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Femoro-Acetabular Impingement (FAI), Sports Medicine

Uziel Sauceda, MD, ABFM certified and Fernando Liquido, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Femoro-acetabular impingement (FAI) is a condition resulting from a pathologic malformation of the hip.

  • The acetabular rim and the proximal femur have excess contact during the end ra...

DIAGNOSIS

HISTORY

  • Anterior or anterolateral hip pain that refers to the groin, associated with activity

  • Inability to perform activities such as high hip flexion or internal rotation, including prolonged...

TREATMENT

GENERAL MEASURES

Nonoperative management 3,4[C]: 
  • Modification of activities by avoiding excessive hip end ROM

  • Limiting activities and sports are difficult for athletic young individuals.

  • Physic...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Postoperative care: 
  • Arthroscopy:

    • Keep patient toe-touch weight-bearing and ambulate with aids for 2 to 4 wk.

    • After 4 wk, low-impact active motion may be resumed.

    • Rec...

REFERENCES

1
Ochoa LM, Dawson L, Patzkowski JC, et al. Radiographic prevalence of femoroacetabular impingement in a young population with hip complaints is high. Clin Orthop Relat Res.  2010; 468(...

ADDITIONAL READING

  • Nepple JJ, Clohisy JC; and ANCHOR Study Group Members. Evolution of femoroacetabular impingement treatment: the ANCHOR experience. Am J Orthop (Belle Mead NJ).  2017;46(1):28–3...

CLINICAL PEARLS

  • Most common type of FAI is combined type.

  • Pain at the groin in end ROM is important symptom.

  • Surgery is treatment of choice, open surgery may be needed for difficult cases.

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