Femoracetabular Impingement

A pathological mechanical process that can lead to hip failure. It is caused by abnormalities of the ACETABULUM and/or FEMUR combined with rigorous hip motion, leading to repetitive collisions that damage the soft tissue structures.

Also Known As:

Femoro-Acetabular Impingement; Femoroacetabular Impingement; Femoroacetabular Impingement Syndrome; Femoracetabular Impingements; Femoro Acetabular Impingement; Femoro-Acetabular Impingements; Femoroacetabular Impingement Syndromes; Femoroacetabular Impingements; Impingement Syndrome, Femoroacetabular; Impingement Syndromes, Femoroacetabular; Impingement, Femoracetabular; Impingement, Femoro-Acetabular; Impingement, Femoroacetabular; Impingements, Femoracetabular; Impingements, Femoro-Acetabular; Impingements, Femoroacetabular; Syndrome, Femoroacetabular Impingement; Syndromes, Femoroacetabular Impingement

Networked: 513 relevant articles (27 outcomes, 85 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Pain (Aches)
2.	Postoperative Pain
3.	Developmental Dysplasia of the Hip
4.	Slipped Capital Femoral Epiphyses
5.	Osteoarthritis

Experts

1.	Domb, Benjamin G: 23 articles (01/2022 - 02/2014)
2.	Nho, Shane J: 18 articles (11/2021 - 07/2011)
3.	Maldonado, David R: 15 articles (01/2022 - 01/2019)
4.	Lall, Ajay C: 14 articles (01/2022 - 01/2019)
5.	Tannast, Moritz: 14 articles (12/2021 - 12/2004)
6.	Philippon, Marc J: 13 articles (01/2022 - 09/2012)
7.	Clohisy, John C: 12 articles (01/2022 - 01/2005)
8.	Larson, Christopher M: 10 articles (03/2022 - 04/2009)
9.	Siebenrock, Klaus A: 10 articles (10/2019 - 12/2009)
10.	Zhang, Alan L: 9 articles (06/2022 - 03/2017)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Femoracetabular Impingement:

