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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2017

01-04-2017 | CORR Insights

CORR Insights®: Is Increased Acetabular Cartilage or Fossa Size Associated With Pincer Femoroacetabular Impingement?

Author: James D. Wylie, MD, MHS

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2017

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Excerpt

Pincer-type femoroacetabular impingement (FAI) is defined as either a focal or global overcoverage of the femoral head by the acetabulum [2]. This pathoanatomy is thought to cause impingement and injury to the acetabular labrum, resulting in secondary injury to the articular cartilage and in some patients, osteoarthritis (OA) [4]. On the other end of the spectrum is acetabular dysplasia, where the femoral head is undercovered by the acetabulum leading to a decrease in the amount of weight bearing articular cartilage. Subsequently, increased forces across the joint can, in some patients, lead to OA [3, 8, 12]. …
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Crawford EA, Welton KL, Kweon C, Kelly BT, Larson CM, Bedi A. Arthroscopic treatment of pincer-type impingement of the hip. JBJS Rev. 2015;3:e4–e4.CrossRef
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Gala L, Clohisy JC, Beaule PE. Hip dysplasia in the young adult. J Bone Joint Surg Am. 2016;98:63–73.CrossRefPubMed
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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.CrossRefPubMed
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Hanke MS, Steppacher SD, Zurmühle CA, Siebenrock KA, Tannast M. Hips with protrusio acetabuli are at increased risk for failure after femoroacetabular impingement surgery: A 10-year followup. Clin Orthop Rel Res. 2016;474:2168–2180.CrossRef
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Henak CR, Abraham CL, Anderson AE, Maas SA, Ellis BJ, Peters CL, Weiss JA. Patient-specific analysis of cartilage and labrum mechanics in human hips with acetabular dysplasia. Osteoarthritis Cartilage. 2014;22:210–217.CrossRefPubMed
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Steppacher SD, Huemmer C, Schwab JM, Tannast M, Siebenrock KA. Surgical hip dislocation for treatment of femoroacetabular impingement: Factors predicting 5-year survivorship. Clin Orthop Rel Res. 2013;472:337–348.CrossRef
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Steppacher SD, Lerch TD, Gharanizadeh K, Liechti EF, Werlen SF, Puls M, Tannast M, Siebenrock KA. Size and shape of the lunate surface in different types of pincer impingement: Theoretical implications for surgical therapy. Osteoarthritis Cartilage. 2014;22:951–958.CrossRefPubMed
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Thomas GER, Palmer AJR, Batra RN, Kiran A, Hart D, Spector T, Javaid MK, Judge A, Murray DW, Carr AJ, Arden NK, Glyn-Jones S. Subclinical deformities of the hip are significant predictors of radiographic osteoarthritis and joint replacement in women. A 20 year longitudinal cohort study. Osteoarthritis Cartilage. 2014;22:1504–1510.CrossRefPubMed
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Wiberg G. The anatomy and roentgenographic appearance of a normal hip joint. Acta Chir Scand. 1939;83(Suppl 58):7–38
Metadata
Title
CORR Insights®: Is Increased Acetabular Cartilage or Fossa Size Associated With Pincer Femoroacetabular Impingement?
Author
James D. Wylie, MD, MHS
Publication date
01-04-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-5083-x

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