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Femoroacetabular impingement--diagnosis and treatment
Kevin M Kaplan1, Mehul R Shah, Thomas Youm
1Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York, USA.
Bulletin of the NYU Hospital for Joint Diseases
|July 17, 2010
Summary
Femoroacetabular impingement, caused by abnormal hip joint contact, can lead to osteoarthritis. Joint-preserving techniques offer a middle-ground treatment option.
Area of Science:
- Orthopedics
- Hip Arthroscopy
- Osteoarthritis Research
Background:
- Femoroacetabular impingement (FAI) arises from abnormal contact between the femur and pelvis.
- This abnormal contact causes developmental changes in the femoral neck, labrum, and acetabulum.
- Altered hip joint mechanics initiate chondral damage, leading to osteoarthritis.
Purpose of the Study:
- To review the etiologies and treatment algorithms for femoroacetabular impingement.
- To highlight joint-preserving techniques as a viable treatment option.
Main Methods:
- Literature review of femoroacetabular impingement.
- Analysis of current treatment strategies.
Main Results:
- FAI results from abnormal femur-pelvis contact, causing structural changes and osteoarthritis.
- Multiple etiologies and treatments exist, with no single gold standard.
- Joint-preserving techniques provide an alternative to nonoperative management and total joint arthroplasty.
Conclusions:
- Femoroacetabular impingement is a precursor to osteoarthritis.
- Joint-preserving surgical techniques are a valuable treatment modality for FAI.