Kuongorora kwevarwere ne Hip Pain
Hip marwadzo iyo inonyanyozivikanwa noutano hunogona kukonzerwa nehuwandu hwakawanda hwezvinetso, zvisinei, nzvimbo yekurwadziwa kwechirwere chomurwere inogona kupa ruzivo runokosha pamusoro pechinhu chinokonzera chiitiko ichi chinowanikwa mune hutano. Nhamo mukati mehudyu kana kugunun'una kunogona kuitika nekuda kwezvinetso mukati mekubatana kwechiuno pachako apo kurwadziwa kune kunze kwechiuno, chidya chepamusoro nechokunze kwemakumbo kungangove kwakakonzerwa nezvinetso nemigumisiro, maitiro nemasumbu, pakati pemamwe mavara , yakakomberedza chiuno chechiuno. Uyezve, kurwadziwa kwechiputi kunogona kuitika nekuda kwekukuvadzwa nemamiriro ezvinhu, kusanganisira kurwadziwa shure.
ngovepo
Hurukuro yeHuru ndiyo inowanzoita uye inokonzera mamiriro ezvinhu anokanganisa varwere vezera rose. Kusiyanisa kwekutsvaga kwehupwa hwechiputi kwakazara, kuratidza dambudziko rekuongorora. Varwere vanowanzotaura kuti kurwadziwa kwavo kwechiuno kunowanikwa kune imwe yematatu eatomic nzvimbo: anterior hip uye groin, mushure wekupedzisira uye musango, kana kuti mushure mutsva. Anterior hip uye kurwadziwa kunowanzobatanidzwa ne-intra-articular pathology, yakadai sewasteoarthritis uye hip labral misodzi. Upfu hwakashata hwepasimusi hunobatanidza ne piriformis syndrome, sacroiliac joint disys function, lumbar radiculopathy, uye zvishoma nezvishoma ischiofemoral impingement uye vascular claudication. Kurwadziwa kwepakuputika kunokonzerwa ne-trochanteric pain pain syndrome. Clinical tests test, kunyange zvazvo zvichibatsira, hazvirevi zvakanyanya kana kuti zvakanyanya kuti zviongororwe zvizhinji; zvisinei, nzira yepamusoro yehupiti yekuongorora inogona kushandiswa. Dhidhiyumu inofanira kuitwa kana kuputsika kwakanyanya, kuparadzaniswa, kana kupererwa mupfungwa kunofungidzirwa. Pakutanga pachena radiography yehupano inofanira kusanganisira maonero anteroposterior emagetsi uye frog-gumbo rakagadziriswa kuona kwechirwere chechiratidzo. Maginetic resonance imaging inofanira kuitika kana nhoroondo uye zvakajeka zvizere zvishoma hazvisi kuongororwa. Magnetic resonance imaging inokosha pakuona kusvibiswa kwemashiripiti, kuputika kwepfungwa, uye osteonecrosis yemusoro wevakadzi. Magnetic resonance arthrography ndiwo muedzo wekuongororwa wekusarudza kwekuchema kwemisodzi.
ziviso
Hurukuro yeHuru ndiyo inowanzotaurwa muhurukuro yepamusoro uye inogona kukanganisa varwere vezera rose. Mune rumwe ruzivo, 14.3% yevanhu vakuru 60 makore nemakore akapfuura vakarondedzera kurwadziwa kukuru kwechiputi mumazuva mazhinji pamusoro pemavhiki matanhatu akapfuura.Urombo hweXXUMUM Hip hunowanzopa chinetso chekuongorora nekurapa. Kusiyana kwekutsvaga kwekurwadziwa kwechiputi (eTable A) yakazara, kusanganisira zvose intra-articular uye yakawedzera-articular pathology, uye inopesana nezera. Nhoroondo uye kuongorora kwepanyama kunokosha kuti uongorore zvakakwana chinokonzera kurwadziwa kwechiuno.
