Diagnosis and management of femoroacetabular impingement.
نویسندگان
چکیده
British Journal of General Practice, July 2013 e513 INTRODUCTION Femoroacetabular impingement (FAI) is a pathological hip condition characterised by abnormal contact between the acetabulum and femoral head–neck junction.1 This can occur within the normal physiological range of motion as a result of osseous abnormalities described as either cam or pincer deformities. Cam deformities describe an abnormal anterosuperior femoral head– neck junction, whereas pincer deformities describe abnormalities in the shape or orientation of the acetabulum (Figure 1). Some patients have both deformities, designated mixed pathology.2 Impingement can also occur in a morphologically normal hip as a result of extreme range of motion activities, such as in ballet dancers or gymnasts. Repeated abutment of the femoral neck against the acetabular rim can result in injury to the labrum and adjacent cartilage.3 Over time these focal lesions may progress to more extensive degenerative disease. There is increasing evidence implicating FAI in the development of osteoarthritis (OA).1,4 In a large population study, cam and/or pincer deformities were found in 71% of males and 37% of females with hip OA.5 Recent longitudinal studies also support this association.6
منابع مشابه
ARTHROSCOPIC MANAGEMENT OF FEMOROACETABULAR IMPINGEMENT
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
متن کامل[Femoroacetabular impingement: radiographic diagnosis--what the radiologist should know].
OBJECTIVE The purpose of this article is to show the important radiographic criteria that indicate the two types of femoroacetabular impingement: pincer and cam impingement. In addition, potential pitfalls in pelvic imaging concerning femoroacetabular impingement are shown. CONCLUSION Femoroacetabular impingement is a major cause for early "primary" osteoarthritis of the hip. It can easily be...
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Chronic groin pain in athletes represents a major diagnostic and therapeutic challenge in sports medicine. Two recognized causes of inguinal pain in the young adult athlete are core muscle injury/athletic pubalgia (CMI/AP) and femoroacetabular impingement (FAI). CMI/AP and FAI were previously considered to be two distinct entities; however, recent studies have suggested both entities to frequen...
متن کاملCurrent Concepts in Management of Femoroacetabuler Impingement
Femoroacetabular impingement (FAI) is a progressive pathology of hip joint affecting young adults causing hip pain and osteoarthritis. FAI results from contact secondary to abnormal morphology of proximal femur, femoral head-neck junction and acetabular rim. Two types of femoroacetabular impingement have been described: Pincer ve Cam impingement. Pincer impingement is caused by the overcoverage...
متن کاملWhat’s New in Femoroacetabular Impingement Surgery
CONTEXT Femoroacetabular impingement (FAI) has been described as a common cause of hip pain in young adults. This leads to abnormal hip joint mechanics and contact pressures. The associated pathomechanics can lead to the development of early osteoarthritis. Better understanding of the anatomy and pathophysiology, biomechanics, and diagnostic and therapeutic advances has led to improved clinical...
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ورودعنوان ژورنال:
- The British journal of general practice : the journal of the Royal College of General Practitioners
دوره 63 612 شماره
صفحات -
تاریخ انتشار 2013