radiologyРадиология — практикаRadiology - Practice2713-0118Центральный научно-исследовательский институт лучевой диагностикиradiology-21Research ArticleПРОДОЛЖЕННОЕ МЕДИЦИНСКОЕ ОБРАЗОВАНИЕCONTINUING MEDICAL EDUCATIONЛучевая диагностика патологии тазобедренного сустава у артистов балета (обзор литературы)Imaging of Ballet Artists’ Hip Joint Pathology (Literature Review)НечаевВ. А.NechaevV. A.dfkz2005@gmail.comВасильевА. Ю.Vasil’EvA. Yu.auv62@mail.ruГБУЗ «ГКБ № 4 ДЗМ»РоссияCity Clinical Hospital № 4 of Moscow Healthcare DepartmentRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Минздрава РоссииРоссияMoscow State Medical University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of RussiaRussian Federation201828062018035160Copyright © Нечаев В.А., Васильев А.Ю., 20182018Нечаев В.А., Васильев А.Ю.Nechaev V.A., Vasil’Ev A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radp.ru/jour/article/view/21

Тазобедренный сустав играет важную роль в выполнении различных балетных движений, при этом амплитуда движений в нем значительно выше, чем у людей других профессий, что сказывается на его физиологическом состоянии. Танцоры часто предъявляют жалобы на боль в области тазобедренного сустава, в диагностике причины которой применяются различные методы лучевой диагностики. Роль высокотехнологических методов медицинской визуализации, включая магнитно-резонансную томографию и компьютерную томографию, становится более значимой в диагностике патологии тазобедренных суставов у артистов балета, при этом стандартная рентгенография остается методикой «первого ряда». В данном обзоре освещены наиболее часто встречающиеся патологические состояния тазобедренных суставов у артистов балета.

Hip joint plays an important role in performing of various ballet movements and the amplitude of movements in him is much higher than in people of other professions, which affects his physiological state. Dancers often complain of pain in the hip joint, medical imaging are used in the diagnosis of the causes of which. The role of high-tech methods of medical imaging, including magnetic resonance imaging and computed tomography, is becoming more significant in the diagnosis of hip joint pathology in ballet dancers, while standard radiography remains the first-line technique. This review highlights the most common pathological conditions of hip joints among the ballet dancers.

рентгенографиякомпьютерная томографиямагнитно-резонансная томографияультразвуковая диагностикаартисты балетапатология тазобедренного суставаRadiographyComputed TomographyMagnetic Resonance ImagingUltrasoundBallet ArtistHip Joint PathologyReferencesКарпенко А. К., Кубачева К. К., Дутова И. Н. Ишиофеморальный импинджмент-синдром - роль магнитно-резонансной томографии в возрастном аспекте // Лучевая диагностика и терапия. 2017. Т. 8. № 3. С. 56-57.Карпенко А. К., Кубачева К. К., Дутова И. Н. Ишиофеморальный импинджмент-синдром - роль магнитно-резонансной томографии в возрастном аспекте // Лучевая диагностика и терапия. 