RESİMLERLE BİR KONU: FEMOROASETABULER İMPİNGEMENT
Year 2013,
Volume: 14 Issue: 2, 43 - 49, 01.08.2013
Zeliha Ünlü
Şebnem Örgüç
Aliye Tanyeli
Esra Topçu
Abstract
Bu derleme yazısında son yıllarda kalça ağrılarının etyolojisinde sıklıkla vurgulanan Femoroasetabular impingement (FAİ) sendromuna dair son literatür bilgileri tartışılmıştır. Klinik pratikte oldukça atlanan bu konu, klinik ve radyolojik açıdan ele alınmış; tedavi yaklaşımları gözden geçirilmiştir. FAİ sendromu ile ilgili fiziksel tıp ve rehabilitasyon alanında yapılan çalışmalar oldukça yetersizdir. Kalça osteoartriti gelişiminde hatırı sayılır bir yeri olan bu sendroma karşı farkındalığın artması ile bir çok hasta erken tedavi imkanı bulacak ve hastaların yaşam kalitesi artacaktır. Bu nedenle bu konuda daha fazla klinik ve radyolojik çalışmaya ihtiyaç vardır. Bu çalışmalar ışığında ortaya çıkacak yeni tanı ve tedavi algoritmaları ile ağrı yakınmaları karşılıksız kalan bir çok hasta da şifa bulabileceklerdir
References
- 1. Beck M, Kalhor M, Leunig M, Ganz R. Hip
morphology influences the pattern of damage to the
acetabular cartilage: femoroacetabular impingement as
a cause of early osteoarthritis of the hip. J Bone Joint
Surg Br 2005;87:1012-8.
- 2. Clohisy JC, Knaus ER, Hunt DM, Lesher JM, HarrisHayes
M, Prather H. Clinical presentation of patients
with symptomatic anterior hip impingement. Clin
Orthop Relat Res 2009;467:638-44.
- 3. Ito K, Minka MA 2nd, Leunig M, Werlen S, Ganz R.
Femoroacetabular impingement and the cam-effect. A
MRI-based quantitative anatomical study of the
femoral head-neck offset. J Bone Joint Surg Br
2001;83:171-6.
- 4. Ecker TM, Tannast M, Puls M, Siebenrock KA,
Murphy SB. Pathomorphologic alterations predict
presence or absence of hip osteoarthrosis. Clin Orthop
Relat Res 2007;465:46-52.
- 5. Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The
etiology of osteoarthritis of the hip: an integrated
mechanical concept. Clin Orthop Relat Res
2008;466:264-72.
- 6. Hack K, Di Primio G, Rakhra K, Beaulé PE. Prevalence
of cam-type femoroacetabular impingement
morphology in asymptomatic volunteers. J Bone Joint
Surg Am 2010;92:2436-44.
- 7. Kang AC, Gooding AJ, Coates MH, Goh TD, Armour P,
Rietveld J. Computed tomography assessment of hip
joints in asymptomatic individuals in relation to
femoroacetabular impingement. Am J Sports Med
2010;38:1160-5.
- 8. Toogood PA, Skalak A, Cooperman DR. Proximal
femoral anatomy in the normal human population. Clin
Orthop Relat Res 2009;467:876-85.
- 9. Ochoa LM, Dawson L, Patzkowski JC, Hsu JR.
Radiographic prevalence of femoroacetabular
impingement in a young population with hip
complaints is high. Clin Orthop Relat Res
2010;468:2710-4.
- 10. Allen D, Beaulé PE, Ramadan O, Doucette S.
Prevalence of associated deformities and hip pain in
patients with camtype femoroacetabular impingement.
J Bone Joint Surg Br 2009;91:589-94.
- 11. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz
R. Anterior femoroacetabular impingement: part II.
Midterm results of surgical treatment. Clin Orthop
Relat Res 2004;418:67-73.
- 12. Lavigne M, Parvizi J, Beck M, Siebenrock KA, Ganz
R, Leunig M. Anterior femoroacetabular impingement:
part I. Techniques of joint preserving surgery. Clin
Orthop Relat Res 2004;418:61-6.
- 13. Murphy S, Tannast M, Kim YJ, Buly R, Millis MB.
Debridement of the adult hip for femoroacetabular
impingement: indications and preliminary clinical
results. Clin Orthop Relat Res 2004;429:178-81.
- 14. Cavaignac E, Chiron P, Espié A, Reina N, Lepage B,
Laffosse JM. Experimental study of an original
radiographic view for diagnosis of cam type anterior
femoroacetabular impingement. Int Orthop
2012;36(9):1783-8.
