Back to Journals » Orthopedic Research and Reviews » Volume 11

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

DOI https://doi.org/10.2147/ORR.S138454

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

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 rishi-thakral@ouhsc.edu

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

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]