Abstract
Femoroacetabular impingement is a common cause of significant damage to the hip joint and subsequent osteoarthritis. Most cases of FAI can be treated with arthroscopic surgery. Impingement morphology may exist as a normal incidental finding without secondary damage to the joint. Thus, arthroscopy is an important part of the treatment algorithm in identifying the damage indicative of pathological impingement and the need for correction. This chapter precisely outlines the understanding of FAI and the role of arthroscopy in its management with detailed illustrations of various arthroscopic options for treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Vulpius O, Stöffel A. Orthopäadische Operationslehre. Stuttgart: F. Enke; 1913.
Smith-Petersen MN. Treatment of malum coxae senilis, old slipped upper femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxa plana by means of acetabuloplasty. J Bone Joint Surg Am. 1936;18:869–80.
Heyman CH, Herndon CH. Slipped femoral epiphysis with severe displacement: a conservative operative treatment. J Bone Joint Surg Am. 1957;39:293–413.
Garceau GJ. Surgical treatment of coxa plana. J Bone Joint Surg Br. 1964;46:779–80.
Myers SR, Eijer H, Ganz R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop. 1999;363:81–92.
Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop. 2003;417:112–20.
Lavigne M, Parvizi J, Beck M, Siebenrock KA, Ganz R, Leunig M. Anterior femoroacetabular impingement: part I. Techniques of joint preserving surgery. Clin Orthop. 2004;418:61–6.
Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R. Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop. 2004;418:67–73.
Parvizi J, Leunig M, Ganz R. Femoroacetabular impingement. J Am Acad Orthop Surg. 2007;15(9):561–70.
Clohisy JC, Carlisle JC, Trousdale R, et al. Radiographic evaluation of the hip has limited reliability. Clin Orthop Relat Res. 2009;467:666–75.
Meyer DC, Beck M, Ellis T, Ganz R, Leunig M. Comparison of six radiographic projections to assess femoral head/neck asphericity. Clin Orthop. 2006;445:181–5.
Byrd JWT, Jones KS. Diagnostic accuracy of clinical assessment, MRI, gadolinium MRI, and intraarticular injection in hip arthroscopy patients. Am J Sports Med. 2004;32(7):1668–74.
Byrd JWT. The supine approach. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Springer; 2005. p. 145–69.
Byrd JWT. Hip arthroscopy by the supine approach. Instr Course Lect. 2006;55:325–36.
Kelly BT, Weiland DE, Schenker ML, et al. Arthroscopic labral repair in the hip: surgical technique and review of the literature. Arthroscopy. 2005;21(12):1496–504.
Byrd JWT, Jones KS. Arthroscopic “femoroplasty” in the management of cam-type femoroacetabular impingement. Clin Orthop Relat Res. 2009;467:739–46. Epub 2008 Dec 19.
Byrd JWT, Jones KS. Arthroscopic management of femoroacetabular impingement with minimum two-year follow-up. Arthroscopy. 2011;27(10):1379–88. Epub 2011 Aug 20.
Byrd JWT, Jones KS. Arthroscopic management of femoroacetabular impingement (FAI) in athletes. Am J Sports Med. 2011;39: 7–13.
Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Arthroscopy. 2009;25(4):369–76.
Philippon MJ, Briggs KK, Yen Y-M, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction. J Bone Joint Surg Br. 2008;91-B:16–23.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Byrd, J.W.T. (2013). My Approach to Femoroacetabular Impingement. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_17
Download citation
DOI: https://doi.org/10.1007/978-1-4419-7925-4_17
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-7924-7
Online ISBN: 978-1-4419-7925-4
eBook Packages: MedicineMedicine (R0)