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Semin Musculoskelet Radiol 2019; 23(03): 257-275
DOI: 10.1055/s-0039-1683967
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Femoroacetabular Impingement: What the Surgeon Wants to Know

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

Publication History

Publication Date:
04 June 2019 (online)

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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.

Keywords

femoroacetabular impingement - hip arthroscopy - hip dysplasia - acetabular retroversion - periacetabular osteotomy
 

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