Femoroacetabuläres Impingement der Hüfte beim Sportler – ein Review für Sportärzte

 

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Zusammenfassung

In jüngerer Zeit wurde die Bedeutung des femoroacetabulären Impingements als Ursache von Leisten- und Hüftschmerzen bei Sportlern erkannt. Es darf heute als gesichert gelten, dass die morphologischen Auffälligkeiten zu einem progredienten Verschleiß von Labrum und Knorpel und damit zu einer frühzeitigen Coxarthrose führen. Die Patienten erleben oft eine Odyssee durch verschiedenste diagnostische und therapeutische Modalitäten, werden nicht selten sogar vergeblich an anderer Stelle operiert, bevor schließlich die korrekte Diagnose gestellt und eine adäquate Therapie eingeleitet wird. Die vorliegende Übersichtsarbeit beleuchtet die aktuelle Datenlage zur Diagnostik und Therapie des femoroacetabulären Impingements mit Blick auf die sportmedizinische Relevanz. Sie soll dem klinisch tätigen Sportmediziner helfen, diese kurzfristig für die Leistungsfähigkeit des Sportlers wichtige und langfristig bezüglich Arthrose-Entwicklung nicht minder relevante Diagnose nicht zu verpassen.

Abstract

Recently the relevance of femoroacetabular impingement as a cause of hip and groin pain in sportsmen has been recognized. The entity often poses diagnostic and therapeutic problems to the sports physician. The patients go through an odysee of different diagnostic and therapeutic modalities before the correct diagnosis is made and an adaequate therapy is implemented. Not seldom, patients get even operated at another site which is thought to cause the problems. The present review analyzes the current literature concerning diagnostic standards and therapy of femoroacetabular impingement focussing on their relevance for sports medicine. It is aimed to help the sports phycisian to recognise this entity as a cause for groin and hip pain in the athlet and realise its importance for the short term performance of the athlet and its long term significance in terms of development of early hip osteoarthrosis.

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Dr. M. Horisberger

Orthopädische Universitätsklinik, Behandlungszentrum Bewegungsapparat, Universitätsspital Basel

Spitalstraße 21

4031 Basel

Schweiz

Email: monika.horisberger@hotmail.com