Purpose of Review

Osteoarthritis (OA) is a highly prevalent cause of chronic hip pain, affecting 27% of adults aged over 45 years and 42% of adults aged over 75 years. Though OA has traditionally been described as a disorder of “wear-and-tear,” recent studies have expanded on this understanding to include a possible inflammatory etiology as well, damage to articular cartilage produces debris in the joint that is phagocytosed by synovial cells which leads to inflammation.

Recent Findings

Patients with OA of the hip frequently have decreased quality of life due to pain and limited mobility though additional comorbidities of diabetes, cardiovascular disease, poor sleep quality, and obesity have been correlated. Initial treatment with conservative medical management can provide effective symptomatic relief. Physical therapy and exercise are important components of a multimodal approach to osteoarthritic hip pain. Patients with persistent pain may benefit from minimally invasive therapeutic approaches prior to consideration of undergoing total hip arthroplasty.

Summary

The objective of this review is to provide an update of current minimally invasive therapies for the treatment of pain stemming from hip osteoarthritis; these include intra-articular injection of medication, regenerative therapies, and radiofrequency ablation.

中文翻译：

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骨关节炎髋痛的微创治疗：全面综述。

审查目的

骨关节炎（OA）是慢性髋部疼痛的高度普遍原因，影响了27％的45岁以上成年人和42％的75岁以上成年人。尽管传统上将OA描述为“磨损”疾病，但最近的研究已将这种理解扩展到包括可能的炎症病因，但对关节软骨的损害会在关节中产生碎屑，这些碎屑被滑膜细胞吞噬，导致炎症。

最近的发现

髋骨关节炎患者由于疼痛和活动受限而生活质量下降，尽管糖尿病，心血管疾病，睡眠质量差和肥胖等其他合并症也有相关性。保守治疗的初始治疗可以有效缓解症状。物理疗法和运动是骨关节炎髋关节疼痛多模式方法的重要组成部分。持续疼痛的患者可在考虑进行全髋关节置换术之前从微创治疗方法中受益。

概要

这篇综述的目的是提供一种最新的微创疗法来治疗髋骨关节炎引起的疼痛。这些包括关节内注射药物，再生疗法和射频消融。