Posterior Femoroacetabular Impingement Syndrome

Case Definition

It is a condition resulting from an abnormal shape in the hip joint, leading to abnormal friction between the femoral head and the acetabulum (the part of the pelvis that contains the femoral head). This chronic friction can gradually damage the cartilage or labrum over time, causing pain and limiting joint movement.

Types of FAI Syndrome:

  1. Cam Type: Abnormal prominence of the femoral head.
  2. Pincer Type: Increased depth of the acetabular socket.
  3. Mixed Type: Combination of Cam and Pincer types.

Symptoms:
• Pain in the thigh or hip, worsening with movement or prolonged sitting.
• Limited range of motion of the hip joint.
• Sensation of friction or “clicking” inside the joint.

Diagnosis Methods:

  1. Clinical Examination: To assess joint movement and locate the pain.
  2. X-ray: To detect bone deformities.
  3. MRI (Magnetic Resonance Imaging): To evaluate cartilage damage or labral tears.
  4. CT Scan: To provide detailed visualization of the joint structure.

Treatment Methods:

  1. Conservative (Non-surgical) Treatment:
    • Rest and modification of daily activities.
    • Physical therapy to improve flexibility and strengthen muscles.
    • Pain relievers and anti-inflammatory medications.
    • Joint injections (cortisone or PRP) to reduce inflammation.
  2. Surgical Treatment (if conservative treatment fails):
    Hip Arthroscopy: To remove abnormal bone growths and treat cartilage or labral tears.
    Joint reshaping: To improve hip movement and reduce friction.
    In advanced cases: Total hip replacement may be required.
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Frequently Asked Questions about Femoroacetabular Impingement (FAI) Syndrome

We fully understand the importance of having all the necessary information to make informed decisions about your health. So, we have gathered the most common questions about FAI syndrome and provided clear and reliable answers. We hope this section helps you gain a better understanding of the condition.

Yes, after the rehabilitation period, especially by following physical therapy and the doctor’s instructions.

From 6 to 12 weeks, and it may take longer depending on the severity of the condition and the type of procedure.

No, most cases improve with conservative treatment if diagnosed early.

No, it can also occur due to congenital deformities or repetitive stressful movements in daily life.

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