1.	Hyaluronic Acid (Hyaluronan)IBA 04/01/2014 - "Femoroacetabular impingement: is hyaluronic acid effective?" 08/01/2022 - "PRP Is Not Associated With Improved Outcomes Following Hip Femoroacetabular Impingement Surgery: Very Low-Quality Evidence Suggests Hyaluronic Acid and Cell-Based Therapies May Be Beneficial-A Systematic Review of Biological Treatments." 04/01/2014 - "Hyaluronic acid is safe and effective in the treatment of mild femoroacetabular impingement, with significant pain reduction and function improvement." 04/01/2021 - "Studies have demonstrated safety with minimal complications when using platelet rich plasma, hyaluronic acid, or stem cells to treat hip pain caused by osteoarthritis, femoroacetabular impingement syndrome, tendinopathy, or osteonecrosis of the femoral head. " 06/01/2020 - "To compare image quality of magnetic resonance arthrography (MRA) of the hip with intra-articular injection of high-viscosity hyaluronic acid (HA-MRA) versus Gd-based contrast agent (Gd-MRA) in patients with femoroacetabular impingement (FAI). "
2.	Capsules (Microcapsules)IBA 12/01/2023 - "Patient Outcomes Are Not Improved by Platelet-Rich Plasma Injection Onto the Capsule at the Time of Closure During Hip Arthroscopy for Femoroacetabular Impingement Syndrome." 12/01/2023 - "Based on the results of this study, intraoperative PRP injection onto the capsule at the time of capsular closure does not improve outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement syndrome. " 10/01/2023 - "The purpose of the study was the clinical evaluation of the capsular management with arthroscopic treatment of femoroacetabular impingement and labral tears by comparing the functional outcomes of closed versus open capsule. " 12/01/2018 - "The purpose of this study was to evaluate the magnetic resonance imaging (MRI) appearance of the hip capsule in patients with femoroacetabular impingement (FAI) undergoing hip arthroscopy with capsular repair versus non-repair. " 01/17/2018 - "The purpose of this study was to evaluate the magnetic resonance imaging (MRI) appearance of the hip capsule in patients with femoroacetabular impingement (FAI) who underwent simultaneous bilateral hip arthroscopy through an interportal capsulotomy with each hip randomized to undergo capsular repair or not undergo such a repair. "
3.	GadoliniumIBA 12/01/2021 - "Improved Cartilage Quality on Delayed Gadolinium-Enhanced MRI of Hip Cartilage after Subchondral Drilling of Acetabular Cartilage Flaps in Femoroacetabular Impingement Surgery at Minimum 5-Year Follow-Up." 01/01/2018 - "Association of Femoroacetabular Impingement and Delayed Gadolinium-Enhanced Magnetic Resonance Imaging of Cartilage: A Population-Based Study." 10/01/2010 - "This study outlines the feasibility of intra-articular delayed gadolinium-enhanced MRI of cartilage for assessment of cartilage changes in patients with femoroacetabular impingement. " 12/01/2009 - "The purpose of this study was to assess if delayed gadolinium MRI of cartilage using postcontrast T(1) (T(1Gd)) is sufficient for evaluating cartilage damage in femoroacetabular impingement without using noncontrast values (T(10)). " 10/01/2009 - "To study the three-dimensional (3D) T1 patterns in different types of femoroacetabular impingement (FAI) by utilizing delayed gadolinium-enhanced magnetic resonance imaging (MRI) of cartilage (dGEMRIC) and subsequent 3D T1 mapping. "
4.	sodium bisulfide (NaHS)IBA 07/01/2022 - "The purpose of this study was to determine and establish the MCID for the NAHS at 2 years in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). " 10/01/2021 - "The purpose of this study was to improve the interpretability of the Nonarthritic Hip Score (NAHS) by determining the minimal clinically important difference (MCID), patient acceptable symptomatic state (PASS), and substantial clinical benefit (SCB) after hip arthroscopy for femoroacetabular impingement. " 11/01/2012 - "We have shown satisfactory results using a validated hip scoring system, showing improvement in NAHS, pain scores, and satisfaction levels in a large cohort of patients with cam-type femoroacetabular impingement followed up for a mean of 46 months. " 01/01/2022 - "Patients were included if they received primary hip arthroscopy for labral tears in the setting of femoroacetabular impingement, had a WC claim, and had preoperative and minimum 5-year follow-up patient-reported outcomes ([PROs]; modified Harris Hip Score [mHHS], Non-Arthritic Hip Score [NAHS], Hip Outcome Score-Sports Specific Subscale [HOS-SSS], and visual analog scale [VAS] for pain). " 01/01/2021 - "Following hip arthroscopy in the context of femoroacetabular impingement syndrome and labral tear, the thresholds for achieving the MOI for the mHHS, NAHS, VAS for pain, and iHOT-12 were 54.8%, 52.5%, 55.5%, and 55.8% respectively. "
5.	Narcotics (Narcotic Analgesics)IBA 10/01/2022 - "Preoperative Pericapsular Nerve Group Block Results in Less Pain, Decreased Narcotic Use, and Quicker Discharge Time Than No Block in Patients Who Were Surgically Treated for Femoroacetabular Impingement Syndrome." 08/01/2021 - "The use of FIB resulted in lower pain scores, reduced recovery time and decreased early postoperative narcotic requirements for patients undergoing hip arthroscopy for femoroacetabular impingement. " 01/01/2021 - "To determine whether postoperative acetaminophen reduced narcotic consumption following hip arthroscopy for femoroacetabular impingement. " 02/01/2016 - "To evaluate the efficacy of intra-articular morphine in combination with clonidine on postoperative pain and narcotic consumption after hip arthroscopy surgery for femoroacetabular impingement. "
6.	SteroidsIBA 04/01/2013 - "Efficacy of Intra-articular Steroid Injection in Patients with Femoroacetabular Impingement." 10/02/2019 - "Femoroacetabular impingement can be treated non-operatively with physiotherapist-led conservative care including analgesia and intra-articular steroid injections. " 11/01/2016 - "We evaluated and compared the effectiveness of intra-articular injection of hip joint using hyaluronic acid and steroid in patients with femoroacetabular impingement (FAI). "
7.	Dihydrotachysterol (AT 10)IBA 01/01/2023 - "modified Harris Hip Score and Short Form-36 significantly improved within both groups from baseline to 10 years CONCLUSIONS: Arthroscopic correction of femoroacetabular impingement, in the presence of advanced OA results in 57% survivorship at 10 years (68% Tönnis 2, 25% Tönnis 3). " 01/01/2016 - "We present a case of a patient with chronic anterior knee pain (AKP) recalcitrant to conservative treatment who returned to our office for severe hip pain secondary to Cam femoroacetabular impingement (Cam FAI) at 10 months after the onset of knee pain. " 04/01/2015 - "Eighty percent of patients with surgical hip dislocation for femoroacetabular impingement have a good clinical result without osteoarthritis progression at 10 years."
8.	Prostaglandins AIBA 02/01/2020 - "We aimed to investigate the efficacy of preemptive analgesia of celecoxib on postoperative pain, patients' global assessment (PGA) and hip function recovery compared to postoperative analgesia of celecoxib in femoroacetabular impingement (FAI) patients who underwent hip arthroscopy surgery (HAS). "
9.	Morphine (MS Contin)FDA LinkGeneric 02/01/2016 - "To evaluate the efficacy of intra-articular morphine in combination with clonidine on postoperative pain and narcotic consumption after hip arthroscopy surgery for femoroacetabular impingement. "
10.	Clonidine (ST 155)FDA LinkGeneric 02/01/2016 - "To evaluate the efficacy of intra-articular morphine in combination with clonidine on postoperative pain and narcotic consumption after hip arthroscopy surgery for femoroacetabular impingement. "

