Femoroacetabular impingement and principles in it's management

  • Agrawal A C Professor & HOD Orthopaedics AIIMS, Raipur, CG, India
  • Saraf K.K. Associate Professor, Orthopaedics, Peoples Medical College, Bhopal, MP, india
  • Kalia R.B. Associate Professor, Orthopaedics, AIIMS, Raipur, CG, India
Keywords: Femoroacetabular, manual techniques, proximal femoral bony

Abstract

Femoroacetabular impingement (FAI) is an increasingly recognized cause of hip pain. It is defined as a pathologic mechanical process by which morphologic abnormalities of the acetabulum and/or femur combined with vigorous hip motion lead to repetitive collisions that damage the soft-tissue structures within the joint itself. Based on cross-sectional studies in which FAI morphology was studied before the presence of radiographic osteoarthritis (OA), and on prevalence studies in younger, asymptomatic persons, it is clear that FAI and its morphologic risk factors are common in young adult hips and predispose to the later development of OA. Longitudinal studies support the assertion that, in middle-aged adults, the presence of cam deformities at baseline substantially increases the risk of developing OA and the need for total hip arthroplasty

Downloads

Download data is not yet available.

References

Emara K, Samir W, Motasem H, Ghafar KA: Conservative treatment for mild femoroacetabular impingement. J Orthop Surg (Hong Kong) 2011;19():41-45.

Hunt D, Prather H, Harris Hayes M, Clohisy JC: Clinical outcomes analysis of conservative and surgical treatment of patients with clinical indications of prearthritic, intra-articular hip disorders. PM R 2012;4():479-487.

Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA:Femoroacetabular impingement: A cause for osteoarthritis of the hip. Clin Orthop Relat Res 2003;():112-120.

Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U:Surgical dislocation of the adult hip: A technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 2001;83():1119-1124.

Gautier E, Ganz K, Krügel N, Gill T, Ganz R: Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg Br 2000;82():679-683.

Ganz R, Huff TW, Leunig M: Extended retinacular soft-tissue flap for intra-articular hip surgery: Surgical technique, indications, and results of application. Instr Course Lect 2009;58:241-255.

Siebenrock KA, Schoeniger R, Ganz R: Anterior femoro-acetabular impingement due to acetabular retroversion: Treatment with periacetabular osteotomy. J Bone Joint Surg Am 2003;85():278-286.

Matsuda DK: Acute iatrogenic dislocation following hipimpingement arthroscopic surgery. Arthroscopy 2009;25():400-404.

Wiberg G: Studies on dysplastic acetabula and congenital subluxation of the hip joint: With special reference to the complication of osteoarthritis. Acta Chir Scand Suppl 1939;58:7-38.

Tannast M, Siebenrock KA, Anderson SE: Femoroacetabular impingement: Radiographic diagnosis. What the radiologist should know. AJR Am J Roentgenol 2007;188():1540-1552.

Philippon MJ, Schenker ML, Briggs KK, Kuppersmith DA, Maxwell RB, Stubbs AJ: Revision hip arthroscopy. Am J Sports Med2007;35():1918-1921.

Heyworth BE, Shindle MK, Voos JE, Rudzki JR, Kelly BT:Radiologic and intraoperative findings in revision hip arthroscopy. Arthroscopy 2007;23():1295-1302.

Laude F, Sariali E, Nogier A: Femoroacetabular impingementtreatment using arthroscopy and anterior approach. Clin Orthop Relat Res 2009;467():747752.

Clohisy JC, Zebala LP, Nepple JJ, Pashos G: Combined hip arthroscopy and limited open osteochondroplasty for anteriorfemoroacetabular impingement. J Bone Joint Surg Am2010;92():16971706.

Hartmann A, Günther KP: Arthroscopically assisted anterior decompression for femoroacetabular impingement: Technique and early clinical results. Arch Orthop Trauma Surg 2009;129():1001-1009.

Lincoln M, Johnston K, Muldoon M, Santore R: Combined arthroscopic and modified open approach for cam femoroacetabularimpingement: A preliminary experience. Arthroscopy 2009;25():392-399.

Bedi A, Zaltz I, De La Torre K, Kelly BT: Radiographic comparison of surgical hip dislocation and hip arthroscopy for treatment of cam deformity in femoroacetabular impingement. Am J Sports Med 2011;39(suppl):20S-28S.

Parvizi J, Bican O, Bender B, et al: Arthroscopy for labral tears in patients with developmental dysplasia of the hip: A cautionary note. J Arthroplasty 2009;24( suppl):110-113.

Bedi A, Galano G, Walsh C, Kelly BT: Capsular management during hip arthroscopy: From femoroacetabular impingement to instability. Arthroscopy 2011;27():1720-1731
Published
2015-06-30
How to Cite
1.
Agrawal A C, Saraf K.K., Kalia R.B. Femoroacetabular impingement and principles in it’s management. ojmpc [Internet]. 2015Jun.30 [cited 2024Mar.28];21(1):7-10. Available from: https://ojmpc.com/index.php/ojmpc/article/view/4
Section
Review Article

Most read articles by the same author(s)