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[Femoroacetabular impingement syndrome]
Lasse Ishøi1, Otto Kraemer, Bjarne Mygind Klavsen
1lasse.ishoei@regionh.dk.
Ugeskrift for Laeger
|March 2, 2019
Summary
Femoroacetabular impingement syndrome (FAIS) is a hip disorder linked to bone shape developed during growth. Surgery appears more effective than physiotherapy for improving FAIS symptoms, with no current prevention methods recommended.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanical Engineering
Background:
- Femoroacetabular impingement syndrome (FAIS) is a hip joint disorder characterized by specific symptoms, clinical signs, and imaging results.
- The hip morphology associated with FAIS develops during skeletal maturation and may be influenced by sports participation.
- Current treatment options for FAIS include physiotherapy and surgical interventions.
Purpose of the Study:
- To define Femoroacetabular Impingement Syndrome (FAIS) and its associated characteristics.
- To review the developmental origins and potential contributing factors of FAIS.
- To evaluate the comparative effectiveness of different treatment modalities for FAIS.
Main Methods:
- Literature review of studies on hip morphology, FAIS development, and treatment outcomes.
- Analysis of clinical data and imaging findings related to FAIS.
- Synthesis of evidence regarding the efficacy of physiotherapy versus surgical interventions for FAIS.
Main Results:
- FAIS is a motion-related hip disorder with a triad of symptoms, clinical findings, and imaging evidence.
- Hip morphology contributing to FAIS is established during skeletal growth and potentially linked to athletic activity.
- Surgical treatment demonstrates greater effectiveness in symptom improvement compared to physiotherapy for FAIS.
Conclusions:
- Femoroacetabular impingement syndrome is a distinct hip joint condition with specific diagnostic criteria.
- Hip morphology influencing FAIS is largely determined during adolescence and may be associated with sports.
- While surgery is more effective for symptom relief in FAIS, no preventive strategies are currently established or recommended, and prophylactic surgery is not advised.
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