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femoroacetabular impingement
Epidemiology:
- young & middle-aged adults involved in repetitive sports
Pathology:
- abnormal contact occurs between the femoral head & the acetabulum
Radiology:
- presumably magnetic resonance imaging of hip
Complications:
- risk factor for acetabular labrum tear
- can be associated with hip osteoarthritis [1]
Management:
- physical therapy
- hip arthroscopic surgery
- patients < 40 years of age may not benefit [1]
- superior to physical therapy [2]
Specific
pincer impingement
General
joint disease; articular disease; arthropathy
References
- Griffin DR, Dickenson EJ, Wall PDH et al.
Hip arthroscopy versus best conservative care for the treatment
of femoroacetabular impingement syndrome (UK FASHIoN):
A multicentre randomised controlled trial.
Lancet 2018 Jun 2; 391:2225.
PMID: 29893223 Free PMC Article
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31202-9/fulltext
- Briggs KK, Bolia IK.
Hip arthroscopy: An evidence-based approach.
Lancet 2018 Jun 2; 391:2189
PMID: 29893211
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31218-2/fulltext
- Palmer AJR, Ayyar Gupta V, Fernquest S et al
Arthroscopic hip surgery compared with physiotherapy and activity
modification for the treatment of symptomatic femoroacetabular
impingement: multicentre randomised controlled trial.
BMJ 2019;364:l185
PMID: 30733197 Free Article
https://www.bmj.com/content/364/bmj.l185
- Padalecki JR
Acetabuloplasty (Pincer Impingement)
http://drjeffpadaleckimd.com/acetabuloplasty-pincer-impingement-austin-texas/