阔筋膜张肌和臀大肌之间的关系有可能指示早期股骨-髋臼关节内和退行性病变:叙述回顾。

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2025-03-01 eCollection Date: 2025-01-01 DOI:10.26603/001c.129974
Matt P R Duke, Ashley Jones, Amir Takla, Mark I Johnson
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引用次数: 0

摘要

关节内病变和髋关节退行性病变已成为常见的地方,在英国,全髋关节置换术的数量逐年上升。病理是由临床医生使用特殊的测试来确定的,这些测试是临床医生用来确定或排除特定的肌肉骨骼病理的研究方法。用于髋关节病理的特殊检查通常对排除退行性和关节内病理有很高的特异性,但敏感性各不相同。这些特殊检查通常只在患者出现症状时进行,通常需要放射学确认才能诊断。本综述的目的是评估研究,以确定TFL和UGM肌肉复合体的功能变化是否可以指示退行性和/或关节内病理,并特别关注TFL和UGM强度比值的应用,以协助临床诊断。假设阔筋膜张肌(TFL)和臀大肌(UGM)上纤维的强度之比可以提示早期髋关节关节内病变,并且该比值的变化可能表明在症状出现/进展之前髋关节恶化。证据等级:5。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Relationship Between Tensor Fascia Latae and Gluteus Maximus Has the Potential to Indicate Early Intra-articular and Degenerative Pathologies of the Femoral-Acetabular Joint: A Narrative Review.

Intra-articular and degenerative hip pathologies have become common place with the number of total hip replacements rising year on year in the United Kingdom (UK). Pathology is identified by clinicians using special tests which are researched maneuvers used by clinicians to rule in or rule out specific musculoskeletal pathologies. Special tests used for hip pathology usually have high specificity to exclude degenerative and intraarticular pathology but vary in sensitivity. These special tests are usually only conducted when a person is symptomatic and typically require radiological confirmation to diagnose. The aim of this review was to appraise research to determine whether functional changes in the TFL and UGM muscle complex could indicate degenerative and/or intra articular pathology, with a specific focus on the utility of the ratio in strength of TFL and UGM to assist clinical diagnosis. The hypothesis was that the ratio of the strength of Tensor Fascia Latae (TFL) and the upper fibres of Gluteus Maximus (UGM) could suggest early intra-articular hip pathology, and that changes to this ratio could indicate deterioration of the hip joint before symptoms present/progress.

Level of evidence: 5.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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