Managing the Hip in Supraphysiologic Motion Athletes

IF 0.4 4区 医学 Q4 SPORT SCIENCES
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引用次数: 0

Abstract

The supraphysiologic hip in artistic athletes poses a unique challenge to the discerning sports medicine practitioner. Through stretching and repetitive microtraumatic motions, a cascade of soft tissue laxity, increased strain on surrounding soft tissue structures, and microinstability can develop, resulting in both soft tissue and bony injury. In addition, extra-articular pathology can predominantly affect the artistic athlete. Thus, a thorough understanding of the anatomy and pathophysiology as the hip is ranged to the extremes is paramount to establishing an adequate diagnosis and developing a treatment plan. Through a careful history along with a targeted and thorough physical exam in addition to diagnostic imaging, one can accurately identify the sources of pain and dysfunction. Treatment can range from conservative and interventional nonoperative modalities to open and/or arthroscopic hip surgery. Surgical techniques should not only address the identified pathology but also take care to not limit the extremes of hip motion required by the artistic athlete's sport. Despite the high demands of hip motion and function (supraphysiologic motion and function) the artistic athlete can return to high levels of performance if one pays attention to these factors.

管理超生理运动运动员的髋关节
艺术运动员的超生理髋关节给运动医学从业者带来了独特的挑战。通过拉伸和重复的微创伤运动,会产生一连串的软组织松弛、周围软组织结构应力增加和微不稳定性,从而导致软组织和骨骼损伤。此外,关节外病变也会主要影响艺术类运动员。因此,充分了解髋关节的解剖结构和病理生理学,对确定适当的诊断和制定治疗计划至关重要。通过仔细询问病史、有针对性的全面体格检查以及影像诊断,可以准确确定疼痛和功能障碍的来源。治疗方法包括保守治疗和介入性非手术治疗,以及开放性和/或关节镜髋关节手术。手术技术不仅要解决已确定的病理问题,还要注意不要限制艺术运动员运动所需的髋关节极限运动。尽管对髋关节运动和功能的要求很高(超生理运动和功能),但只要注意这些因素,艺术运动员就能恢复到高水平的运动表现。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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