2017. Т. 8. № 3. С. 56-57.Andersson S., Nilsson B., Hessel T. et al. Degenerative joint disease in ballet dancers // Clin. Orthop. Relat. Res. 1989. V. 238. P. 233-236.Andersson S., Nilsson B., Hessel T. et al. Degenerative joint disease in ballet dancers // Clin. Orthop. Relat. Res. 1989. V. 238. P. 233-236.Assassi L., Magnenat-Thalmann N. Assessment of cartilage contact pressure and loading in the hip joint during split posture // Int. J. Comput. Assist. Radiol. Surg. 2016. V. 11. № 5. P. 745-756.Assassi L., Magnenat-Thalmann N. Assessment of cartilage contact pressure and loading in the hip joint during split posture // Int. J. Comput. Assist. Radiol. Surg. 2016. V. 11. № 5. P. 745-756.Avrahami D., Pajaczkowski J. A. Femoral neck stress fracture in a female athlete: a case report // J. Chiropr. Med. 2012. V. 11. № 4. P. 273-279.Avrahami D., Pajaczkowski J. A. Femoral neck stress fracture in a female athlete: a case report // J. Chiropr. Med. 2012. V. 11. № 4. P. 273-279.Bolia I., Chahla J., Locks R. et al. Microinstability of the hip: a previously unrecognized pathology // Muscles Ligaments Tendons J. 2016. V. 6. № 3. P. 354-360.Bolia I., Chahla J., Locks R. et al. Microinstability of the hip: a previously unrecognized pathology // Muscles Ligaments Tendons J. 2016. V. 6. № 3. P. 354-360.Charbonnier C., Kolo F. C., Duthon V. B. et al. Assessment of congruence and impingement of the hip joint in professional ballet dancers: a motion capture study // Am. J. Sports Med. 2011. V. 39. № 3. P. 557-566.Charbonnier C., Kolo F. C., Duthon V. B. et al. Assessment of congruence and impingement of the hip joint in professional ballet dancers: a motion capture study // Am. J. Sports Med. 2011. V. 39. № 3. P. 557-566.Chow A. H. L., Morrison W. B. Imaging of hip injuries in dancers // J. Dance Med. Sci. 2011. V. 15. № 4. P. 160-172.Chow A. H. L., Morrison W. B. Imaging of hip injuries in dancers // J. Dance Med. Sci. 2011. V. 15. № 4. P. 160-172.Duthon V. B., Charbonnier C., Kolo F. C. et al. Correlation of clinical and magnetic resonance imaging findings in hips of elite female ballet dancers // Arthroscopy. 2013. V. 29. № 3. P. 411-419.Duthon V. B., Charbonnier C., Kolo F. C. et al. Correlation of clinical and magnetic resonance imaging findings in hips of elite female ballet dancers // Arthroscopy. 2013. V. 29. № 3. P. 411-419.Harris J. D., Gerrie B. J., Varner K. E. et al. Radiographic prevalence of dysplasia, cam, and pincer deformities in elite ballet // Am. J. Sports Med. 2016. V. 44. № 1. P. 20-27.Harris J. D., Gerrie B. J., Varner K. E. et al. Radiographic prevalence of dysplasia, cam, and pincer deformities in elite ballet // Am. J. Sports Med. 2016. V. 44. № 1. P. 20-27.Kivlan B. R., Carcia C. R., Christoforetti J. J., Martin R. L. Comparison of range of motion, strength, and hop test performance of dancers with and without a clinical diagnosis of femoroacetabular impingement // Int. J. Sports Phys. Ther. 2016. V. 11. № 4. P. 527-535.Kivlan B. R., Carcia C. R., Christoforetti J. J., Martin R. L. Comparison of range of motion, strength, and hop test performance of dancers with and without a clinical diagnosis of femoroacetabular impingement // Int. J. Sports Phys. Ther. 2016. V. 11. № 4. P. 527-535.Kolo F. C., Charbonnier C., Pfirmann C. W. et al. Extreme hip motion in professional ballet dancers: dynamic and morphological evaluation based on magnetic resonance imaging // Skelet. Radiol. 2013. V. 42. № 5. P. 689-698.Kolo F. C., Charbonnier C., Pfirmann C. W. et al. Extreme hip motion in professional ballet dancers: dynamic and morphological evaluation based on magnetic resonance imaging // Skelet. Radiol. 2013. V. 42. № 5. P. 689-698.Mayes S., Ferris A. R., Smith P. et al. Atraumatic tears of the ligamentum teres are more frequent in professional ballet dancers than a sporting population // Skelet. Radiol. 