compared with traditional surgery.

奖 & 识别

迹象 & 症状

People with FAI often have a long history of pain in the groin or front of the hip, 哪个会随着某些动作变得尖锐, especially hip flexion (moving the thigh toward the chest) and hip rotation. Some people have pain after sitting for long periods or when participating in sports and other physical activities.

诊断

十大赌博平台排行榜 diagnose FAI by asking about 症状 and checking for hip pain during certain movements. X-rays often show bone spurs or an abnormally shaped hip joint, 可能需要核磁共振检查相关损伤, 如唇裂或软骨损伤.

治疗

FAI的初始计划通常包括休息, use of nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy. A well-designed physical therapy program can benefit patients by improving the hip's range of motion, strengthening core muscles and offloading some of the weight usually borne by the hip joint. 而口服非甾体抗炎药, 比如布洛芬, 能减轻与FAI相关的炎症和疼痛吗, 有些病人通过注射皮质类固醇得到缓解.

In patients whose pain persists despite conservative treatment, 可以考虑关节镜手术. Hip arthroscopy for FAI is an outpatient procedure that utilizes small incisions and specialized instruments to shave down the bone spurs or abnormally shaped parts of the bones. Labral tears may be repaired arthroscopically at the same time. 病人 who undergo this minimally invasive surgery are usually on crutches for two weeks and can make a gradual return to sports over the following months. 这是恢复的关键部分, physical therapy focuses on regaining range of motion and rebuilding strength, 手术后一周开始.

常见问题

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

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