The Concept of Femoroacetabular Impingement: Current Status and Future Perspectives
Femoroacetabular impingement (FAI) is a recently proposed mechanism causing abnormal contact stresses and potential joint damage around the hip. In the majority of cases, a bony deformity or spatial malorientation of the femoral head or head/neck junction, acetabulum, or both cause FAI. Supraphysiol...
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| Veröffentlicht in: | Clinical orthopaedics and related research 2009-03, Vol.467 (3), p.616-622 |
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| creator | Leunig, Michael Beaulé, Paul E. Ganz, Reinhold |
| description | Femoroacetabular impingement (FAI) is a recently proposed mechanism causing abnormal contact stresses and potential joint damage around the hip. In the majority of cases, a bony deformity or spatial malorientation of the femoral head or head/neck junction, acetabulum, or both cause FAI. Supraphysiologic motion or high impact might cause FAI even with very mild bony alterations. FAI became of interest to the medical field when (1) evidence began to emerge suggesting that FAI may initiate osteoarthritis of the hip and when (2) adolescents and active adults with groin pain and imaging evidence of FAI were successfully treated addressing the causes of FAI. With an increased recognition and acceptance of FAI as a damage mechanism of the hip, defined standards of assessment and treatment need to be developed and established to provide high accuracy and precision in diagnosis. Early recognition of FAI followed by subsequent behavioral modification (profession, sports, etc) or even surgery may reduce the rate of OA due to FAI. |
| doi_str_mv | 10.1007/s11999-008-0646-0 |
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In the majority of cases, a bony deformity or spatial malorientation of the femoral head or head/neck junction, acetabulum, or both cause FAI. Supraphysiologic motion or high impact might cause FAI even with very mild bony alterations. FAI became of interest to the medical field when (1) evidence began to emerge suggesting that FAI may initiate osteoarthritis of the hip and when (2) adolescents and active adults with groin pain and imaging evidence of FAI were successfully treated addressing the causes of FAI. With an increased recognition and acceptance of FAI as a damage mechanism of the hip, defined standards of assessment and treatment need to be developed and established to provide high accuracy and precision in diagnosis. 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In the majority of cases, a bony deformity or spatial malorientation of the femoral head or head/neck junction, acetabulum, or both cause FAI. Supraphysiologic motion or high impact might cause FAI even with very mild bony alterations. FAI became of interest to the medical field when (1) evidence began to emerge suggesting that FAI may initiate osteoarthritis of the hip and when (2) adolescents and active adults with groin pain and imaging evidence of FAI were successfully treated addressing the causes of FAI. With an increased recognition and acceptance of FAI as a damage mechanism of the hip, defined standards of assessment and treatment need to be developed and established to provide high accuracy and precision in diagnosis. Early recognition of FAI followed by subsequent behavioral modification (profession, sports, etc) or even surgery may reduce the rate of OA due to FAI.</description><subject>Acetabulum - pathology</subject><subject>Acetabulum - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Arthrography</subject><subject>Conservative Orthopedics</subject><subject>Femur Head - pathology</subject><subject>Femur Head - surgery</subject><subject>Hip Joint - pathology</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Joint Diseases - complications</subject><subject>Joint Diseases - diagnosis</subject><subject>Joint Diseases - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedic Procedures</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Hip - etiology</subject><subject>Osteoarthritis, Hip - prevention & control</subject><subject>Risk Factors</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Symposium: Femoroacetabular Impingement: Current Status of Diagnosis and Treatment</subject><subject>Treatment Outcome</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kV1rFTEQhoMo9lj9Ad5I8MK71UyySRMvhHLwaKGg0ArehWx2tt2yu1nzUfDfm8M5WBW8SsI882aGh5CXwN4CY2fvEoAxpmFMN0y1qmGPyAYk1w2A4I_JhjFmGsPh-wl5ltJdfYpW8qfkBAzTXGnYkKvrW6TbsHhcMw0D3eEcYnAes-vK5CK9mNdxucEZl_yebkuM9UKvssslUbf0dFdyiUi_Ykwr-jzeY3pOngxuSvjieJ6Sb7uP19vPzeWXTxfb88vGSyFyI7xrOe8MtqqTvZYAzGn0Dode9q7TYNpWyE45yXvZCjGg54Ccm0FzgM6JU_LhkLuWbsbe18mim-wax9nFnza40f5dWcZbexPuLVeiBp7VgDfHgBh-FEzZzmPyOE1uwVCSVUprIRWr4Ot_wLtQ4lKXs1wIpaqHPQQHyMeQUsTh9yTA7N6XPfiy1Zfd-7L7nld_rvDQcRRUAX4AUi1VD_Hh5_-n_gLEaqHo</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Leunig, Michael</creator><creator>Beaulé, Paul E.</creator><creator>Ganz, Reinhold</creator><general>Springer-Verlag</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090301</creationdate><title>The Concept of Femoroacetabular Impingement: Current Status and Future Perspectives</title><author>Leunig, Michael ; 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| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Acetabulum - pathology Acetabulum - surgery Adolescent Adult Arthrography Conservative Orthopedics Femur Head - pathology Femur Head - surgery Hip Joint - pathology Hip Joint - surgery Humans Joint Diseases - complications Joint Diseases - diagnosis Joint Diseases - surgery Magnetic Resonance Imaging Medicine Medicine & Public Health Orthopedic Procedures Orthopedics Osteoarthritis, Hip - etiology Osteoarthritis, Hip - prevention & control Risk Factors Sports Medicine Surgery Surgical Orthopedics Symposium: Femoroacetabular Impingement: Current Status of Diagnosis and Treatment Treatment Outcome |
| title | The Concept of Femoroacetabular Impingement: Current Status and Future Perspectives |
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