Therapies and Procedures

1.	Therapeutics 01/01/2019 - "Critically appraised paper: Hip arthroscopy is more effective than personalised hip therapy for improving hip-related quality of life in patients with femoroacetabular impingement syndrome [commentary]." 01/01/2019 - "Critically appraised paper: Hip arthroscopy is more effective than personalised hip therapy for improving hip-related quality of life in patients with femoroacetabular impingement syndrome [synopsis]." 10/31/2023 - "Orthobiologics as an adjunct in treatment of femoroacetabular impingement syndrome: cell-based therapies facilitate improved postoperative outcomes in the setting of acetabular chondral lesions-a systematic review." 01/01/2022 - "Hip arthroscopy and personalised hip therapy both improved hip-related quality of life for patients with femoroacetabular impingement syndrome. " 01/01/2018 - "Hip arthroscopy and personalised hip therapy both improved hip-related quality of life for patients with femoroacetabular impingement syndrome. "
2.	Osteotomy 03/01/2007 - "Anterior and lateral subluxation can be improved by lateral rotation alone, which may reduce the severity of anterior femoroacetabular impingement after periacetabular osteotomy." 05/01/2016 - "The purposes of our study were (1) to determine the frequency with which clinically relevant femoroacetabular impingement (FAI) occurs after an innominate osteotomy for the treatment of acetabular dysplasia; (2) to determine risk factors for the development of FAI; and (3) to compare postoperative radiographic and clinical outcomes in patients having undergone an innominate osteotomy for the correction of acetabular dysplasia both with and without FAI. " 02/01/2003 - "This study was performed to evaluate whether symptomatic anterior femoro-acetabular impingement due to acetabular retroversion can be treated effectively with a periacetabular osteotomy. " 10/01/2023 - "Cross-sectional study; Level of evidence, 3. A total of 48 patients with DDH who underwent periacetabular osteotomy were compared with 48 sex-matched patients who underwent hip arthroscopy for femoroacetabular impingement (FAI) between July 2014 and February 2021. " 04/01/2023 - "The following keywords were used: (hip OR femoroacetabular impingement) AND (arthroscopy OR arthroscopic) AND (periacetabular osteotomy or rotational osteotomy) AND (outcomes OR follow-up). "
3.	Physical Therapy Modalities (Physical Therapy Technique) 01/01/2021 - "Our re-analysis, which employed the appropriate model, found that there is currently insufficient evidence to conclude that surgery is superior to physical therapy for femoroacetabular impingement (FAI) syndrome. " 11/01/2020 - "Both physical therapy (PT) and surgery are effective in treating femoroacetabular impingement (FAI), but their relative efficacy has not been well established until recently. " 01/01/2023 - "Although randomized controlled trials comparing hip arthroscopy with physical therapy for the treatment of femoroacetabular impingement (FAI) syndrome have emerged, no studies have investigated potential moderators or mediators of change in hip-related quality of life. " 01/01/2023 - "Moderators, Mediators, and Prognostic Indicators of Treatment With Hip Arthroscopy or Physical Therapy for Femoroacetabular Impingement Syndrome: Secondary Analyses From the Australian FASHIoN Trial." 01/01/2021 - "Surgical treatment of femoroacetabular impingement (FAI) syndrome has been proven to be tremendously successful, outperforming the best conservative care and physical therapy in several prospective multicenter randomized controlled trials. "
4.	Debridement 01/01/2013 - "Arthroscopic treatment of femoroacetabular impingement with labral repair in female patients resulted in superior improvement in hip functional outcomes compared with labral debridement. " 07/01/2015 - "With an improved understanding of the importance of the labrum, labral repair is replacing labral debridement as a component of hip arthroscopy for femoroacetabular impingement. " 07/01/2022 - "The aim of this study was to analyze the long-term clinical outcomes of labral reconstruction in patients undergoing femoro-acetabular impingement (FAI) surgery and compare them with labral repair and debridement. " 01/01/2013 - "The purpose of this prospective randomized study was to compare the outcomes of arthroscopic labral repair and selective labral debridement in female patients undergoing arthroscopy for the treatment of pincer-type or combined pincer- and cam-type femoroacetabular impingement. " 01/01/2013 - "Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study."
5.	Conservative Treatment 01/01/2019 - "To assess the efficacy of conservative management of women with femoroacetabular impingement (FAI) using trunk stabilization. " 08/01/2021 - "Only randomized controlled trials comparing arthroscopic hip surgery and conservative therapy were included in this meta-analysis of femoroacetabular impingement syndrome management. " 03/01/2021 - "Surgery is no more effective than conservative treatment for Femoroacetabular impingement syndrome: Systematic review and meta-analysis of randomized controlled trials." 01/01/2021 - "Answer letter for: "Now you see it - Now you don't: A letter to the editor concerning "Surgery is no more effective than conservative treatment for femoroacetabular impingement syndrome: Systematic review and meta-analysis of randomized controlled trials"." 01/01/2021 - "Now you see it - Now you don't: A letter to the editor concerning "Surgery is no more effective than conservative treatment for femoroacetabular impingement syndrome: Systematic review and meta-analysis of randomized controlled trials"."