- 15. Filigenzi JM, Bredella MA. MR imaging of
femoroacetabular impingement. Applied Radiology
2008;37(4):12-9.
- 16. Burnett RS. Della Rocca GJ. Prather H. Curry M.
Maloney WJ. Clohisy JC. Clinical presentation of
patients with tears of the acetabular labrum. J Bone
Joint Surg Am 2006;88(7):1448-57.
- 17. Ganz R. Parvizi J. Beck M. Leunig M. Notzli H.
Siebenrock KA. Femoroacetabular impingement: a
cause for osteoarthritis of the hip. Clin Orthop Relat
Res 2003;417:112-20.
- 18. Wenger DE. Kendell KR. Miner MR. Trousdale RT.
Acetabular labral tears rarely occur in the absence of
bony abnormalities. Clin Orthop Relat Res
2004;426:145-50.
- 19. Trousdale RT. Acetabular osteotomy: indications and
results. Clin Orthop Relat Res 2004;429:182-7.
- 20. Garbuz DS. Masri BA. Haddad F. Duncan CP. Clinical
and radiographic assessment of the young adult with
symptomatic hip dysplasia. Clin Orthop Relat Res
2004;418:18-22.
- 21. Sanchez-Sotelo J, Trousdale RT, Berry DJ, Cabanela
ME. Surgical Treatment of DDH in Adults: I NonArthroplasty
Options and II Arthroplasty Options
JAAOS 2002;10(5):321-44.
- 22. Kim YT, Azuma H. The nerve endings of the acetabular
rim. Clin Orthop 1995; 320:176-81.
- 23. Klaue K, Durnin CW, Ganz R. The acetabular rim
syndrome: a clinical presentation of dysplasia of the
hip. J Bone Joint Surg Br 1991;73:423-9.
- 24. Audenaert EA, Baelde N, Pattyn C. Hip morphological
characteristics and range of internal rotation in
femoroacetabular impingement. Am J Sports Med
2012;40(6):1329-36.
- 25. Fraitzl C. R. Et al. Femoral head-neck offset
measurements in 339 subjects: distribution and
implications for femoroacetabular impingement. Knee
Surg Sports Traumatol Arthrosc 2012;167:2042-2.
- 26. Myers SR, Eijer H, Ganz R. Anterior femoroacetabular
impingement after periacetabular osteotomy. Clin
Orthop 1999;363:93-9.
- 27. Tonnis D, Heinecke A. Acetabular and femoral
anteversion: relationship with osteoarthritis of the hip. J
Bone Joint Surg Am 1999; 81:1747-70.
- 28. Goodman DA, Feighan JE, Smith AD, Latimer B, Buly
RL, Cooperman DR. Subclinical slipped capital
femoral epiphysis. J Bone Joint Surg Am 1997;
79:1489-97.
- 29. Leunig M, Beck M, Woo A, Dora C, Kerboull M, Ganz
R. Acetabular rim degeneration: a constant finding in
the aged hip. Clin Orthop 2003; 413:201-7.
- 30. Eijer H, Myers SR, Ganz R. Anterior femoroacetabular
impingement after femoral neck fractures. J Orthop Trauma 2001;15:475-81.
- 31. Lung R, O'Brien J, Grebenyuk J, Forster BB, De Vera
M, Kopec J, Ratzlaff C, Garbuz D, Prlic H, Esdaile JM.
The prevalence of radiographic femoroacetabular
impingement in younger individuals undergoing total
hip replacement for osteoarthritis. Clin Rheumatol
2012;31(8):1239-42
- 32. 32, Beall DP, Sweet CF, Martin HD, Lastine CL,
Grayson DE, Ly JQ, Fish JR. Imaging findings of
femoroacetabular impingement syndrome. Skeletal
Radiol 2005;34:691-701
- 33. 33. Sienbrock KA, Schoeniger R, Ganz R, Anterio
femoroasetabular impingement due to asetabular
retroversion. J Boint Surg Br 2003;85:278-86
- 34. Leuning M, Werlen S,Ungersbock A, Ito K, Ganz R.
Evaluation of the asetabular labrum by MR artrography
J Boint Surg Br 1997;79:230-4
- 35. Wagner S, Hofstettter W, Chiquet M, Mainil-Varlet P,
Stauffer E, Ganz R, Sienbrock KA. Early
osteoartrhritic changes of human femoral head
cartilage subsequent to femoroasetabular
impingement. Osteoarthritis Cartilage 2003;11:508-18
- 36. Notzli HP, Wyss TF, Stoecklin CH, Schmid MR,
Treiberg K, Hodler J. The contour of femoral head-neck
junction as a predictor fort he risk of anterior
impingement. J Boint Surg Br 2002;84:556-60.
