Diagnosis and Treatment of Femoroacetabular Impingement Syndrome
- RRS Education
Hip-related pain in younger patients can often be attributed to femoroacetabular impingement (FAI), acetabular dyplasia or cartilage/labral injury. Of these, FAI is the most common, defined biomechanically as impingement of the femoral neck on the acetabular rim, due to a cam and/or pincer morphology. Cam morphology involves a non-spherical femoral head abutting into the acetabulum, while the pincer variety refers to over-coverage of the acetabulum relative to the femoral head – both of these can lead to mechanical impingement of the hip joint.
Consensus guidelines on the diagnosis and treatment of FAI have recently been published, although these guidelines did not rate the available evidence using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) or QUADAS-2 (A Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies for diagnostic studies) rating tools. Assessment with these tools has been completed for special tests for FAI syndrome and when comparing operative and non-operative treatment options for FAI, but not for FAI in general.
To address this gap in the guidelines, these authors sought to systematically search the literature and provide guidance for the diagnosis and non-operative treatment of FAI to general practitioners.
THIS WEEK'S RESEARCH REVIEW: “Diagnosis and Treatment of Femoroacetabular Impingement Syndrome”
This paper was published in the British Journal of Sports Medicine (2021) and this Review is posted in Recent Reviews, Hip and the 2022 Archive.