Top

Clinical Orthopaedics and Related Research®

Published in:

01-12-2014 | Not the Last Word

The Myths of Femoroacetabular Impingement

Author: Joseph Bernstein, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 12/2014

Excerpt

Femoroacetabular impingement (FAI) qualifies as a hot topic, in both senses of the word: Much discussed and very controversial. The American Academy of Orthopaedic Surgeons [2] defines FAI as “a condition where the bones of the hip are abnormally shaped. Because they do not fit together perfectly, the hip bones rub against each other and cause damage to the joint.” …

Available only for authorised users

Allen PR, Denham RA, Swan AV. Late degenerative changes after meniscectomy. Factors affecting the knee after operation. J Bone Joint Surg Br. 1984;66:666–671.PubMed

American Academy of Orthopaedic Surgeons. Femoroacetabular impingement (FAI). Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00571. Accessed July 25, 2014.

Ayeni OR, Adamich J, Farrokhyar F, Simunovic N, Crouch S, Philippon MJ, Bhandari M. Surgical management of labral tears during femoroacetabular impingement surgery: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2014;22:756–762.PubMedCrossRef

Beaulé PE, Hynes K, Parker G, Kemp KA. Can the alpha angle assessment of cam impingement predict acetabular cartilage delamination? Clin Orthop Relat Res. 2012;470:3361–3367.PubMedCentralPubMedCrossRef

Bedi A, Kelly BT. Femoroacetabular impingement. J Bone Joint Surg Am. 2013;95:82–92.PubMedCrossRef

Botser IB, Smith TW Jr, Nasser R, Domb BG. Open surgical dislocation versus arthroscopy for femoroacetabular impingement: A comparison of clinical outcomes. Arthroscopy. 2011;27:270–278.PubMedCrossRef

Castañeda P, Ponce C, Villareal G, Vidal C. The natural history of osteoarthritis after a slipped capital femoral epiphysis/the pistol grip deformity. J Pediatr Orthop. 2013;33:S76–S82.PubMedCrossRef

Clohisy JC, St John LC, Schutz AL. Surgical treatment of femoroacetabular impingement: A systematic review of the literature. Clin Orthop Relat Res. 2010;468:555–564.PubMedCentralPubMedCrossRef

Dolan MM, Heyworth BE, Bedi A, Duke G, Kelly BT. CT reveals a high incidence of osseous abnormalities in hips with labral tears. Clin Orthop Relat Res. 2011;469:831–838.PubMedCentralPubMedCrossRef

10.

Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–120.PubMed

11.

Gerhardt MB, Romero AA, Silvers HJ, Harris DJ, Watanabe D, Mandelbaum BR. The prevalence of radiographic hip abnormalities in elite soccer players. Am J Sports Med. 2012;40:584–588.PubMedCrossRef

12.

Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am. 2010;92:1162–1169.PubMedCrossRef

13.

Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med. 2009;2:105–117.PubMedCentralPubMedCrossRef

14.

Harris JD, Erickson BJ, Bush-Joseph CA, Nho SJ. Treatment of femoroacetabular impingement: a systematic review. Curr Rev Musculoskelet Med. 2013;6:207–218.PubMedCentralPubMedCrossRef

15.

Johnston TL, Schenker ML, Briggs KK, Philippon MJ. Relationship between offset angle alpha and hip chondral injury in femoroacetabular impingement. Arthroscopy. 2008;24:669–675.PubMedCrossRef

16.

Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D’Ascanio LM, Pope JE, Fowler PJ. A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2008;359:1097–1107.PubMedCrossRef

17.

Larson CM, Sikka RS, Sardelli MC, Byrd JW, Kelly BT, Jain RK, Giveans MR. Increasing alpha angle is predictive of athletic-related “hip” and “groin” pain in collegiate National Football League prospects. Arthroscopy. 2013;29:405–410.PubMedCrossRef

18.

Matsuda DK, Carlisle JC, Arthurs SC, Wierks CH, Philippon MJ. Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement. Arthroscopy. 2011;27:252–269.PubMedCrossRef

19.

