What's New in Femoroacetabular Impingement Surgery: Will We Be Better in 2023?

Sports Health A Multidisciplinary Approach 03/2014; 6(2):162-70. DOI: 10.1177/1941738113513006
Source: PubMed


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 outcomes. A growing body of evidence has set the foundation for future progress in the treatment of this commonly encountered condition.
The PubMed database was searched for English-language articles pertaining to FAI over the past 15 years (1998-2013).
Retrospective literature review.
Level 4.
The authors evaluated and discussed the current evidence regarding the anatomy, physiology, biomechanics, imaging, and clinical outcomes of surgical intervention for FAI. Based on this information, future directions for improving the diagnosis and management of FAI are proposed.
There remains a diverse approach to the diagnosis and management of cam- and/or pincer-type FAI. Recent advances in clinical diagnosis, imaging, indications, and arthroscopic techniques have led to improved outcomes and have set the foundation for future progress in the management of this condition.

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    ABSTRACT: Where Are We Now?Treatment approaches for femoroacetabular impingement (FAI) are rapidly evolving and remain diverse [2, 11]. The large discrepancy in treatment options likely stems from the broad diagnosis of FAI, the lack of clear understanding between morphology and dynamic injury mechanisms, and the lack of quality long-term outcome studies to support the use of one treatment option above another for particular presentations of FAI [2, 7, 10].Orthopaedists commonly define and diagnose FAI based on radiographic images and passive clinical range of motion testing, two methods that are likely too simplistic to understand the subject-specific three-dimensional (3-D) and dynamic nature of the interaction between bone morphology and soft tissue damage in an FAI hip. As a result, Orthopaedists commonly utilize more sophisticated imaging technologies such as MRI and CT to diagnose and plan surgical treatments, but these imaging modalities are static by nature and do not allow for a direct ...
    Clinical Orthopaedics and Related Research 10/2014; 472(12). DOI:10.1007/s11999-014-3988-9 · 2.77 Impact Factor


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