- 37. Ayeni OR, Wong I, Chien T, Musahl V, Kelly BT,
Bhandari M. Surgical indications for arthroscopic
management of femoroacetabular impingement.
Arthroscopy 2012;28(8):1170-9.
Pictural Assay: Femoroacetabuler Impingement
Year 2013,
Volume: 14 Issue: 2, 43 - 49, 01.08.2013
Zeliha Ünlü
Şebnem Örgüç
Aliye Tanyeli
Esra Topçu
Abstract
In this pictural assay, the femoroasetabular impingement (FAI) syndrome that emphasized in the etiology of hip pain was discussed with the light of recent literatures. This topic that was usually skipped in clinical practice was examined with clinical and radiological aspects and treatment approaches were discussed. Studies related to FAI syndrome are very limited in the field of physical medicine and rehabilitation. In clinical practice with the consideration of this syndrome which has place in the etiology of hip osteoarthritis; early treatment of many patients could be possible, and patients' quality of life would increased. Therefore, further clinical and radiological studies are required about this issue. In the light of these studies new diagnostic and therapeutic algorithms will be revealed and in many patients who complaints of pain remaining insoluble would able to find cure.
References
- 1. Beck M, Kalhor M, Leunig M, Ganz R. Hip
morphology influences the pattern of damage to the
acetabular cartilage: femoroacetabular impingement as
a cause of early osteoarthritis of the hip. J Bone Joint
Surg Br 2005;87:1012-8.
- 2. Clohisy JC, Knaus ER, Hunt DM, Lesher JM, HarrisHayes
M, Prather H. Clinical presentation of patients
with symptomatic anterior hip impingement. Clin
Orthop Relat Res 2009;467:638-44.
- 3. Ito K, Minka MA 2nd, Leunig M, Werlen S, Ganz R.
Femoroacetabular impingement and the cam-effect. A
MRI-based quantitative anatomical study of the
femoral head-neck offset. J Bone Joint Surg Br
2001;83:171-6.
- 4. Ecker TM, Tannast M, Puls M, Siebenrock KA,
Murphy SB. Pathomorphologic alterations predict
presence or absence of hip osteoarthrosis. Clin Orthop
Relat Res 2007;465:46-52.
- 5. Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The
etiology of osteoarthritis of the hip: an integrated
mechanical concept. Clin Orthop Relat Res
2008;466:264-72.
- 6. Hack K, Di Primio G, Rakhra K, Beaulé PE. Prevalence
of cam-type femoroacetabular impingement
morphology in asymptomatic volunteers. J Bone Joint
Surg Am 2010;92:2436-44.
- 7. Kang AC, Gooding AJ, Coates MH, Goh TD, Armour P,
Rietveld J. Computed tomography assessment of hip
joints in asymptomatic individuals in relation to
femoroacetabular impingement. Am J Sports Med
2010;38:1160-5.
- 8. Toogood PA, Skalak A, Cooperman DR. Proximal
femoral anatomy in the normal human population. Clin
Orthop Relat Res 2009;467:876-85.
- 9. Ochoa LM, Dawson L, Patzkowski JC, Hsu JR.
Radiographic prevalence of femoroacetabular
impingement in a young population with hip
complaints is high. Clin Orthop Relat Res
2010;468:2710-4.
- 10. Allen D, Beaulé PE, Ramadan O, Doucette S.
Prevalence of associated deformities and hip pain in
patients with camtype femoroacetabular impingement.
J Bone Joint Surg Br 2009;91:589-94.
- 11. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz
R. Anterior femoroacetabular impingement: part II.
Midterm results of surgical treatment. Clin Orthop
Relat Res 2004;418:67-73.
- 12. Lavigne M, Parvizi J, Beck M, Siebenrock KA, Ganz
R, Leunig M. Anterior femoroacetabular impingement:
part I. Techniques of joint preserving surgery. Clin
Orthop Relat Res 2004;418:61-6.
- 13. Murphy S, Tannast M, Kim YJ, Buly R, Millis MB.
Debridement of the adult hip for femoroacetabular
impingement: indications and preliminary clinical
results. Clin Orthop Relat Res 2004;429:178-81.
- 14. Cavaignac E, Chiron P, Espié A, Reina N, Lepage B,
Laffosse JM. Experimental study of an original
radiographic view for diagnosis of cam type anterior
femoroacetabular impingement. Int Orthop
2012;36(9):1783-8.
- 15. Filigenzi JM, Bredella MA. MR imaging of
femoroacetabular impingement. Applied Radiology
2008;37(4):12-9.
- 16. Burnett RS. Della Rocca GJ. Prather H. Curry M.
