Femoroacetabular impingement--diagnosis and treatment
Kaplan, K.M.; Shah, M.R.; Youm, T.
Bulletin of the Nyu Hospital for Joint Diseases 68(2): 70-75
2010
ISSN/ISBN: 1936-9727
PMID: 20632980
Accession: 053228072
Femoroacetabular impingement results from an abnormal contact between the femur and the pelvis. This abnormal contact leads to developmental changes in the femoral neck, labrum, and acetabulum. Secondary to the altered hip joint mechanics, chondral damage occurs and initiates the degenerative process, eventually leading to osteoarthritis. Numerous etiologies have been implicated in femoroacetabular impingement, and a variety of treatment algorithms have been established, with no definitive gold standard. However, the treatment of this disorder with joint preserving techniques offers a viable option between the extremes of nonoperative treatment and total joint arthroplasty.
PDF emailed within 1 workday: $29.90
Related References
Khan, M.; Ayeni, O.R.; Madden, K.; Bedi, A.; Ranawat, A.; Kelly, B.T.; Sancheti, P.; Ejnisman, L.; Tsiridis, E.; Bhandari, M. 2016: Femoroacetabular Impingement: Have We Hit a Global Tipping Point in Diagnosis and Treatment? Results From the InterNational Femoroacetabular Impingement Optimal Care Update Survey (IN FOCUS) Arthroscopy: the Journal of Arthroscopic and Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association 32(5): 779-787.E4Matsuda, D.K.; Gupta, N.; Khatod, M.; Matsuda, N.A.; Anthony, F.; Sampson, J.; Burchette, R. 2017: Poorer Arthroscopic Outcomes of Mild Dysplasia with Cam Femoroacetabular Impingement Versus Mixed Femoroacetabular Impingement in Absence of Capsular Repair American Journal of Orthopedics 46(1): E47-E53
Hellmann, O.; Cohen, E.; Rath, E. 2011: Femoroacetabular impingement: a new direction in the diagnosis and treatment of the hip joint Harefuah 150(2): 148-152; 205
Amanatullah, D.F.; Antkowiak, T.; Pillay, K.; Patel, J.; Refaat, M.; Toupadakis, C.A.; Jamali, A.A. 2015: Femoroacetabular impingement: current concepts in diagnosis and treatment Orthopedics 38(3): 185-199
Almasri, M.; Simunovic, N.; Heels-Ansdell, D.; Ayenil, O.R.; Ayeni, O.R.; Bhandari, M.; Bedi, A.; Järvinen, T.; Musahl, V.; Naudie, D.; Seppänen, M.; Slobogean, G.; Thabane, L.; Simunovic, N.; Duong, A.; Skelly, M.; Shanmugaraj, A.; Crouch, S.; Sprague, S.; Heels-Ansdell, D.; Buckingham, L.; Ramsay, T.; Lee, J.; Kousa, P.; Carsen, S.; Choudur, H.; Sim, Y.; Johnston, K.; Wong, I.; Murphy, R.; Sparavalo, S.; Whelan, D.; Khan, R.; Wood, G.C.A.; Howells, F.; Grant, H.; Zomar, B.; Pollock, M.; Willits, K.; Firth, A.; Wanlin, S.; Remtulla, A.; Kaniki, N.; Belzile, E.L.; Turmel, S.; Jørgensen, U.; Gam-Pedersen, A.; Hatanpää, T.; Sihvonen, R.; Raivio, M.; Toivonen, P.; Seppänen, M.; Routapohja, M.P. 2022: Osteochondroplasty Benefits the Pragmatic Patient with Femoroacetabular Impingement: Analysis from the Embedded Prospective Cohort of the Femoroacetabular Impingement RandomiSed Controlled Trial (FIRST) Arthroscopy: the Journal of Arthroscopic and Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association 38(3): 818-830.E1
Chakraverty, J.K.; Sullivan, C.; Gan, C.; Narayanaswamy, S.; Kamath, S. 2013: Cam and pincer femoroacetabular impingement: CT findings of features resembling femoroacetabular impingement in a young population without symptoms AJR. American Journal of Roentgenology 200(2): 389-395
Chládek, P.; Musálek, M.; Trč, T.áš; Zahradník, P.; Kos, P. 2015: Femoroacetabular impingement syndrome--efficacy of surgical treatment with regards to age and basic diagnosis International Orthopaedics 39(3): 417-422
Kim, Y.-J.; Novais, E.N. 2011: Diagnosis and treatment of femoroacetabular impingement in Legg-Calvé-Perthes disease Journal of Pediatric Orthopedics 31(2 Suppl): S235-S240
