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RESİMLERLE BİR KONU: FEMOROASETABULER İMPİNGEMENT

Year 2013, Volume: 14 Issue: 2, 43 - 49, 01.08.2013

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

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.
There are 37 citations in total.

Details

Other ID JA82TU66RR
Journal Section Collection
Authors

Zeliha Ünlü This is me

Şebnem Örgüç This is me

Aliye Tanyeli This is me

Esra Topçu This is me

Publication Date August 1, 2013
Published in Issue Year 2013 Volume: 14 Issue: 2

Cite

EndNote Ünlü Z, Örgüç Ş, Tanyeli A, Topçu E (August 1, 2013) Pictural Assay: Femoroacetabuler Impingement. Meandros Medical And Dental Journal 14 2 43–49.