2016. V. 45. № 7. P. 959-967.Mayes S., Ferris A. R., Smith P. et al. Atraumatic tears of the ligamentum teres are more frequent in professional ballet dancers than a sporting population // Skelet. Radiol. 2016. V. 45. № 7. P. 959-967.Mayes S., Ferris A. R., Smith P. et al. Professional ballet dancers have a similar prevalence of articular cartilage defects compared to age- and sex-matched non-dancing athletes // Clin. Rheumatol. 2016. V. 35. № 12. P. 3037-3043.Mayes S., Ferris A. R., Smith P. et al. Professional ballet dancers have a similar prevalence of articular cartilage defects compared to age- and sex-matched non-dancing athletes // Clin. Rheumatol. 2016. V. 35. № 12. P. 3037-3043.Mayes S., Ferris A. R., Smith P. et al. Similar prevalence of acetabular labral tear in professional ballet dancers and sporting participants // Clin. J. Sport Med. 2016. V. 26. № 4. P. 307-313.Mayes S., Ferris A. R., Smith P. et al. Similar prevalence of acetabular labral tear in professional ballet dancers and sporting participants // Clin. J. Sport Med. 2016. V. 26. № 4. P. 307-313.Mayes S., Ferris A.R., Smith P. et al. Bony morphology of the hip in professional ballet dancers comared to athelets // Eur. Radiol. 2017. V. 27. № 7. P. 3042-3029.Mayes S., Ferris A.R., Smith P. et al. Bony morphology of the hip in professional ballet dancers comared to athelets // Eur. Radiol. 2017. V. 27. № 7. P. 3042-3029.Mitchell R. J., Gerrie B. J., McCulloch P. C. et al. Radiographic evidence of hip microinstability in elite ballet // Arthroscopy. 2016. V. 32. № 6. P. 1038-1044.Mitchell R. J., Gerrie B. J., McCulloch P. C. et al. Radiographic evidence of hip microinstability in elite ballet // Arthroscopy. 2016. V. 32. № 6. P. 1038-1044.Robertson G. A., Wood A. M. Lower limb stress fractures in sport: Optimising their management and outcome // World J. Orthop. 2017. V. 18. № 8. P. 242- 255.Robertson G. A., Wood A. M. Lower limb stress fractures in sport: Optimising their management and outcome // World J. Orthop. 2017. V. 18. № 8. P. 242- 255.Teitz C. C., Kilcoyne R. F. Premature osteoarthrosis in professional dancers // Clin. J. Sport Med. 1998. V. 8. № 4. P. 255-259.Teitz C. C., Kilcoyne R. F. Premature osteoarthrosis in professional dancers // Clin. J. Sport Med. 1998. V. 8. № 4. P. 255-259.Trentacosta N., Sugimoto D., Micheli L. J. Hip and groin injuries in dancers: a systematic review // Sports Health. 2017. V. 9. № 5. P. 422-427.Trentacosta N., Sugimoto D., Micheli L. J. Hip and groin injuries in dancers: a systematic review // Sports Health. 2017. V. 9. № 5. P. 422-427.Turner R., O’Sullivan E., Edelstein J. Hip dysplasia and the performing arts: is there a correlation? // Curr. Rev. Musculoskelet. Med. 2012. V. 5. № 1. P. 39-45.Turner R., O’Sullivan E., Edelstein J. Hip dysplasia and the performing arts: is there a correlation? // Curr. Rev. Musculoskelet. Med. 2012. V. 5. № 1. P. 39-45.Van Dijk C. N., Lim L. S., Poortman A. et al. Degenerative joint disease in female ballet dancers // Am. J. Sports Med. 1995. V. 23. № 3. P. 295-300.Van Dijk C. N., Lim L. S., Poortman A. et al. Degenerative joint disease in female ballet dancers // Am. J. Sports Med. 1995. V. 23. № 3. P. 295-300.Weber A. E., Bedi A., Tibor L. M. et al. The hyperflexible hip: managing hip pain in the dancers and gymnast // Sports Health. 2015. V. 7. № 4. P. 346-358.Weber A. E., Bedi A., Tibor L. M. et al. The hyperflexible hip: managing hip pain in the dancers and gymnast // Sports Health. 2015. V. 7. № 4. P. 346-358.

The authors declare that there are no conflicts of interest present.