Femoroacetabular Impingement (FAI)
Overview
股髋臼撞击(FAI)是一种在体育活动中髋关节骨相互摩擦的情况. The hip is a ball-and-socket joint, 股骨头(大腿骨的球形顶端)位于髋臼(髋骨窝)内。. In patients with FAI, 股骨或髋臼的形状不正常,或者两者都不正常,所以它们不能正常地结合在一起. 人们可能天生就有这种异常(可能有遗传因素),也可能发展成骨刺(小骨生长),导致这种情况, which causes pain and may damage the joint.
Over time, FAI can cause tearing of the labrum (髋臼的保护性软骨)并分解关节内的其他软骨, which can lead to osteoarthritis.
Most often, people with FAI first notice symptoms in early adulthood, though some people aren't diagnosed until later in life.
Please visit the UCSF Hip Preservation Center website for more information.
Our approach to femoroacetabular impingement
加州大学旧金山分校致力于帮助FAI患者尽可能恢复最高水平的活动, 无论他们是热情的周末战士还是优秀的职业运动员. Our team includes orthopedic surgeons, primary care sports medicine doctors, physical therapists and athletic trainers, 他们一起为每个病人制定个性化的治疗计划.
FAI的治疗通常从休息、抗炎药物和物理治疗开始. We offer the full range of physical therapies, including exercise regimens, 功能性健身训练和神经肌肉再教育(使该区域恢复正常活动的技术), 除了提供有关十大赌博靠谱网络平台的信息和正确技术的指导外.
当这种方法不能缓解疼痛时,患者可能会决定进行手术. Experts in hip arthroscopy, 我们的整形外科十大赌博平台排行榜会做非常小的切口,并使用专门的器械去除骨刺或处理导致撞击的异常骨形状,并修复任何相关的损伤. 与传统手术相比,这种微创方法对患者有许多好处.
Awards & recognition
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Among the top hospitals in the nation
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One of the nation's best for orthopedic care
Signs & symptoms
患有FAI的人通常在腹股沟或髋关节前部有很长的疼痛史, which may become sharp with certain motions, 尤其是臀部弯曲(大腿向胸部移动)和臀部旋转. 有些人在长时间坐着或参加体育运动和其他体育活动后会感到疼痛.
Diagnosis
十大赌博平台排行榜通过询问症状和在某些动作中检查髋关节疼痛来诊断FAI. x光常显示骨刺或畸形髋关节, and an MRI may be needed to check for associated injuries, such as labral tears or cartilage damage.
Treatments
The initial plan for FAI usually includes rest, 使用非甾体抗炎药(NSAIDs)和物理治疗. 精心设计的物理治疗方案可以通过改善髋关节的活动范围使患者受益, 加强核心肌肉,减轻通常由髋关节承受的重量. While oral NSAIDs, such as ibuprofen, can reduce the inflammation and pain associated with FAI, some patients get relief from corticosteroid injections.
保守治疗后疼痛持续的患者, arthroscopic surgery may be considered. FAI的髋关节镜检查是一种门诊手术,利用小切口和专门的器械刮掉骨刺或骨骼的异常形状部分. 唇裂可同时在关节镜下修复. 接受这种微创手术的患者通常需要拄拐两周,然后在接下来的几个月里逐渐恢复运动. A key part of recovery, 物理治疗的重点是恢复活动范围和重建力量, and begins one week after surgery.
Frequently asked questions
- When can I shower after surgery?
在你第一次做术后检查之前,你需要保持切口清洁和干燥, about a week after surgery. At that time, you'll likely be cleared to shower, 但在手术后三到四周,不要将手术部位浸入浴缸或游泳池.
- When should I have a follow-up appointment?
计划在手术后一周去看十大赌博平台排行榜做检查和x光检查.
- When should I start physical therapy?
You should start approximately one week after surgery. 患者通常在第一次术后预约后立即开始.
- How long will I be on crutches?
Most patients use crutches for two weeks after hip arthroscopy.
- When can I drive after hip arthroscopy surgery?
一旦病人不再需要拐杖,他们就可以开车了,通常是在手术后两周.
- When can I return to school or work?
大多数患者在手术后5到7天就可以回到学校或办公室工作. 如果你能在家工作,你最初的恢复期会更容易. 如果你的工作对体力要求很高,需要长时间站立, walking or lifting, 你可能需要一个多月的时间来安全康复,并在重返工作岗位之前得到医疗检查.
- When can I return to recreational activities?
Generally, 人们在髋关节镜手术后六个月左右恢复运动和参加其他体育活动.
加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.