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- Epidemiology
- Diagnosis
- Clinical Presentation
- Pathology
- Radiographic Features
- Radiology Report
- Treatment and Prognosis
- History and Etymology
- Differential Diagnosis
Femoroacetabular impingement is common in active young and middle-aged adult individuals, with pincer morphology being more common in middle-aged women and cam morphology more common in young men 1,2. 1. high impact sport activity, especially in adolescence during physeal closure 2. overuse activity 3. previous slipped capital femoral epiphysis or ...
Given the widespread prevalence of cam and/or pincer morphology in the asymptomatic population, the diagnosis of femoroacetabular impingement syndrome is reliant on positive symptoms and clinical examination signs in addition to imaging findings of a femoroacetabular impingement morphology 24.
Patients usually present with motion or position-related hip and/or groin pain e.g. a painfully restricted range of motion during hip flexion, internal rotation and adduction. Sometimes the pain is also described in the buttock, back or thigh and in addition, there may be symptoms of stiffness, clicking, locking, catching 2. A common clinical test ...
Femoroacetabular impingement is an intra-articular or internal form of impingement, where structural changes combined with dynamic factors as repetitive abnormal contact of the acetabulum and the femoral head-neck junction lead to mechanical stress and shear forces on the labrum and chondral surfaces and subsequent damage 1-4. The etiology of cam a...
For initial evaluation of the acetabulum plain radiographs of the pelvis are recommended and an additional view of the femoral neck such as Dunn views, cross-table lateral, frog-leg lateral or Meyer lateral for the assessment of the femoral head-neck junction 2. Cross-sectional imaging is advised for better characterization, the detection of chondr...
A report for preoperative evaluation should include the following 2,3: 1. description of abnormalities in the femoral head-neck junction: e.g. bump, cysts, herniation pit 2. description of acetabular morphology: e.g. coxa profunda, acetabular retroversion 3. associated findings e.g. bone marrow edema 4. labral detachmentand other labral pathology 5...
Untreated femoroacetabular impingement can lead to damage to the labrum and acetabular cartilage, manifesting as hip and groin pain if left untreated and will later progress to early osteoarthritis of the hip. Therapeutic management includes conservative treatment, rehabilitation and/or surgery depending on the extent of clinical signs and symptoms...
It was thought to have been first described by the Swiss orthopedic surgeon Reinhold Ganzin 2003 23.
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Femoroacetabular impingement (FAI) is a condition in which extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. Because they do not fit together perfectly, the bones rub against each other during movement. Over time this friction can damage the joint, causing pain and limiting activity.