Femoroacetabular Impingement: What the Surgeon Wants to Know.

Paulo Rego, Paul E Beaulé, Olufemi R Ayeni, Marc Tey, Oliver Marin-Peña, Pedro Dantas, Geoffrey Wilkin, George Grammatopoulos, Inês Mafra, Kevin Smit, Adrian Z Kurz
Author Information
  1. Paulo Rego: Orthopedic Surgery Department, Hospital da Luz, Lisbon, Portugal.
  2. Paul E Beaulé: Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
  3. Olufemi R Ayeni: Division of Orthopaedic Surgery, McMaster University Medical Centre, Hamilton, Ontario, Canada.
  4. Marc Tey: Orthopaedic Surgery Department, Hospital Universitari del Mar, Barcelona, Spain.
  5. Oliver Marin-Peña: Orthopedic Surgery Department, Hospital Universitario Infanta Leonor, Madrid, Spain.
  6. Pedro Dantas: Orthopedic Surgery Department, Hospital Cuf Descobertas, Lisbon, Portugal.
  7. Geoffrey Wilkin: Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
  8. George Grammatopoulos: Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
  9. Inês Mafra: Hospital Beatriz Ângelo, Av Carlos Teixeira, Loures, Portugal.
  10. Kevin Smit: Division of Orthopaedic Surgery, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
  11. Adrian Z Kurz: Division of Orthopaedic Surgery, McMaster University Medical Centre, Hamilton, Ontario, Canada.

Abstract

Femoroacetabular impingement (FAI) is increasingly recognized as a risk factor for early hip degeneration in young active patients. The diagnosis depends on clinical examination and proper imaging that should be able to identify abnormal and sometimes subtle morphological changes. Labral tears and cartilage lesions rarely occur without underlying bone abnormalities. Surgical approaches to treat FAI are increasing significantly worldwide, even without a clearly defined consensus of what should be accepted as the standard imaging diagnosis for FAI morphology.Hip abnormalities encompass many variations related to the shape, size, and spatial orientation of both sides of the joint and can be difficult to characterize if adequate imaging is not available.This article presents a comprehensive review about the information orthopaedic surgeons need to know from radiologists to plan the most rational approach to a painful hip resulting from a mechanical abnormality.

MeSH Term

Arthroscopy
Femoracetabular Impingement
Hip Joint
Humans
Magnetic Resonance Imaging
Radiography
Surgeons

Word Cloud

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