Metcalf GE. Designing a carbon tax to reduce U.S. greenhouse gas emissions. Rev Environ Econ Policy. 2009;3:63–83.

20.

Ng VY, Arora N, Best TM, Pan X, Ellis TJ. Efficacy of surgery for femoroacetabular impingement: A systematic review. Am J Sports Med. 2010;38:2337–2345.PubMedCrossRef

21.

Philippon MJ, Ho CP, Briggs KK, Stull J, LaPrade RF. Prevalence of increased alpha angles as a measure of cam-type femoroacetabular impingement in youth ice hockey players. Am J Sports Med. 2013;41:1357–1362.PubMedCrossRef

22.

Register B, Pennock AT, Ho CP, Strickland CD, Lawand A, Philippon MJ. Prevalence of abnormal hip findings in asymptomatic participants: a prospective, blinded study. Am J Sports Med. 2012;40:2720–2724.PubMedCrossRef

23.

Reichenbach S, Jüni P, Werlen S, Nüesc E, Pfirrmann CW, Trelle S, Odermatt A, Hofstetter W, Ganz R, Leunig M. Prevalence of cam-type deformity on hip magnetic resonance imaging in young males: A cross-sectional study. Arthritis Care Res. 2010;62:1319–1327.CrossRef

24.

Rubin DA. Femoroacetabular impingement: fact, fiction, or fantasy? AJR Am J Roentgenol. 2013;201:526–534.PubMedCrossRef

25.

Sankar WN, Nevitt M, Parvizi J, Felson DT, Agricola R, Leunig M. Femoroacetabular impingement: defining the condition and its role in the pathophysiology of osteoarthritis. J Am Acad Orthop Surg. 2013;21:S7–S15.PubMedCrossRef

26.

Seidell JC, Pérusse L, Després J-P, Bouchard C. Waist and hip circumferences have independent and opposite effects on cardiovascular disease risk factors: the Quebec Family Study. Am J Clin Nutr. 2001;74:315–321.PubMed

27.

Smith-Petersen MN. Treatment of malum coxae senilis, old slipped upper capital femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxae plana by means of acetabuloplasty. J Bone Joint Surg Am. 1936;18:869–880.

28.

Swift J. The Project Gutenberg EBook of A Modest Proposal, by Jonathan Swift. Available at: http://www.gutenberg.org/files/1080/1080-h/1080-h.htm. Accessed August 19, 2014.

29.

Tapper EM, Hoover NW. Late results after meniscectomy. J Bone Joint Surg Am. 1969;51:517–526.PubMed

30.

Wenger DE, Kendell KR, Miner MR, Trousdale RT. Acetabular labral tears rarely occur in the absence of bony abnormalities. Clin Orthop Relat Res. 2004;426:145–150.PubMedCrossRef

Title: The Myths of Femoroacetabular Impingement
Author: Joseph Bernstein, MD
Publication date: 01-12-2014
Publisher: Springer US
Published in: Clinical Orthopaedics and Related Research® / Issue 12/2014
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-014-3977-z

At a glance: The STEP trials

Springer Medicine

The Myths of Femoroacetabular Impingement

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 12/2014

CORR Insights®: Prevalence of Triangular Fibrocartilage Complex Abnormalities Regardless of Symptoms Rise With Age: Systematic Review and Pooled Analysis

Which Design and Biomaterial Factors Affect Clinical Wear Performance of Total Disc Replacements? A Systematic Review

Revision Surgery Occurs Frequently After Percutaneous Fixation of Stable Femoral Neck Fractures in Elderly Patients

Apical and Intermediate Anchors Without Fusion Improve Cobb Angle and Thoracic Kyphosis in Early-onset Scoliosis

Bone Marrow Aspirate Concentrate and Platelet-rich Plasma Enhanced Bone Healing in Distraction Osteogenesis of the Tibia

Botulinum Toxin A Does Not Decrease Calf Pain or Improve ROM During Limb Lengthening: A Randomized Trial