Anatomy
Chibatanidzwa chekuputika isungano yebhogi-uye-yakasungirirwa synovial yakagadzirirwa kubvumira kufamba kwemaaaaaaaaaaaaaaaaaaaa achiendesa mutoro pakati pekumusoro nechepasi. I-acetabular rim inogadzirwa ne fibrocartilage (labrum), iyo inowedzera kudzika uye kugadzikana kumubatanidzwa wechikadzi. Izvo zvipfeko zvinoputika zvakaputirwa ne hyaline cartilage iyo inodzinga shear nekumanikidzika simba panguva yekutakura kutakura uye kuputika. Mitsipa yakakura isina kukodzera inoputika inobva mudunhu re lumbosacral, iyo inogona kuita kuti zvive zvakaoma kusiyanisa hutano hupakati hwehup uye marwadzo anokonzera mhirizhonga.
Nhengo yehuputi yakawanda yekutenderera ndeyechipiri kune iyo yejojo yegenohumeral uye inobvumirwa nehuwandu hwemasumbu anokomberedza chiuno. Misi miviri inoshandura inosanganisira iriopsoas, rectus femoris, pectineus, uye sartorius musungo. I-gluteus maximus uye nhengo dzemuviri dzisingaregi dzinobvumira kuwedzerwa. Zviduku zviduku, zvakadai se gluteus medius uye minimus, piriformis, obturator externus uye internus, uye quadratus femoris misumbu, inyore zvakapoteredza trocanter yakakura, kubvumira kubatwa, kutengesa, uye kutenderera mukati nekunze.
Mune vanhu vane hutachiona vasina muviri, kune huwandu hwekukura kwezvivako zvepelvis nevakadzi uko kunowanzokuvara. Nzvimbo dzepamusoro dzepophyseal dzakakuvara munharaunda yechiuno dzinosanganisira ischium, anterior yakakwirira yakasi spine, anterior inferior iliac musana, creed yakaac, trochanter shoma, uye guru trochanter. The apophysis yepamusoro yakac spine matures inopera uye inogona kukuvadza kusvika kumakore 25 emakore.2
Chibatanidzwa chekuputika chimwe chezvikamu zvakakura zvinowanikwa mumuviri womunhu uye zvinoshumira mukukanda sezvo chidya chinopfuurira mberi uye kumashure. Nhengo yehudyu inotenderera zvakare kana ichinge ichigara uye ine kuchinja kwekutungamira uchifamba. Zvimwe zvakasiyana-siyana zvezvivakwa zvakakomba zvakapoteredza musungo wekuputika Apo kukuvadzwa kana chimiro chinokanganisa izvi, zvinogona kukonzera kurwadziwa kwechiuno.
Dr. Alex Jimenez DC, CCST
Kuongorora kweHur Pain
History
Zera chete rinogona kuderedza kusiyanisa kwekurwadziwa kwechiuno. Muchirwere chekare uye vachirwere vechidiki, congenital malformations ye femoroacetabular joint, kuvhuvhuta fractures, uye kukuvara kwepophyseal kana epiphyseal zvinofanira kufungwa. Mune avo vane urombo huputi, hupuru hwekuputika kazhinji hunokonzerwa nemusumbutendinous strain, ligamentous sprain, kupesana, kana bursitis. Kuvanhu vakwegura, chirwere chinokonzera osteoarthritis uye kuputsika kunofanira kutanga kutorwa.
Varwere vane marwadzo ekuputika vanofanira kubvunzwa pamusoro pekushungurudzika kwakashata kana kukurudzira basa, zvinhu zvinowedzera kana kuderedza marwadzo, nzira yekukuvara, nenguva yekutanga. Mibvunzo yakabatana nehup hip, zvakadai sekusununguka kwekupinda nekubuda mumotokari, kupfeka shangu, kumhanya, kufamba, uye kukwira uye kukwira pasi, kunogona kubatsira.3 Nzvimbo yekurwadziwa inodzidza nokuti hupuka huputi hunowanikwa munzvimbo kune chimwe chezvikamu zvitatu zvakakosha zveatomic nzvimbo: hip anterior uye groin, mushure mushure uye chibage, uye mushure mutsva (eFigure A).
