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FEMOROACETABULAR
IMPINGEMENT
K.VAMSI KRISHNA REDDY
21BPTR207
Definition:
• Femoro-acetabular impingement, also called as hip
impingement
• is a condition where the hip joint does not have a
normal shape.
• This causes the bones to painfully rub against each
other
• the head of femur and acetabulum of pelvis.
• Causing the hyaline cartilage of acetabulum and
the two articulating surfaces to get damaged.
Femoroacetabular impingement.pptx
• Without treatment, FAI can damage the cartilage that
provides cushioning in the hip.
• This damage can lead to arthritis, or painful joint
deterioration.
• Causes:
• The hip joint is a ball-and-socket joint that attaches the
femur to the pelvis
• People with FAI have an abnormality in the ball (top of the
femur) or the socket (groove in the hip bone).
• The abnormality causes friction during movement
and can damage the surrounding cartilage and
labrum (cartilage that lines the hip socket).
• The abnormalities associated with FAI are usually
present at birth. But they can develop later in life,
especially during the teenage years.
• Classification:
• CAM: This type results from a bony growth at the head of
the femur. In some cases, physical activity may cause this
growth to occur. [deformity on head of femur}
• PINCER: Caused by extra bone growth in the hip socket,
this growth often happens during a child’s development.
• [deformity in the acetabulum of pelvis]
Femoroacetabular impingement.pptx
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Femoroacetabular impingement.pptx

  • 2. Definition: • Femoro-acetabular impingement, also called as hip impingement • is a condition where the hip joint does not have a normal shape. • This causes the bones to painfully rub against each other • the head of femur and acetabulum of pelvis. • Causing the hyaline cartilage of acetabulum and the two articulating surfaces to get damaged.
  • 4. • Without treatment, FAI can damage the cartilage that provides cushioning in the hip. • This damage can lead to arthritis, or painful joint deterioration. • Causes: • The hip joint is a ball-and-socket joint that attaches the femur to the pelvis • People with FAI have an abnormality in the ball (top of the femur) or the socket (groove in the hip bone). • The abnormality causes friction during movement and can damage the surrounding cartilage and labrum (cartilage that lines the hip socket).
  • 5. • The abnormalities associated with FAI are usually present at birth. But they can develop later in life, especially during the teenage years. • Classification: • CAM: This type results from a bony growth at the head of the femur. In some cases, physical activity may cause this growth to occur. [deformity on head of femur} • PINCER: Caused by extra bone growth in the hip socket, this growth often happens during a child’s development. • [deformity in the acetabulum of pelvis]
  • 8. • Combined: Both the cam and pincer types of FAI are present. • [Both femoral head and acetabulum deformity] • Physically active individuals may experience pain from FAI earlier than people who are less active. • But in most cases, exercise does not cause FAI. • SIGNS AND SYMPTOMS: • Hip pain that worsens during physical activity or long periods of sitting • Difficulty while flexing the hip beyond a right angle • Hip stiffness • Trouble in climbing up stairs • Limping of the lower limb • A loss of balance • Development of HIP ARTHRITIS
  • 9. • Diagnosis: • Tests such as X-rays and MRIs helps to identify the abnormalities and signs of damage in the hip joint. • Impingement test: bring the subjects knee up to his chest and rotates it toward the opposite shoulder, if the subject has FAI he might feel high pain. • Individuals with simple femur head fracture or acetabular fracture may also feel the same kind of pain. A physical evaluation helps to assess the range of motion, muscle strength and the way the individual walk to determine if the hip joint work properly or not.
  • 12. • Treatment: • Corticosteroids: help in reducing the inflammation in and around the hip joint, can be given as injection form. • NSAIDs: reduces inflammation and is typically taken in pill form. [aspirin, diclofenac, etodolac, celecoxib, parecoxib] • REST: By limiting the activity, we can reduce the friction in the hip joint. • SURGERY: Arthroscopic hip surgery {minimal invasion} • Traditional hip surgery {large incision in open operation}
  • 14. • Prevention: • FAI cannot be prevented from coming but the progress of FAI from damaging the hip joint or if arthritis has come then try to delay the progress.
  • 15. Please don’t over think after reading this condition Thank you for reading! Signing off