WFU

2023年3月25日 星期六

髖關節疼痛可能的原因有哪些 / Possible Etiology of Hip Pain

 

骨病變:骨折、挫傷、骨壞死、腫瘤、耻骨炎

Bone lesions: fracture, contusion (hip pointer), osteonecrosis, tumor, osteitis pubis

 

關節病變:關節唇撕裂、軟骨損傷、股骨髖臼夾擠、骨關節炎、感染性關節炎、風濕性疾病

Joint pathology: labral tear, chondral damage, femoroacetabular impingement (FAI), osteoarthritis, septic arthritis, rheumatologic conditions

 

肌肉和肌腱損傷:內收肌拉傷、股四頭肌拉傷(股直肌最常見)、膕旁肌(大腿後肌)拉傷、外在型彈響髖

Muscle & tendon injuries: Adductor strain, Quadriceps strain (rectus femoris most common), Hamstring strain, External snapping hip

 

大轉子疼痛症候群(轉子滑囊炎)

Greater trochanteric pain syndrome (trochanteric bursitis)

 

神經壓迫 - 周邊神經或腰薦神經根的壓迫(尤其是伴隨下背痛)

Nerve compression — Compression of peripheral nerves or lumbosacral nerve roots (especially accompanied by low back pain)

 

主動脈髂動脈供應不全

Aortoiliac arterial insufficiency

 

其他罕見的髖痛原因(例如:梨狀肌綜合症、Gilmore groin、彈響髖、圓韌帶撕裂)。

Other, infrequent causes of hip pain (e.g., piriformis syndrome, Gilmore groin, snapping hip, ligamentum teres tear.)