Kuongorora Kwepanyama
Muchiuno chinongororwa chinofanira kuongorora chiuno, kumashure, mimba, uye vascular uye neurologic systems. Iko kunotanga nekutarisa kwekutsvaga uye kuongororwa kwemashoko (Mufananidzo 1), inoteverwa nekuongororwa kwemurwere akagara pasi, supine, lateral, uye nzvimbo dzakanaka (Zvifananidzo 2 kusvika 6, uye eFigure B). Kuongororwa mumiviri yepanyama kwekuongororwa kwehuputi hwehuputi inopfupikiswa muTebhu 1.
kuri
Radiography. Mifananidzo yehupano inofanira kuitwa kana pane chikonzero chekunyunyuta kwakanyanya, kuparadzaniswa, kana kuputsika kwepfungwa. Pakutanga pachena radiography yemuhudyu inofanira kusanganisira maonero anteroposterior emagetsi uye frog-gumbo rinotarisa kuona kwechirwere chechiratidzo.4
Magnetic Resonance Imaging uye Arthrography. Chiitiko chinowanzoitwa magnetic resonance imaging (MRI) chechiuno chinogona kuona mhando dzakawanda dzisina kunaka, uye iyo inofanirwa kufungidzira mafungiro kana pachena ray radiography haisati ichitsanangurira chirwere mumurwere ane kurwadziwa kunoramba kuripo.5 Inonzi MRI inokonzerwa nehuwandu hwe30% uye yakarurama ye36% yekuongorora hup labral misodzi, asi magnetic resonance arthrography inopa kuwedzera kwekunzwa kwe90% nekururamisa kwe91% nokuda kwekuona kusvimha misodzi.6,7
Ultrasonography. Ultrasonography iyi nzira inobatsira yekuongorora maitiro emunhu mumwechete, kusimbisa kushungurudzwa kwebursitis, uye kujekesa kushanda pamwe chete uye zvikonzero zvinokonzera kurwadziwa kwehudyu.8 Ultrasonography inonyanya kubatsira mukuchengeteka uye kunyatsoita zvirwere zvinotungamirirwa nemafungiro uye zvido zvinopoteredza hip.9 Zvakakosha uyo ane ruzivo rwema ultrasonographer kuti aite chidzidzo chekuongorora; zvisinei, humwe uchapupu huripo hunoratidza kuti vanachiremba vane ruzivo vasina ruzivo vane mazano akakodzera vanogona kuongorora zvirwere zvakavimbika zvakafanana neyavo vanoziva musculoskeletal ultrasonographer.10,11
Izvi ndizvo zvinokonzera marwadzo ekuputika. Kunyange zvazvo humwe hupuka hwechiputi hunogona kungova kwenguva pfupi, mamwe marwadzo ekuputika anogona kuva asingagumi kana akasiyiwa asingateereri kwenguva yakareba. Zvimwe zvinoita zvinowanzokonzera hupuka hwechiputi zvinosanganisira, arthritis, fracture, sprain, avascular necrosis, chirwere cheGaucher, sciatica, kushungurudzika kwemisimba, iyootibial band syndrome kana IT band syndrome uye hematoma, pakati pevamwe vanotsanangurwa pasi apa.
Dr. Alex Jimenez DC, CCST
Kusiyanisa Kuchengetedzwa kweAnterior Hip Pain
Anterior chiuno kana kurwadziwa kwekurwadziwa kunoratidza kubatanidzwa kwejojo yehudyu pachayo. Varwere vanowanzo tarisa marwadzo nekumhanyisa chiuno chechigunwe nechigunwe uye chigunwe muchimiro cheEC Izvi zvinozivikanwa seC chiratidzo (Mufananidzo 1A).
