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Femoroacetabular Impingement in Pediatric Patients
Evan D Sheppard1, Connor R Read2, Brad W Wills1
1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL.
Pediatrics in Review
|March 3, 2019
Summary
Femoroacetabular impingement (FAI) causes hip pain due to abnormal hip bone shape. Diagnosis involves physical exams and imaging, with treatment ranging from physical therapy to surgery.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Subacute, nontraumatic hip pain presents diagnostic challenges.
- Femoroacetabular impingement (FAI) is a poorly understood cause of atraumatic hip pain.
- FAI results from abnormal femoral or acetabular morphology, common in athletes and the general population.
Purpose of the Study:
- To review the diagnostic challenges of subacute, nontraumatic hip pain.
- To describe the etiology, prevalence, and evaluation of Femoroacetabular Impingement (FAI).
- To outline the conservative and operative management strategies for FAI.
Main Methods:
- Physical examination maneuvers and provocation tests.
- Diagnostic imaging, including radiography and magnetic resonance imaging (MRI).
- Review of current literature on FAI diagnosis and treatment.
Main Results:
- FAI is a frequent cause of hip pain linked to abnormal hip morphology.
- Physical exams and imaging are crucial for diagnosis.
- Conservative treatments like physical therapy are initial options, with surgery for persistent cases.
Conclusions:
- FAI is a significant contributor to atraumatic hip pain.
- Early diagnosis through clinical and radiological assessment is key.
- A stepwise treatment approach, from conservative to surgical, is recommended for FAI.
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