Maloney WJ. Clohisy JC. Clinical presentation of
patients with tears of the acetabular labrum. J Bone
Joint Surg Am 2006;88(7):1448-57.
- 17. Ganz R. Parvizi J. Beck M. Leunig M. Notzli H.
Siebenrock KA. Femoroacetabular impingement: a
cause for osteoarthritis of the hip. Clin Orthop Relat
Res 2003;417:112-20.
- 18. Wenger DE. Kendell KR. Miner MR. Trousdale RT.
Acetabular labral tears rarely occur in the absence of
bony abnormalities. Clin Orthop Relat Res
2004;426:145-50.
- 19. Trousdale RT. Acetabular osteotomy: indications and
results. Clin Orthop Relat Res 2004;429:182-7.
- 20. Garbuz DS. Masri BA. Haddad F. Duncan CP. Clinical
and radiographic assessment of the young adult with
symptomatic hip dysplasia. Clin Orthop Relat Res
2004;418:18-22.
- 21. Sanchez-Sotelo J, Trousdale RT, Berry DJ, Cabanela
ME. Surgical Treatment of DDH in Adults: I NonArthroplasty
Options and II Arthroplasty Options
JAAOS 2002;10(5):321-44.
- 22. Kim YT, Azuma H. The nerve endings of the acetabular
rim. Clin Orthop 1995; 320:176-81.
- 23. Klaue K, Durnin CW, Ganz R. The acetabular rim
syndrome: a clinical presentation of dysplasia of the
hip. J Bone Joint Surg Br 1991;73:423-9.
- 24. Audenaert EA, Baelde N, Pattyn C. Hip morphological
characteristics and range of internal rotation in
femoroacetabular impingement. Am J Sports Med
2012;40(6):1329-36.
- 25. Fraitzl C. R. Et al. Femoral head-neck offset
measurements in 339 subjects: distribution and
implications for femoroacetabular impingement. Knee
Surg Sports Traumatol Arthrosc 2012;167:2042-2.
- 26. Myers SR, Eijer H, Ganz R. Anterior femoroacetabular
impingement after periacetabular osteotomy. Clin
Orthop 1999;363:93-9.
- 27. Tonnis D, Heinecke A. Acetabular and femoral
anteversion: relationship with osteoarthritis of the hip. J
Bone Joint Surg Am 1999; 81:1747-70.
- 28. Goodman DA, Feighan JE, Smith AD, Latimer B, Buly
RL, Cooperman DR. Subclinical slipped capital
femoral epiphysis. J Bone Joint Surg Am 1997;
79:1489-97.
- 29. Leunig M, Beck M, Woo A, Dora C, Kerboull M, Ganz
R. Acetabular rim degeneration: a constant finding in
the aged hip. Clin Orthop 2003; 413:201-7.
- 30. Eijer H, Myers SR, Ganz R. Anterior femoroacetabular
impingement after femoral neck fractures. J Orthop Trauma 2001;15:475-81.
- 31. Lung R, O'Brien J, Grebenyuk J, Forster BB, De Vera
M, Kopec J, Ratzlaff C, Garbuz D, Prlic H, Esdaile JM.
The prevalence of radiographic femoroacetabular
impingement in younger individuals undergoing total
hip replacement for osteoarthritis. Clin Rheumatol
2012;31(8):1239-42
- 32. 32, Beall DP, Sweet CF, Martin HD, Lastine CL,
Grayson DE, Ly JQ, Fish JR. Imaging findings of
femoroacetabular impingement syndrome. Skeletal
Radiol 2005;34:691-701
- 33. 33. Sienbrock KA, Schoeniger R, Ganz R, Anterio
femoroasetabular impingement due to asetabular
retroversion. J Boint Surg Br 2003;85:278-86
- 34. Leuning M, Werlen S,Ungersbock A, Ito K, Ganz R.
Evaluation of the asetabular labrum by MR artrography
J Boint Surg Br 1997;79:230-4
- 35. Wagner S, Hofstettter W, Chiquet M, Mainil-Varlet P,
Stauffer E, Ganz R, Sienbrock KA. Early
osteoartrhritic changes of human femoral head
cartilage subsequent to femoroasetabular
impingement. Osteoarthritis Cartilage 2003;11:508-18
- 36. Notzli HP, Wyss TF, Stoecklin CH, Schmid MR,
Treiberg K, Hodler J. The contour of femoral head-neck
junction as a predictor fort he risk of anterior
impingement. J Boint Surg Br 2002;84:556-60.
- 37. Ayeni OR, Wong I, Chien T, Musahl V, Kelly BT,
Bhandari M. Surgical indications for arthroscopic
management of femoroacetabular impingement.
Arthroscopy 2012;28(8):1170-9.