髋关节微不稳的诊断与治疗进展

吴子煜; 韩小涛; 李皓桓

doi:10.14188/j.1671-8852.2024.0207

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髋关节微不稳的诊断与治疗进展

综述 | 更新时间：2026-11-05

- 髋关节微不稳的诊断与治疗进展
- Advances in the diagnosis and treatment of microinstability of the hip
- 武汉大学学报（医学版） 2025年46卷第10期页码：1353-1357
- 作者机构：
  
  1.武汉大学人民医院骨科湖北武汉 430060
  2.华中科技大学国家脉冲强磁场科学中心湖北武汉 430074
- 作者简介：
  
  吴子煜，男，2000—，医学硕士生，主要从事运动医学与关节疾病研究，E⁃mail：ziyuwu2000@whu.edu.cn
  李皓桓，男，1976—，医学博士，主任医师，主要从事运动医学与关节疾病研究，E⁃mail：lihaohuan@whu.edu.cn
- 基金信息：
  
  国家自然科学基金面上项目(12372139);武汉市科学技术局知识创新专项⁃基础研究项目(2022020801010473);武汉强磁场学科交叉基金资助项目(WHMFC202203);武汉大学人民医院交叉创新人才计划项目(JCRCYR⁃2022⁃004)
- DOI：10.14188/j.1671-8852.2024.0207
  中图分类号： R686.5
- 收稿：2024-03-26，
  
  纸质出版：2025-10-25
- 稿件说明：
移动端阅览
吴子煜,韩小涛,李皓桓.髋关节微不稳的诊断与治疗进展[J].武汉大学学报（医学版）,2025,46(10):1353-1357.

WU Ziyu,HAN Xiaotao,LI Haohuan.Advances in the diagnosis and treatment of microinstability of the hip[J].Medical Journal of Wuhan University,2025,46(10):1353-1357.
吴子煜,韩小涛,李皓桓.髋关节微不稳的诊断与治疗进展[J].武汉大学学报（医学版）,2025,46(10):1353-1357. DOI： 10.14188/j.1671-8852.2024.0207.

WU Ziyu,HAN Xiaotao,LI Haohuan.Advances in the diagnosis and treatment of microinstability of the hip[J].Medical Journal of Wuhan University,2025,46(10):1353-1357. DOI： 10.14188/j.1671-8852.2024.0207.

摘要

髋关节微不稳是指股骨头与髋臼不稳定匹配，进而导致髋关节不稳定，以半脱位和疼痛为主要表现的功能异常疾病，诱发病因较多，目前尚无确诊髋关节微不稳的金标准，需结合体格检查、影像学检查与既往病史进行综合诊断。髋关节微不稳的治疗包含非手术治疗与手术治疗两大类，治疗关键在于恢复各结构的支持作用，消除影响髋关节稳定性因素。本文对髋关节微不稳的诊断与治疗进展进行了文献复习，旨在进一步指导临床实践。

Abstract

Hip microinstability refers to the instability of the femoral head and acetabulum

which leads to the instability of the hip joint

with subluxation and pain as the main manifestations of the functional abnormality of the disease

triggered by a variety of causes

and there is no gold standard for the diagnosis of micro instability of the hip joint

which needs to be combined with the physical examination

imaging examination and past medical history for comprehensive diagnosis. The treatment of hip micro instability consists of non⁃surgical treatment and surgical treatment

and the key to treatment is to restore the supportive role of each structure and eliminate the factors that affect the stability of the hip joint. In this article

we reviewed the literature on the diagnosis and treatment progress of hip micro instability

aiming to further guide clinical practice.

关键词

Keywords

references

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WONG T Y , JESSE M K , JENSEN A , et al . Upsloping lateral sourcil: A radiographic finding of hip instability [J ] . J Hip Preserv Surg , 2018 , 5 ( 4 ): 435 ⁃ 442 .

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CURTIS D M , PULLEN W M , MURRAY I R , et al . Female gender, decreased lateral center edge angle and a positive hyperextension⁃external rotation test are associated with ease of hip distractability at time of hip arthroscopy [J ] . Knee Surg Sports Traumatol Arthrosc , 2022 , 30 ( 6 ): 2188 ⁃ 2194 .

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ROSINSKY P J , MAYO B C , KYIN C , et al . The femoral head "divot" sign: A useful arthroscopic sign of hip microinstability [J ] . Orthop J Sports Med , 2020 , 8 ( 5 ): 2325967120917919 .

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KNAPIK D M , FARIVAR D , KUNZE K N , et al . Indications and outcomes after ligamentum teres reconstruction: A systematic review [J ] . Arthrosc Sports Med Rehabil , 2021 , 3 ( 3 ): e939 ⁃e949.

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