Osteoarthritis
Osteoarthritis ndiyo inonyanya kuongororwa kuvakuru vakwegura vasina kufamba zvishomanana uye kutanga zvishoma kwezviratidzo. Varwere vane nguva dzose, kurwadza kwakadzika, kunorwadza uye kuoma kwakanyanya kuwedzera nekugara kwenguva refu uye kuyerwa kwekutakura. Kuongorora kunoratidza kuderera kwemafambiro, uye kunyanyisa kwekuputika kunowanzokonzera marwadzo. Rain radiographs inoratidza kuti kuvapo kwemaoko akabatanidzwa-nzvimbo kuderedza, osteophytosis, uye subchondral sclerosis uye cyst formation.12
Femoroacetabular Impingement
Varwere vane femoroacetabular impingement vanowanzova vaduku uye mumuviri. Vanotsanangura kutanga kwekushungurudzika kwekutambudzika kunowedzera nekugara, kuchikwira kubva pachigaro, kupinda mukati kana kunze kwemotokari, kana kumira mberi.13 Marwadzo anowanikwa munharaunda yeguruva pamwe chete nemamwe mazai emhepo kusvika kune inonzi lateral hip uye mucheka wekunze.14 Chiyero cheFABER (ruvara, kubata, kutenderera kwekunze; Chiratidzo 3) ine unhu hukuru hwe96% kusvika 99%. Chiyero cheFADIR (ruzivo, kutengesa mukati, kurongedzwa mukati); kuongorora kwemugwaro (Mufananidzo 4), uye kururamisa mitsipa yakarurama pakurwisana nekuedzwa (Figure 5) inoshandawo, nekunzwisisika kwe6%, 88%, uye 56% , zvichienderana.30 Mukuwedzera pane maonero ekutenderera kwemasvikiro ekupedzisira anteroposterior uye, later Dunn inofanira kuwanikwa kuti ibatsire kuona maziso asina kuchena.14,15
Hip Labral Tear
Hip labral misodzi inokonzera kusuruvara kana kuora kunorwadza, uye hafu yevamwe varwere vane marwadzo anorwadziwa anokonzera kumusana weal lateral, mucheka wekunze, uye chibage. Zvinorwadza zvinowanzova nekunyengera kunotanga, asi pane dzimwe nguva zvinotanga kushamisika shure kwechiitiko chinoshungurudza. Inenge imwe hafu yevarwere vane chirwere ichi vanewo zviratidzo zvemagetsi, zvakadai sokubata kana kurwadziwa kunoratidzira nebasa.17 Miedzo yeFADIR neFABER inoshanda pakuona intra-articular pathology (kunzwisisika ndeye 96% kusvika 75% yeFADIR muedzo uye iri 88% nokuda kwekuedzwa kweFABER), kunyange zvazvo kuedza hakuna kuve kwakanyanya.14,15,18 Magnetic resonance arthrography inoonekwa sechiedza chekuongororwa chekusarudza kwekuchema kwemazuva.6,19 Zvisinei, kana kusvimha misodzi kusinganzwisisiki, zvimwe zviduku zvisingaoneki zvidhori, zvakadaro sezviri pachena radiography uye MRI inowanzogadziriswa, inofanira kushandiswa kutanga kutonga zvimwe zvinokonzera hup uye kurwadziwa kweguru.
Iliopsoas Bursitis (Internal Snapping Hip)
Varwere vane chirwere ichi vane huputi hwehuputi hwepamusoro apo vanowedzera chiuno kubva panzvimbo yakaoma, kazhinji kunobatanidza nekunze, kubata, kana kubuda kwechiuno.20 Dynamic real-time ultrasonography inonyanya kubatsira pakuongorora nzira dzakasiyana-siyana dzekunyengedza hip.8
Mhirizhonga kana Kushungurudzika Kwepfungwa
