
Understanding Femoral Acetabular Impingement Syndrome
Learn about Femoral Acetabular Impingement Syndrome (FAI), a hip pain syndrome caused by boney prominences in the hip joint. Explore its types, who it affects, how it presents, examination findings, and treatment options including activity modifications, physical therapy, injections, and surgery.
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Presentation Transcript
Alvin Jones, MD Bio: Board Certified Orthopaedic Surgeon Medical School: Medicine and clinical research degrees, University of Pittsburgh Internship: General surgery preliminary intern, East Carolina University Residency: Orthopaedic surgery, West I chose to work at Dayton Children's because of both its past history of excellent care and future promises to continue to deliver outstanding treatment for the children and adolescents of this area. Virginia University 1
Femoral Acetabular Impingement Syndrome Alvin Jones M.D.
disclosure I have no disclosures related to the following topic. 3
What is FAI syndrome? Pain syndrome generated by boney prominences in the hip joint as they abut another surface.
Types of FAI https://www.orthoinfo.org/en/diseases--conditions/femoroacetabular-impingement/ 5
Who does it affect? Adolescent athletes in sports requiring oHigh loads on the hip oExtremes of hip flexion or rotation Individuals with increased femoral retroversion oSCFE History of femoral head neck deformity oLegg-Calve-Perthes 6
How does it present? Insidious or acute onset of pain in the hip oAnterior or Anterolateral oInitially activity related oCan progress to chronic constant pain Occasional mechanical symptoms oClicking/Popping associated with pain 7
Exam findings Commonly pain over the Anterior Inferior Iliac Spine (AIIS) Positive FADIR sign oFlexion Adduction and Internal Rotation Clicking or popping with Int/Ext rotation of the hip in flexion 8
Treatment Options Activity modifications Physical therapy Diagnostic/Therapeutic injections Surgery oFemoral head/neck osteoplasty oAcetabuloplasty oAddress the soft tissue damage (labral reattachment) 9
Thank You 10