Femoroacetabular impingement: the past, current controversies and future perspectives.
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Nakano, N., & Khanduja, V. (2018). Femoroacetabular impingement: the past, current controversies and future perspectives.. Phys Sportsmed, 46 (3), 270-272. https://doi.org/10.1080/00913847.2018.1478151
Femoroacetabular impingement (FAI) is a clinical syndrome in which the anatomical abnormalities of the femoral ead and/or the acetabulum result in abnormal contact between the femur and acetabulum during normal hip motion, leading to cartilage and/or labral damage and hip pain. It is often subdivided into cam-type and pincer-type impingement, which results from a reduction in femoral head-neck offset (cam) or over-coverage or focal/global acetabular retroversion (pincer). There is also mixed-type FAI in which both cam- and pincer-type deformities develop in the same hip. FAI has been considered a precursor to secondary osteoarthritis (OA) especially in cam-type impingement, but there is still no conclusive evidence about pincer-type impingement leading to OA. In the United States, FAI surgery rate increased seven-fold among newly trained orthopaedic surgeons between 2006 and 2010, and this is projected to increase further. The number of FAI-related publications increased five-fold between 2005 and 2010, showing a recent boom in FAI-related research. Despite the large increase in the number of hip arthroscopies performed on FAI patients, the optimal diagnostic approach and treatment of FAI remains uncertain and controversial.
External DOI: https://doi.org/10.1080/00913847.2018.1478151
This record's URL: https://www.repository.cam.ac.uk/handle/1810/282840