Current concepts in the treatment of adolescent femoroacetabular impingement

Article · Literature ReviewinJournal of Children s Orthopaedics 7(2):79-90 · March 2013with22 Reads
DOI: 10.1007/s11832-012-0473-4
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.

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April 2013 · Bone and Joint Journal · Impact Factor: 1.96
    Slipped capital femoral epiphysis (SCFE) is relatively common in adolescents and results in a complex deformity of the hip that can lead to femoroacetabular impingement (FAI). FAI may be symptomatic and lead to the premature development of osteoarthritis (OA) of the hip. Current techniques for managing the deformity include arthroscopic femoral neck osteochondroplasty, an arthroscopically... [Show full abstract]
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        Femoroacetabular impingement (FAI) is a pathoanatomic condition which may cause pain and early degeneration of the hip, particularly in young, active adults. It has gained significant attention as a link not only to hip pain but also to the pathogenesis of early hip osteoarthritis. Hip impingement represents a pathological repetitive contact between the proximal femur and/or acetabulum which... [Show full abstract]
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          Femoroacetabular impingement (FAI) causes pain and chondrolabral damage via mechanical overload during movement of the hip. It is caused by many different types of pathoanatomy, including the cam 'bump', decreased head-neck offset, acetabular retroversion, global acetabular overcoverage, prominent anterior-inferior iliac spine, slipped capital femoral epiphysis, and the sequelae of childhood... [Show full abstract]
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