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Management of femoroacetabular impingement syndrome: current insights

Authors Maupin JJ, Steinmetz G, Thakral R

Received 28 December 2018

Accepted for publication 10 July 2019

Published 27 August 2019 Volume 2019:11 Pages 99—108


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Clark Hung

Jeremiah J Maupin, Garrett Steinmetz, Rishi Thakral

Department of Orthopedics and Rehabilitation, University of Oklahoma College of Medicine, Oklahoma City, OK, USA

Correspondence: Rishi Thakral
Department of Orthopedics and Rehabilitation, University of Oklahoma College of Medicine, 800 Stanton L Young Boulevard, ATT-3400, Oklahoma City, OK 73104, USA
Email [email protected]

Abstract: Since the description of femoroacetabular impingement (FAI) by Ganz in 2003, our understanding of the pathophysiology, management options, and outcomes has evolved and literature continues to be generated on this condition at a rapid rate. FAI has been identified as a primary source of hip pain as well as a generator of secondary osteoarthritis. Improvements in the radiographic detection of cam and pincer morphologies as well as a better understanding of the structural impact of these morphologies have led to improved preoperative planning. Advancements in hip arthroscopy techniques have also led to a higher rate of arthroscopic management of this condition over the initially described open surgical dislocation technique. While arthroscopic management of this condition has become the most common form of surgical management for FAI, inadequate bony resection has been shown to be a frequent source of revision surgery. Therefore, roles for open surgical dislocation and combined mini-open approaches remain, particularly in cases where concern for the inability to fully access the morphology arthroscopically exists.

Keywords: impingement, hip pain, femur impingement, acetabular impingement, cam lesion, pincer lesion

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