Kuita zvemashiripiti kana kupesana kuputsika kwechiuno kunofanira kuonekwa kana kushungurudzika kana kudzokorora kubata-kutakura maitiro kunobatanidzwa, kunyange kana zvakajeka zvizere zvinowanzoitika zvisina kunaka.21 Zvirwere, izvi zvinokuvadza zvinokonzera huputi hwemukati kana kurwadziwa kunenge kuchiwedzera nekuita.21 Pain inogona kuva iripo nekunyanyisa kwekufambisa, kusimudzira mhaka yakarurama yemakumbo, chirongwa chegwaro, kana kutemwa.22 MRI inobatsira pakuona kwemaitiro ekuputika kwemashiripiti uye kuputsika kwepfungwa kusingaoneki pahara radiograph.23
Transient Synovitis uye Septic Arthritis
Kubudirira kwose kweatraumatic anterior hip kurwa kunokonzera kushaya simba kwekutakura kunofanira kusimudzira kusafungirwa kwechirwere che synovitis uye septic arthritis. Zvimwe zvinokonzerwa nehutachiona hwechirwere muvanhu vakuru zvinosanganisira makore akwegura kupfuura makore anonzi 80, chirwere cheshuga mellitus, rheumatoid arthritis, kuvhiyiwa kwekubatana kwemajoka, uye hupfeshe hwemabvi kana mabvi.24 Fever, kukwana kweropa, nhamba ye erythrocyte sedimentation, uye C-reactive protein level inofanira kushandiswa kuti uongorore dambudziko reematric arthritis.25,26 MRI inobatsira pakusiyanisa septic arthritis kubva nguva yakareba synovitis.27,28 Zvisinei, hip aspiration uchishandisa imaging yakatungamirirwa sefosoroscopy, computed tomography, kana kuti ultrasonography inokurudzirwa kana mubatanidzwa wepachirwere uchifungidzirwa.29
Osteonecrosis
Legg-Calv -Perthes chirwere chinonzi idiopathic osteonecrosis yemusoro wechikadzi muvana vane makore maviri kusvika gumi nemaviri ekuberekwa, ine murume-kusvika-mukadzi chiyero che12: 4 Muvanhu vakuru, zvinhu zvine njodzi ye osteonecrosis zvinosanganisira systemic lupus erythematosus, sickle cell chirwere, hutachiona hwehutachiona hwehutachiona hwehutachiona, kuputa, kudhakwa, uye kushandisa corticosteroid. 1.4 Marwadzo chiratidzo chinoratidza uye chinowanzo nyengera. Range rekufamba rinotanga kuchengetedzwa asi rinogona kudzikira uye kurwadza sezvo chirwere ichi chichienderera mberi.30,31 MRI yakakosha mukuongororwa uye kufungidzira kweosteonecrosis yemusoro wechikadzi.
Kusiyana kwekuona Kuona kwePasipo Hip uye Buttock Pain
Piriformis Syndrome uye Ischiofemoral Impingement
Chirwere chePiriformis chinokonzera marwadzo ehutu anokonzerwa nekugara kana kufamba, uye kana pasina mazhenje emvura pasi pechidya chakasvibiswa kubva kune sciatic nerve compression.34,35 Pain nerugwaro rwerugwaro rwunoshandiswa zvakanyanya, asi unyoro nehutambo hwechidimbu chinokonzera chinogona kubatsira nechinorwara.35
Ischiofemoral kusungirirwa isinganyatsonzwisisiki mamiriro ezvinhu anogona kutungamirira kumarwadzo asingasviki ematambudziko nemirairo kusvika kumashure ekupedzisira. 36,37 Iyi mamiriro inofungidzirwa kuti ndeyekukonzera kwe quadratus femoris muscle pakati pe trochanter shoma uye ischium.
