Current concepts in the treatment of adolescent femoroacetabular impingement
There is growing evidence that symptomatic femoroacetabular impingement leads to intra-articular damage and the development of early-onset osteoarthritis. Symptoms of femoroacetabular impingement often do not manifest until adulthood, but have been increasingly recognised in the paediatric and adolescent population. The surgical treatment of femoroacetabular impingement is aimed at restoring a more normal femoral head–neck offset in order to increase the clearance and prevent femoral abutment against the acetabular edge. Current methods include open and arthroscopic techniques. The latter has been combined with an open approach to gain access to the head–neck junction for osteochondroplasty. Proximal femoral and/or periacetabular osteotomies are used to treat femoroacetabular impingement associated with deformity secondary to childhood hip conditions, such as slipped capital femoral epiphysis and Legg–Calvé–Perthes disease. Some adolescents have severe degenerative joint disease at the time of presentation and may require arthroplasty or arthrodesis. The aim of this review is to identify the major trends and advancements in the management of femoroacetabular impingement in adolescents, including the outcome of studies of the surgical treatment modalities used.
Available from: Cosimo Costantino
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ABSTRACT: Hip and groin pain in athlete is a common condition and is not infrequently a cause of frustration and aggravation to both physician and patient. It may result from an acute injury, a chronic repetitive trauma and also from systemic pathologies. The differential diagnosis of hip pain is broad and includes bone injuries, intra- and extra-articular pathologies, neuropathies and also visceral diseases; their clinical differentiation and subsequent management is difficult. With the current advancements in hip imaging and arthroscopy there is a significant more attention focused on athletes affected by groin pain as consequence of intra-articular lesions. This article briefly reviews the different common hip intra-articular conditions that causes groin pain in this specific population, focusing on their diagnosis, imaging and treatment.
Medicina dello sport; rivista di fisiopatologia dello sport 09/2014; Volume 67(3):341-368. · 0.24 Impact Factor
Available from: Amaka Offiah
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ABSTRACT: An increasing number of children are taking up sporting activities and at more competitive levels. For this reason (pediatric) radiologists should expect to receive greater numbers of requests from their orthopedic colleagues to image the athletic child who presents with hip or groin pain: "athletic pubalgia."Lower limb sports-related pathology is particularly common in sports such as ballet, football, hockey, rugby, and running. Injuries to the hip and groin may account for up to a quarter of injuries seen in athletic children and may be acute or chronic, osseous, cartilaginous, ligamentous, or muscular. The radiologist should also bear in mind the possibility of non-sports-related pathology such as inflammation or tumor and of complications related to previous trauma such as avascular necrosis or femoroacetabular impingement complicating previous slipped capital femoral epiphysis. Radiologists should avoid use of the term sports hernia and provide a more specific description of the true abnormality.The major imaging modalities are radiographs and MRI. In this article we provide an overview of the common sports-related pathologies of the hip and groin that may be encountered in the athletic child.
Seminars in musculoskeletal radiology 11/2014; 18(5):478-88. DOI:10.1055/s-0034-1389265 · 1.09 Impact Factor
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