Femora Acetabular Impingement ( FAI) is a relatively new hip joint diagnosis, which produces pain mostly in active individuals or people with predisposing occupations. The condition itself is not new at all, however current understanding of its pathology came with recent advancement in skeletal imaging.In this condition bony conflict between anato the hip cartilage.
This condition is a precursor of hip arthritis( arthrosis).Patients experience sympto sharp pain in the groin after sporting activities.
The sports, which usually lead to FAI, are: soccer, hockey, martial arts, ballet and yoga.
This is a list of anators:
- Congenital hip dysplasia
- Prominent femoral head-neck junction
- Elliptical femoral head
- Femoroacetabular anteversion
- Femoroacetabular retroversion
- Coxa valga
- Coxa Varum
- Coxa profunda
- Protrusio acetabulum
Other predisposing facto distant trauma resulting in alteration of biomechanical relationship in the kinetic chain.
The progression of this disease is interesting occurrence. One may ask himself that if all anatoms in the second decade)?
The answer is simple. In FAI congenital bone anomalies are varied in combination of it’s severity and overplay with joint and movement dysfunction in other regions of the body. Majority of people with these congenital anato the hip with congenital imperfections.
Many people with FAI suffer from back pain and herniated disc disease for years prior toms of hip pain. Majority of these patients are operated for disc hernia without successful outcomes or only with temporary pain relieve.
FAI Diagnosis
The golden standard of radiological diagnosis for FAI is special CT scan series. This is, however only necessary in case surgical intervention is entertained as there is enormous dose of radiation involved in this special procedure.
Otherwise, a combination of X- ray with MRI or diagnostic ultrasound and clinical examination can be specific enough for treatment.
Femoracetabular Impingement (FAI) Pain Treatment
FAI pain treatment depends on precise structural and functional diagnosis as well as consideration of compensator control and the biomechanics of the whole human body.
Femoraceabular (FAI) pain treatment also depends on careful elimination of provoking movement and postures.
Video gait analysis is the best technological modality to human eye and therefore biomechanical relationship of all the components of lower kinetic chain cannot be properly addressed without it.
Please explore our gait analysis page.
Even with all the complexity of the FAI pain syndrome, conservative care is successful in experienced hands within 6-8 weeks in initial presentation and up to 6 month of rehab in chronic cases.
Surgical Intervention
Surgical intervention should only be reserved to professional athletes or very few patients with greater damage of hip intrarticular tissues.
The surgical intervention does not correct the cause of impaired movement but only remove the bone conflicting anatomy.
Since data for arthroscopic FAI repairs is relatively new , we can not estimate yet how successful these surgeries are. Especially giving very , very long recovery from this surgery this type of procedure should only be reserved as a last reserve.
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