Simunovic, N.; Heels-Ansdell, D.; Thabane, L.; Ayeni, O.R.; Ayeni, O.R.; Bhandari, M.; Bedi, A.; Järvinen, T.; Musahl, V.; Naudie, D.; Seppänen, M.; Slobogean, G.; Thabane, L.; Simunovic, N.; Duong, A.; Skelly, M.; Sprague, S.; Heels-Ansdell, D.; Buckingham, L.; Ramsay, T.; Lee, J.; Kousa, P.; Carsen, S.; Choudur, H.; Sim, Y.; Johnston, K.; Wong, I.; Paquet, N.; Den Hartog, J.; Whelan, D.; Khan, R.; Wood, G.C.A.; Howells, F.; Grant, H.; Zomar, B.; Pollock, M.; Willits, K.; Firth, A.; Wanlin, S.; Remtulla, A.; Kaniki, N.; Belzile, E.L.; Turmel, S.; Routapohja, M.P.; Jørgensen, U.; Gam-Pedersen, A.; Sihvoenen, R.; Raivio, M.; Toivonen, P. 2018: Femoroacetabular Impingement Randomised controlled Trial (FIRST) - a multi-centre randomized controlled trial comparing arthroscopic lavage and arthroscopic osteochondroplasty on patient important outcomes and quality of life in the treatment of young adult (18-50 years) femoroacetabular impingement: a statistical analysis plan Trials 19(1): 588
Bensler, S.; Fritz, B. 2021: Femoroacetabular Impingement (FAI): Point-Early Diagnosis and Treatment of FAi Is Important to Provide a Chance for Hip Joint Preservation AJR. American Journal of Roentgenology 217(6): 1295-1296
Brand, R.A.; Smith-Petersen, M.Nygaard. 2009: Femoroacetabular impingement: current status of diagnosis and treatment: Marius Nygaard Smith-Petersen, 1886-1953 Clinical orthopaedics and related research 467(3): 605-607
Zhuo, H.; Wang, X.; Liu, X.; Song, G.-Y.; Li, Y.; Feng, H. 2015: Quantitative evaluation of residual bony impingement lesions after arthroscopic treatment for isolated pincer-type femoroacetabular impingement using three-dimensional CT Archives of Orthopaedic and Trauma Surgery 135(8): 1123-1130
Souza, B.G.ça.S.öd.E.; Cardoso, R.M.; Loque, R.S.; Monte, L.F.R.; Sabino, J.é P.; Oliveira, V.M.d. 2018: Mixed-type femoroacetabular impingement associated with subspine impingement: recognizing the trifocal femoropelvic impingement Revista Brasileira de Ortopedia 53(3): 389-394
Memarzadeh, A.; Khanduja, V. 2018: Standardising muscle strength measurement protocols in femoroacetabular impingement: RE: Kierkegaard, S., Mechlenburg, I., Lund, B., Søballe, K., & Dalgas, U. (2017). Impaired hip muscle strength in patients with femoroacetabular impingement syndrome. Journal of Science and Medicine in Sport Journal of Science and Medicine in Sport 21(2): 110
Palmer, A.J.R.; Ayyar-Gupta, V.; Dutton, S.J.; Rombach, I.; Cooper, C.D.; Pollard, T.C.; Hollinghurst, D.; Taylor, A.; Barker, K.L.; McNally, E.G.; Beard, D.J.; Andrade, A.J.; Carr, A.J.; Glyn-Jones, S. 2014: Protocol for the Femoroacetabular Impingement Trial (FAIT): a multi-centre randomised controlled trial comparing surgical and non-surgical management of femoroacetabular impingement Bone and Joint Research 3(11): 321-327
Lerch, T.D.; Boschung, A.; Todorski, I.A.S.; Steppacher, S.D.; Schmaranzer, F.; Zheng, G.; Ryan, M.K.; Siebenrock, K.A.; Tannast, M. 2019: Femoroacetabular Impingement Patients with Decreased Femoral Version have Different Impingement Locations and Intra- and Extraarticular Anterior Subspine FAi on 3D-CT-Based Impingement Simulation: Implications for Hip Arthroscopy American Journal of Sports Medicine 47(13): 3120-3132
Thomas, G.E.R.; Palmer, A.J.R.; Andrade, A.J.; Pollard, T.C.B.; Fary, C.; Singh, P.J.; O'Donnell, J.; Glyn-Jones, S. 2013: Diagnosis and management of femoroacetabular impingement British Journal of General Practice: the Journal of the Royal College of General Practitioners 63(612): E513-E515
Mamisch, T.C.; Werlen, S.; Zilkens, C.; Trattnig, S.; Kim, Y.-J.; Siebenrock, K.A.; Bittersohl, B. 2009: Radiological diagnosis of femoroacetabular impingement Der Radiologe 49(5): 425-433
Nepple, J.J.; Prather, H.; Trousdale, R.T.; Clohisy, J.C.; Beaulé, P.E.; Glyn-Jones, S.ôn.; Kim, Y.-J. 2013: Clinical diagnosis of femoroacetabular impingement Journal of the American Academy of Orthopaedic Surgeons 21(Suppl 1): S16-S19
Kierkegaard, S.; Lund, B.; Dalgas, U.; Sørensen, H.; Søballe, K.; Mechlenburg, I. 2015: The Horsens-Aarhus Femoro Acetabular Impingement (HAFAI) cohort: outcome of arthroscopic treatment for femoroacetabular impingement. Protocol for a prospective cohort study Bmj Open 5(9): E008952