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Current concepts and trends for operative treatment of FAI: hip arthroscopy

  • Hip Arthroscopy (SJ Nho and HD Martin, Section Editors)
  • Published:
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Abstract

There has been an increasing body of literature regarding arthroscopic management of femoroacetabular impingement (FAI). Refinement of arthroscopic techniques has allowed for more complete management of FAI, and meta-analysis and systematic reviews have shown comparable outcomes to surgical hip dislocation with appropriate indications. There are still, however, pathomorphologies that are not accessible or much more challenging to address arthroscopically, and open corrective procedures should be considered in these situations. Extra-articular FAI is receiving increased attention and can be secondary to anterior inferior iliac spine/subspine impingement, trochanteric-pelvic impingement, and ischio-femoral impingement. Femoral and acetabular version and their impact on hip stability as well as the concept of impingement induced instability are being increasingly recognized. Acetabular labral and capsular management and repair techniques have also received increased attention. Finally, 3-dimensional imaging and dynamic software analysis are beginning to emerge as potential tools to better evaluate hip pathomorphology.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Conflict of Interest

Christopher M. Larson is a consultant for and has stock options in A3 Surgical. He is also a consultant for Smith and Nephew. Rebecca M. Stone declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, 4010 West 65th St, Edina, MN, 55435, USA

    Christopher M. Larson & Rebecca M. Stone

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  1. Christopher M. Larson
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  2. Rebecca M. Stone
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Correspondence to Christopher M. Larson.

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Larson, C.M., Stone, R.M. Current concepts and trends for operative treatment of FAI: hip arthroscopy. Curr Rev Musculoskelet Med 6, 242–249 (2013). https://doi.org/10.1007/s12178-013-9170-2

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