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New perspectives on femoroacetabular impingement syndrome

Journal article
Authors M. Khan
A. Bedi
F. Fu
Jón Karlsson
Olufemi R Ayeni
M. Bhandari
Published in Nature Reviews Rheumatology
Volume 12
Issue 5
Pages 303-310
ISSN 1759-4790
Publication year 2016
Published at Institute of Clinical Sciences, Department of Orthopaedics
Pages 303-310
Language en
Links dx.doi.org/10.1038/nrrheum.2016.17
Keywords magnetic-resonance arthrography, nationwide prospective cohort, intraarticular hip pathology, of-the-literature, cam impingement, labral, tears, alpha angle, arthroscopic management, acetabular cartilage, surgical indications, Rheumatology
Subject categories Clinical Medicine

Abstract

Femoroacetabular impingement (FAI) is characterized by an abnormality in the shape of the femoral head-neck or acetabulum that results in impingement between these two structures. Arthroscopic treatment has become the preferred method of management of FAI owing to its minimally invasive approach. Surgical correction involves resection of impinging osseous structures as well as concurrent management of the associated chondral and labral pathology. Research from the past 5 years has shown that repair of the labrum results in a better anatomic correction and improved outcomes compared with labral debridement. Research is underway to improve cartilage assessment by using innovative imaging techniques and biochemical tests to inform predictions of prognosis. Several ongoing randomized controlled trials, including the Femoroacetabular Impingement Trial (FAIT) and the Femoroacetabular Impingement Randomized Controlled Trial (FIRST), will provide critical information regarding the diagnosis, management and prognosis of patients undergoing arthroscopic management of FAI.

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