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Arthroscopic Treatment of Femoroacetabular Impingement

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Sports Injuries

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Abstract

Femoroacetabular impingement (FAI) may lead to injuries and debilitating pain in and around the hip joint. Three types of FAI have been described: cam, pincer, and combination of the two. In most cases concomitant injuries are associated with FAI, such as labral tears, acetabular chondral damage, and possibly ligamentum teres tears and instability of the joint. Athletic pubalgia, groin strains, and lumbar spine pathology should be ruled out as a source of pain. Hip arthroscopy has evolved significantly since Ganz described FAI and introduced the open surgical dislocation treatment. While many still perform FAI surgery open, there is a trend to treat this problem arthroscopically, with the majority of surgical outcomes reported being arthroscopically managed. The reported rate of return to sport following hip arthroscopy for FAI is 92 %, with 88 % returning to the previous level of competition. Overall, FAI surgery results in significant clinical improvement and high satisfaction rate.

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Authors and Affiliations

  1. Orthopedic Sports Medicine, Stanford Sports Medicine, Stanford University, 450 Broadway, M/C 6342, Redwood City, CA, USA

    Itamar Botser & Marc R. Safran

  2. Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA, USA

    Marc R. Safran

Authors
  1. Itamar Botser
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  2. Marc R. Safran
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Correspondence to Itamar Botser .

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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Botser, I., Safran, M.R. (2015). Arthroscopic Treatment of Femoroacetabular Impingement. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_64

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_64

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

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