Femoroacetabular impingement − treatment options
Authors:
Jakub Kautzner; Vojtěch Havlas; Tomáš Trč
Authors‘ workplace:
Klinika dětské a dospělé ortopedie a traumatologie 2. LF UK a FN Motol
Published in:
Čas. Lék. čes. 2016; 155: 413-416
Category:
Review Articles
Overview
Femoroacetabular impingement syndrome is a very common hip pathology that is responsible for hip pain in patients under 40 years of age. Anatomic changes in hip joint cause labral tears and cartilage dysfunction, both of these conditions cause severe hip pain and often lead to hip arthritis. This syndrome is very common in the population, but very often misdiagnosed and undertreated.
The main treatment option is surgical treatment; conservative treatment alone is not successful. There are many surgical procedures that may be chosen according to the degree of hip pathology. In this article we present treatment options for femoroacetabular impingement syndrome and our results. Recently one of the main treatment options is hip arthroscopy − we have very good experience and results with this method.
Keywords:
hip joint, femoroacetabular impingement, hip arthroscopy
Sources
1. Myers SR, Eijer H, Ganz R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res 1999; 363: 93–99.
2. Ganz R, Parvizi J, Beck M et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 2003; 417: 112–120.
3. Bozic KJ, Kamath AF, Ong K et al. Comparative epidemiology of revision arthroplasty: failed THA poses greater clinical and economic burdens than failed TKA. Clin Orthop Relat Res 2015; 473(6): 2131–2138.
4. Khanna V, Harris A, Farrokhyar F et al. Hip arthroscopy: prevalence of intra-articular pathologic findings after traumatic injury of the hip. Arthroscopy 2014; 30(3): 299–304.
5. Sorensen CJ, Johnson MB, Norton BJ et al. Asymmetry of lumbopelvic movement patterns during active hip abduction is a risk factor for low back pain development during standing. Hum Mov Sci 2016; 50: 38–46.
6. Dimmick S, Stevens KJ, Brazier D, Anderson SE. Femoroacetabular impingement. Radiol Clin North Am 2013; 51(3): 337–352.
7. Peeters J, Vanhoenacker FM, Marchal P et al. Imaging of femoroacetabular impingement: pictorial review. JBR-BTR 2009; 92(1): 35–42.
8. Abate M, Scuccimarra T, Vanni D et al. Femoroacetabular impingement: is hyaluronic acid effective? Knee Surg Sports Traumatol Arthrosc 2014; 22(4): 889–892.
9. Ganz R, Gill TJ, Gautier E et al. Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without risk of avascular necrosis. J Bone J Surg 2001; 83B(8): 1119–1124.
10. Chládek P, Salaj M, Druga R, Trč T. Cévní zásobení kyčelního kloubu a jeho význam pro záchovnou chirurgii kyčelního kloubu. Ortopedie 2013; 1(7): 13–18.
11. Chládek P, Musálek M, Trč T et al. Femoroacetabular impingement syndrome – efficacy of surgical treatment with regards to age and basic diagnosis. Int Orthop 2015; 39(3): 417–422.
12. Khanduja V, Villar RN. The arthroscopic management of femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc 2007; 15(8): 1035–1040.
13. Christensen CP, Althausen PL, Mittleman MA et al. The nonarthritic hip score: reliable and validated. Orthop Relat Res 2003; 406: 75–83.
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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