TheFIFADiplomain

　Differentialdiagnosis鑒別診斷WhilethischapterspecificallyconsidersthediagnosisandmanagementofFAIandhiplabraltears,itisimportanttorememberthatthereareawiderangeofotherpathologieswhichcanalsocausehippain.Manyathleteswithchronicgroinpainhavemultiplecoexistingpathologies.Aclinicianmustconsiderarangeofbothmusculoskeletalconditionsandnon-musculoskeletalconditions.儘管本章專門考慮了FAI和髖軟骨破裂的診斷和處理，但重要的是要記住，還有許多其他病理也會導致髖部疼痛。許多患有腹股溝慢性疼痛的運動員有多種並存的病狀。臨床醫生必須同時考慮一系列的肌肉骨骼疾病和非肌肉骨骼疾病。Thefollowingtableliststhedifferentialdiagnosisofhippaininafootballplayer.下表列出了足球運動員髖部疼痛的鑑別診斷。Trauma:Soft-tissuecontusionorhematomaFractureorstressfractureHipdislocation外傷：軟組織挫傷或血腫骨折或應力性骨折髖關節脫位OsteochondralinjuryLoosebodiesChondralshearOsteoarthrosis/osteonecrosis骨軟骨損傷身體鬆散軟骨剪骨關節炎/骨壞死Capsulo-labralinjuryCapsularlaxityAdhesivecapsulitisSynovitisFemoroacetabularimpingementwithlabraltear軟骨破裂損傷膠囊鬆弛粘膜囊炎滑膜炎髖臼前髖臼撞擊症和軟骨破裂LayerIIImusculardisordersAthleticpubalgiaAbductorenthesiopathyPsoasimpingementFlexor,abductor,adductortendonitis第三層肌肉疾病運動性恥骨痛外展肌病腰大肌撞擊屈肌，外展肌，內收肌腱炎SynovialdisordersPigmentedvillonodularsynovitisSynovialchondromatosis滑膜疾病色素沉著絨毛狀滑膜炎滑膜軟骨病InflammatoryconditionsRheumatoidandpsoriaticarthritis炎症狀況類風濕和銀屑病關節炎InfectionOsteomyelitisSepticarthrosis感染骨髓炎化膿性關節炎TumourBenignormalignantneoplasmMetastaticdisease瘤良性或惡性腫瘤轉移性疾病MetabolicdisordersPaget’sdiseasePrimaryhyperparathyroidism代謝紊亂佩吉特氏病原發性甲狀旁腺功能亢進Extra-articularmusculoskeletaldisordersTrochanteric/IschialbursitisOsteitispubis關節外肌肉骨骼疾病股骨轉子/坐骨滑囊炎恥骨炎Non-musculoskeletaldisorders:SpinepathologyInguinalherniaIliopsoasmuscleabscess非肌肉骨骼疾病：脊柱病理腹股溝疝髂腰肌肌肉膿腫张振华的赞赏账户

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