Femoroacetabular impingement syndrome: a narrative review for the chiropractor

Emary, Peter
September 2010
Journal of the Canadian Chiropractic Association;Sep2010, Vol. 54 Issue 3, p164
Academic Journal
Objective: To familiarize the chiropractic clinician with the clinical presentation, radiographic features, and conservative versus surgical treatment options for managing femoroacetabular impingement (FAI) syndrome. Background: FAI syndrome is a relatively new clinical entity to be described in orthopedics, and has been strongly linked with pain and early osteoarthritis of the hip in young adults. Hip joint radiographs in these patients often appear normal at first--particularly if the clinician is unfamiliar with FAI. The role of conservative therapy in managing this disorder is questionable. Surgical treatment ultimately addresses any acetabular labral or articular cartilage damage, as well as the underlying osseous abnormalities associated with FAI. The most commonly used approach is open surgical hip dislocation; however, more recent surgical procedures also involve arthroscopy. Conclusion: In FAI syndrome--a condition unknown to many clinicians (including medical)--chiropractors can play an important role in its diagnosis and referral for appropriate management.


Related Articles

  • Diagnosis and management of femoroacetabular impingement. Thomas, Geraint E. R.; Palmer, Antony J. R.; Andrade, Antonio J.; Pollard, Thomas C. B.; Fary, Camdon; Singh, Parminder J.; O'Donnell, John; Glyn-Jones, Sion // British Journal of General Practice;Jul2013, Vol. 63 Issue 612, pe513 

    The article focuses on the diagnosis and treatment of femoroacetabular impingement (FAI), a hip condition described by the abnormal contact of femoral head-neck junction with the acetabulum. It states that the condition often comes with osteoarthritis (OA) in older patients. It cites various...

  • Femoroacetabular Impingement and its Relevance to Chiropractors. Part I: A Commentary. JAROSZ, BRETT S. // Chiropractic Journal of Australia;Sep2012, Vol. 42 Issue 3, p91 

    Femoroacetabular impingement (FAI) is a condition resulting from morphologic abnormalities of the acetabular rim and proximal femur. FAI can manifest through two different mechanisms - Cam-type or pincer-type - although a combination of both is often seen in clinical practice. The Cam-type...

  • Low-down on FAI and hip labral tears. Targett, Steve // New Zealand Doctor;6/17/2009, p19 

    The article offers information on femoroacetabular impingement (FAI) and hip labral tears. Like the glenoid labrum, the acetabular labrum can be torn and cause symptoms, however, many labral tears are possibly asymptomatic. According to the article, it was recognized that FAI is a predisposing...

  • Does medial rotational deformity of the whole pelvis universally exist in unilateral DDH? Jia, JingYu; Zhang, LiJun; Zhao, Qun; Li, LianYong; Liu, XiJuan // Archives of Orthopaedic & Trauma Surgery;Oct2011, Vol. 131 Issue 10, p1383 

    Introduction: There are no reports on the morphologic features of the entire pelvis in the subgroup of dislocation of hips according to the classification system of Tönnis. In addition, the correlation of excessive medial rotation of the lower pelvis with the increased acetabular anteversion...

  • Hip impingement in the Indian population: hip anthropometry measurements in 100 hips. Maini, Lalit; Palanisamy, Yuvarajan; Shetty, Vishvas; Kasture, Sarang; Shetty, Vijay // Hip International;Jul-Sep2012, Vol. 22 Issue 3, p335 

    We studied 100 hip joints in Indian patients to measure femoral head sphericity, head-neck offset and alpha angle. Our study indicates that the mean values of the above measurements are far below the "danger" level for the onset of femoro-acetabular impingement. It remains to be seen whether...

  • Central acetabular osteophyte (saber tooth sign), one of the earliest signs of osteoarthritis of the hip joint. Mofidi, Ali; Shields, John; Stubbs, Allston // European Journal of Orthopaedic Surgery & Traumatology;Feb2011, Vol. 21 Issue 2, p71 

    Femoro-acetabular hip impingement is a recently recognized condition that leads to premature hip arthritis and possible need for joint replacement. Early treatment of this condition may delay the progression of the hip joint to osteoarthritis. Success of impingement surgery depends on the...

  • Hip Impingement: Identifying and Treating a Common Cause of Hip Pain. KUHLMAN, GEOFFREY S.; DOMB, BENJAMIN G. // American Family Physician;12/15/2009, Vol. 80 Issue 12, p1429 

    Femoroacetabular impingement, also known as hip impingement, is the abutment of the acetabular rim and the proximal femur. Hip impingement is increasingly recognized as a common etiology of hip pain in athletes, adolescents, and adults. It injures the labrum and articular cartilage, and can lead...

  • Femoroacetabular Impingement: A Review of Current Concepts. SANGAL, ROHIT B.; WARYASZ, GREGORY R.; SCHILLER, JONAT HAN R. // Rhode Island Medical Journal;Nov2014, Vol. 97 Issue 11, p33 

    Femoroacetabular impingement is becoming an increasingly more common diagnosis in the orthopaedic community for hip pain in the younger population. Variations in the femoral head and acetabulum can lead to a sequelae of changes to the cartilage that can lead to osteoarthritis. Diagnosis is made...

  • Femoroacetabular impingement in elite ice hockey players. Ayeni, Olufemi; Banga, Kamal; Bhandari, Mohit; Maizlin, Zeev; SA, Darren; Golev, Dmitry; Harish, Srinivasan; Farrokhyar, Forough // Knee Surgery, Sports Traumatology, Arthroscopy;Apr2014, Vol. 22 Issue 4, p920 

    Purpose: The purpose of this study is to evaluate the presence of clinical and radiological femoroacetabular impingement (FAI) in elite ice hockey players and compare it to a control group of non-athletes. Methods: Forty participants (20 non-athletes and 20 elite ice hockey athletes) underwent...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics