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[Extraarticular hip impingement: Case report].

Cohen J Hinzpeter, C Barrientos-Mendoza, A Zamorano-Cárdenas

    Acta Ortopedica Mexicana
    |March 23, 2016
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    Summary

    Femoroacetabular impingement can stem from extraarticular causes, not just within the joint. This case highlights arthroscopic management of hip impingement due to a prominent anteroinferior iliac spine.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Hip Arthroscopy

    Background:

    • Femoroacetabular impingement (FAI) involves abnormal contact between the femur and acetabulum.
    • FAI is often categorized as cam or pincer type, arising from femoral or acetabular deformities.
    • Extraarticular causes of hip impingement are less common but clinically significant.

    Observation:

    • This report details a case of extraarticular hip impingement.
    • The impingement was caused by the femur contacting a prominent anteroinferior iliac spine (AIIS).
    • The prominent AIIS was likely a result of a prior avulsion injury.

    Findings:

    • Arthroscopic surgery successfully managed the extraarticular hip impingement.
    • The procedure addressed the mechanical conflict between the femur and the prominent AIIS.
    • This case demonstrates the efficacy of arthroscopic techniques for non-traditional FAI causes.

    Implications:

    • Arthroscopic hip surgery can effectively treat extraarticular impingement syndromes.
    • Recognizing extraarticular causes like AIIS prominence is crucial for accurate diagnosis and treatment.
    • This approach expands the scope of hip arthroscopy in managing complex hip pain.