Does femoroacetabular impingement syndrome affect range of motion? A systematic review with meta-analysis.

IF 6.7 2区医学 Q1 Medicine

British medical bulletin Pub Date : 2023-04-05 DOI:10.1093/bmb/ldac027

Davide Bruno Albertoni, Silvia Gianola, Silvia Bargeri, Ilda Hoxhaj, Alice Munari, Nicola Maffulli, Greta Castellini

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引用次数: 0

Abstract

Background: It is unclear whether femoroacetabular impingement syndrome (FAIS) affect hip range of motion (ROM).

Sources of data: We performed a systematic review with meta-analysis searching six electronic databases from inception to March 21, 2022. We included studies assessing hip ROM in FAIS, FAI morphology without symptoms (FAIm), and healthy controls. Mean differences between groups were measured in ROM degrees with 95% confidence interval (CI).

Areas of agreement: A total of 17 studies (1702 hips) were included. Comparison of FAIS patients versus healthy controls showed that hip ROM was clinically and statistically reduced in FAIS for internal rotation (90° hip flexion, -8.01°, 95% CI: -11.21, -4.90; 0° hip flexion -6.38°, 95% CI: -9.79, -2.97); adduction (90° hip flexion, -4.74°, 95% CI: -8.13, -1.34); flexion (-5.41°, 95% CI: -7.05, -3.49), abduction (0° hip flexion, -5.76°, 95% CI: -8.38, -3.23), and external rotation (90° hip flexion, -3.5°, 95% CI: -5.32, -1.67) ranging from low to high certainty of evidence. Comparison of FAIm versus healthy controls showed no statistically significant differences in any direction of movement, albeit with uncertainty of evidence.

Areas of controversy: The certainty of evidence was unclear, particularly for asymptomatic FAIm.

Growing points: Hip ROM may be reduced in all directions except extension in FAIS compared to controls. Hip ROM may not be restricted in asymptomatic FAIm.

Areas timely for developing research: Further studies are needed to resolve the uncertainty of evidence about ROM restrictions in asymptomatic FAIm compared to healthy controls.

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股骨髋臼撞击综合征会影响活动范围吗？系统回顾与荟萃分析。

背景：目前尚不清楚股骨髋臼撞击综合征（FAIS）是否会影响髋关节的活动范围（ROM）：我们进行了一项系统性回顾和荟萃分析，搜索了从开始到2022年3月21日的六个电子数据库。我们纳入了评估FAIS、无症状FAI形态（FAIm）和健康对照组髋关节活动度的研究。各组间的平均差异以ROM度为单位，95%为置信区间（CI）：共纳入 17 项研究（1702 个髋关节）。FAIS 患者与健康对照组的比较显示，FAIS 患者的髋关节内旋（髋关节屈曲 90°，-8.01°，95% CI：-11.21，-4.90；髋关节屈曲 0°，-6.38°，95% CI：-9.79，-2.97）、外展（髋关节屈曲 90°，-4.74°，95% CI：-8.13，-1.34）；屈曲（-5.41°，95% CI：-7.05，-3.49）、外展（0°屈髋，-5.76°，95% CI：-8.38，-3.23）和外旋（90°屈髋，-3.5°，95% CI：-5.32，-1.67）的证据确定性从低到高不等。FAIm 与健康对照组的比较显示，尽管证据不确定，但在任何运动方向上都没有统计学意义上的显著差异：证据的确定性不明确，尤其是无症状的FAIm：增长点：与对照组相比，FAIS 患者髋关节在除伸展以外的所有方向上的活动度都可能降低。无症状的髋关节功能障碍患者的髋关节活动度可能不会受到限制：与健康对照组相比，无症状髋关节功能障碍患者的髋关节活动度受限的证据不明确，需要进一步研究解决这一问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.