Current concepts in management of femoroacetabular impingement.
نویسندگان
چکیده
Femoroacetabular impingement (FAI) is an increasingly recognized condition, which is believed to contribute to degenerative changes of the hip. This correlation has led to a great deal of interested in diagnosis and treatment of FAI. FAI can be divided into two groups: cam and pincer type impingement. FAI can lead to chondral and labral pathologies, that if left untreated, can progress rapidly to osteoarthritis. The diagnosis of FAI involves a detailed history, physical exam, and radiographs of the pelvis. Surgical treatment is indicated in anatomic variants known to cause FAI. The primary goal of surgical treatment is to increase joint clearance and decrease destructive forces being transmitted through the joint. Treatment has been evolving rapidly over the past decade and includes three primary techniques: open surgical dislocation, mini-open, and arthroscopic surgery. Open surgical dislocation is a technique for dislocating the femoral head from the acetabulum with a low risk of avascular necrosis in order to reshape the neck or acetabular rim to improve joint clearance. Mini-open treatment is performed using the distal portion of an anterior approach to the hip to visualize and to correct acetabular and femoral head and neck junction deformities. This does not involve frank dislocation. Recently, arthroscopic treatment has gained popularity. This however does have a steep learning curve and is best done by an experienced surgeon. Short- to mid-term results have shown relatively equal success with all techniques in patients with no or only mild evidence of degenerative changes. Additionally, all techniques have demonstrated low rates of complications.
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 کاملFemoroacetabular impingement: current concepts in diagnosis and treatment.
EDUCATIONAL OBJECTIVES As a result of reading this article, physicians should be able to: 1. Identify the etiology of femoroacetabular impingement. 2. Assess femoroacetabular impingement on physical examination. 3. Recognize femoroacetabular impingement on imaging studies. 4. Discuss modern techniques to effectively treat femoroacetabular impingement, both open and arthroscopic. Femoroacetabula...
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 کاملCurrent concepts in the management of femoroacetabular impingement.
©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B11. 16821 $2.00 J Bone Joint Surg [Br] 2005;87-B:1459-62. Secondary osteoarthritis of the hip occurs due to a known precipitating cause. In primary or idiopathic osteoarthritis the cause remains unknown although some studies 1,2 have suggested that femoroacetabular impingement (FAI) may be responsible for the pro...
متن کاملFemoroacetabular impingement: fact, fiction, or fantasy?
OBJECTIVE Proponents of femoroacetabular impingement (FAI) now claim that FAI is an important risk factor for hip osteoarthritis and argue that early, aggressive treatment is indicated to stave off long-term complications. The result is more young patients undergoing corrective surgery; does the literature support these claims or has hype trumped reality? This article critically reviews these a...
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ورودعنوان ژورنال:
- World journal of orthopedics
دوره 3 12 شماره
صفحات -
تاریخ انتشار 2012