Current concepts in management of femoroacetabular impingement

作     者：Adam S Wilson Quanjun Cui 

作者机构：Department of Orthopaedic Surgery University of Virginia School of Medicine Charlottesville VA 22903 United States 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2012年第3卷第12期

页      面：204-211页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by Orthopaedic Research and Education Foundation Zachary B Friedenberg,MD,Clinician Scientist Award to Dr.CuiQ 

主　　题：Femoroacetabular impingement Pincer Cam Mini-open Hip arthroscopy Surgical dislocation Osteochondroplasty 

摘      要：Femoroacetabular impingement(FAI)is an increasingly recognized condition,which is believed to contribute to degenerative changes of the *** correlation has led to a great deal of interested in diagnosis and treatment of *** can be divided into two groups:cam and pincer type *** can lead to chondral and labral pathologies,that if left untreated,can progress rapidly to *** diagnosis of FAI involves a detailed history,physical exam,and radiographs of the *** treatment is indicated in anatomic variants known to cause *** primary goal of surgical treatment is to increase joint clearance and decrease destructive forces being transmitted through the *** has been evolving rapidly over the past decade and includes three primary techniques:open surgical dislocation,mini-open,and arthroscopic *** surgical dislocation is a technique for dislocating the femoral head from the acetabulum with a low risk of avascular necrosis in orderto reshape the neck or acetabular rim to improve joint ***-open treatment is performed using the distal portion of an anterior approach to the hip to visualize and to correct acetabular and femoral head and neck junction *** does not involve frank ***,arthroscopic treatment has gained *** however does have a steep learning curve and is best done by an experienced ***-to mid-term results have shown relatively equal success with all techniques in patients with no or only mild evidence of degenerative ***,all techniques have demonstrated low rates of complications.