Kusiyana ne-sciatica kubva ku disc herniation, piriformis syndrome uye kuve ischiofemoral kupindirwa kunowedzera nekushanda kunze kwehup rotation. MRI inobatsira pakuongorora mamiriro aya.38
mwe
Zvimwe zvinokonzera kurwadziwa kweperiki mushure kunosanganisira sacroiliac kubatana kusagadzikana, 39 lumbar radiculopathy, 40 uye kuputika kwemapurisa.41 Kuvapo kwechimburamabwe, kuputa kunorwadza, uye kukanganiswa kwemukati kwechiuno kunopedzisira kuitika kusagadzikana kwechiputi kudarika matambudziko anobva kumucheto wakadzika .42
Kusiyanisa Kuziva Kuda Kwakaitwa Hip Pain
Greater Trochanteric Pain Syndrome
Kurwadziwa kwekupedzisira kwehudyu kunokanganisa 10% kusvika 25% yehuwandu hwevanhu.43 Greater trochanteric pain syndrome inoreva kurwadziwa pamusoro peiyo huru trochanter. Kukanganisa kwakawanda kwechiuno chekupedzisira kunogona kutungamira kune rudzi urwu rwekurwadziwa, kusanganisira iliotibial band thickening, bursitis, uye misodzi yeiyo gluteus medius uye minimus mhasuru kusungirirwa. 43 45 Varwere vanogona kunge vaine kusimba kwemangwanani uye vanogona kutadza kurara pane vakawirwa divi. Gluteus minimus uye medius kukuvara kunouya nekurwadziwa mumashure ekumashure mhedzisiro yehudyu semhedzisiro yekusarura kana kuzara-kwakazara kubvarura pane gluteal kuisa. Vazhinji varwere vane atraumatic, inonyengera kutanga kwezviratidzo kubva mukudzokorora kudzokorora.43,45,46
Mukupedzisa, kurwadziwa kwehudyu chichemo chakajairika chinogona kuitika nekuda kwenzvimbo dzakasiyana siyana dzehutano. Zvakare, iyo chaiyo nzvimbo yemurwere wehudyu kurwadziwa kunogona kupa ruzivo rwakakosha kune vezvehutano nezvezvinonyanya kukonzera dambudziko. Chinangwa chechinyorwa chiri pamusoro apa chaive chekuratidza uye nekukurukura kuongororwa kwemurwere nekurwadziwa kwechiuno. Chiyero cheruzivo rwedu chinogumira kuchiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Data Sources: Takatsvaga zvinyorwa zvehup pathology muAmerica Family Physician, pamwe chete nezvakanyorwa. Isu takatsvagawo Agency ye Healthcare Research uye Quality Evidence Reports, Clinical Evidence, Institute for Clinical Systems Improvement, ma US Guidelines Clearinghouse, uye UpToDate. Takaita sarudzo yePublicMusiki achishandisa mazwi ezvinyorwa zvakanyanya zvechirwere chepachirwere chechirwere chepfungwa, kushungurudzika kwechiputi chepanyama, kufungidzira zvekudzivirira hupombwe kunokonzera kuputika, kufungidzira kufanana kwemajeri, kufungidzira osteomyelitis, ischiofemoral impingement syndrome, meralgia paresthetica kuongorora, MRI arthrogram hip labrum, septic arthritis systematic review, uye inonzi ultrasound hip pain. Tsvaga mazuva: March naApril 2011, uye August 15, 2013.
Author Information: Aafp.org
Zvimwe Zvimwe Zvinyorwa: Zvakanaka Kudzoka Pain
Kutambudzika shureIchi ndicho chimwe chezvikonzero zvakanyanya zvehurema uye nemazuva akarasika pabasa pasirese. Kutambudzika kwekuseri kunopa kune chechipiri chikonzero chakajairika chekushanyirwa kwehofisi yechiremba, kuwanda chete nehutachiona hwepamusoro-hwekufema. Vanenge makumi masere muzana muzana yevagari vanozorwadziwa nemusana kamwechete kamwe muhupenyu hwavo hwese. Iyo musana chivakwa chakaomarara chakaumbwa nemapfupa, majoini, mitsipa, uye mhasuru, pakati pezvimwe zvinyoro zvinyoro. Nekuda kweizvi, kukuvara uye / kana mamiriro akawedzeredzwa, sengeherniated discs, zvinogona kutungamirira kune zviratidzo zvekurwadziwa shure. Kukuvara kwemitambo kana kukuvara kwepamberi yemotokari kazhinji kunowanzokonzera kukonzera kurwadziwa, zvisinei, dzimwe nguva kufamba kwakanyanya kunogona kuva nemigumisiro inorwadza. Nenzira yakanaka, nzira dzakasiyana dzokurapa, dzakadai sechiropractic, dzinogona kubatsira kuderedza marwadzo shure kuburikidza nekushandurwa kwepelinha nekugadzirisa maitiro, pakupedzisira kunatsiridza marwadzo ekurwadziwa.
NHAURWA INOKOSHA INOKOSHA: Hip Pain Chiropractic Treatment
Hazvina kuchena
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