Femoroacetabular Impingement in Pediatric Patients

Sheppard, Evan; Read, Connor; Wills, Brad W; Estes, A. Reed

doi:10.1542/pir.2017-0137

Cited by 5 publications

(1 citation statement)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pain is usually movement-related although it may sometimes be associated with static-positions such as long periods of sitting (26,89). Furthermore, clicking, loss of range of articular motion (especially in intra-rotation) stiffness, sensitivity or giving-way may be referred with a FAI syndrome clinical framework (3,(90)(91)(92). Since internal rotation of the hip is usually limited in the FAI-syndrome (3,22) the muscles around the hip joint are frequently weak (93).…”

Section: Discussionmentioning

confidence: 99%

The Italian Consensus Conference on FAI Syndrome in Athletes (Cotignola Agreement)

Zini¹,

Panascì²,

Santori³

et al. 2023

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Background. Femoro-acetabular impingement (FAI) is an important topic in literature because of its strong relationship with sport populations. Methods. Sixty-five experts participated in "this Consensus Conference (CC)". They discussed, voted and approved a consensus document on the FAI syndrome in athletes. Results. The CC experts approved document provided suggestions concerning: 1) Epidemiology of FAI; 2) Clinical evaluation; 3) Radiological evaluation; 4) Conservative treatment; 5) Surgical criteria; 6) Surgical techniques; 7) Post-surgical rehabilitation; 8) Outcome evaluation; 9) FAI-associated clinical frameworks. Conclusions. The CC offers a multidisciplinary approach to the diagnosis and treatment of FAI syndrome in athletes taking into account all the different steps needed to approach this pathology in sport populations.

show abstract

Section: Discussionmentioning

confidence: 99%

The Italian Consensus Conference on FAI Syndrome in Athletes (Cotignola Agreement)

Zini¹,

Panascì²,

Santori³

et al. 2023

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

Outcomes in Pediatric Hip FAI Surgery: a Scoping Review

Alvandi

Dayton

Hartwell

et al. 2022

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

A Unique and Characteristic Cam FAI Morphology in Young Patients with Comorbid Inflammatory Conditions

Seth

Yen

Tourn

et al. 2020

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

Background: The relationship between femoroacetabular impingement (FAI) and inflammatory medical comorbidities has not been established in the pediatric population. The purpose of this study was to investigate the prevalence of inflammatory conditions in pediatric patients with FAI and the morphology of the associated deformity. Methods: We performed a retrospective cohort study of 90 patients who were diagnosed with FAI in our institution’s adolescent hip clinic from January 2016 to March 2018. Patients with an inflammatory comorbidity were identified. Standard quantitative radiographic FAI measurements as well as qualitative femoral head-neck junction morphology were analyzed. Results: Eight patients (8.9%) with 11 symptomatic hips were found to have an inflammatory condition. These 8 patients all had cam deformities. Nine of the symptomatic hips in this subset of patients had a negative femoral offset, where the cam deformity extended beyond the anterior margin of the femoral head. Qualitative assessment revealed a unique head-neck morphology with a prominent and “sharp-edged” bump at the head-neck junction, which resembled an inflammatory beak. In comparing patients with and without inflammatory comorbidities, a marked difference was found for alpha angles (difference, 26.6°; 95% confidence interval [CI], 18.2° to 35.0°) but not for age at diagnosis (difference, 0.5 years; 95% CI, −0.8 to 1.6 years) or the lateral center-edge angle (difference, 1.9°; 95% CI, −3.9° to 7.7°). Conclusions: At our institution, 8.9% of pediatric patients with FAI were found to have an inflammatory comorbidity. These patients presented with a characteristic prominent “sharp-edged” head-neck morphology that standard radiographic measurements captured as a negative femoral offset and a larger alpha angle than was seen in patients without systemic inflammatory disease. Awareness of the characteristic cam deformity that was found in these patients may help to identify patients with undiagnosed inflammatory conditions. This unique deformity also raises questions regarding the possible role of physeal inflammation in the development of cam deformities and indicates a need for additional studies to investigate the relationship between systemic inflammatory diseases and FAI. Level of Evidence: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

show abstract

Femoroacetabular Impingement in Pediatric Patients

Cited by 5 publications

References 39 publications

The Italian Consensus Conference on FAI Syndrome in Athletes (Cotignola Agreement)

The Italian Consensus Conference on FAI Syndrome in Athletes (Cotignola Agreement)

Outcomes in Pediatric Hip FAI Surgery: a Scoping Review

A Unique and Characteristic Cam FAI Morphology in Young Patients with Comorbid Inflammatory Conditions

Contact Info

Product

Resources

About