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[Femoroacetabular impingement - Update 2019].

Andreas Heuck1, Michael Dienst2, Christian Glaser3

  • 1Radiologisches Zentrum München (RZM), Pippingerstr. 25, 81245, München, Deutschland. heuck@rzm.de.

Der Radiologe
|January 17, 2019
PubMed
Summary

Femoroacetabular impingement (FAI) is a dynamic hip condition. Advanced imaging like MRI is crucial for diagnosing FAI deformities and associated joint damage, guiding treatment decisions.

Keywords:
Computed tomographyHipImpingementMagnetic resonance imagingRadiography

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Area of Science:

  • Orthopedics
  • Radiology
  • Biomechanics

Background:

  • Femoroacetabular impingement (FAI) diagnosis has evolved significantly since its initial description.
  • Continuous advancements in diagnostic imaging have refined FAI detection and characterization.

Purpose of the Study:

  • To explain the biomechanical concept of FAI.
  • To provide an updated overview of diagnostic imaging techniques for FAI.

Main Methods:

  • Literature search to review current knowledge on FAI mechanisms.
  • Overview of state-of-the-art radiological diagnostics for FAI.
  • Exploration of emerging imaging modalities for FAI assessment.

Main Results:

  • FAI involves a dynamic mechanical conflict between the femur and acetabulum.
  • Radiological imaging is essential for diagnosing FAI, identifying cam and pincer deformities, and assessing cartilage and labral lesions.
  • MRI and MR arthrography are key for detailed analysis, with reported sensitivities for cartilage (58-91%) and labral lesions (50-92%).

Conclusions:

  • Accurate FAI diagnosis requires typical clinical and imaging findings.
  • Radiological diagnostics are indispensable for confirming FAI, differentiating deformities, and evaluating joint damage relevant to treatment.