Descriptive Epidemiology of Symptomatic Femoroacetabular Impingement in Young Athlete: Single Center Study

Abstract

PurposeThe purpose of this study was to determine the prevalence of symptomatic femoroacetabular impingement (FAI) in athletic patients.Materials and MethodsFrom July 2003 to May 2013, 388 patients (422 hips) who underwent arthroscopic surgery for FAI were evaluated demographic characteristics. The patients' age, gender, diagnosis, and type of sports were analyzed using medical records and radiography.ResultsAmong 422 hips in 388 patients, 156 hips were involved with sports. Among the 156 hips, 86, 43, and 27 hips were categorized as cam, pincer, and mixed type, respectively. Types of sports were soccer, baseball and taekwondo which showed 44, 36 and 35 hips, respectively. Also, cases related to sports according to age were 63 hips for twenties and 12 hips for teenagers in which the two showed highest association to FAI. The kinds of sports that showed high association were 28 hips of soccer and 20 cases of martial arts such as taekwondo and judo for twenties and 9 hips of martial arts for teenagers which was the highest.ConclusionFAI usually occurs in young adults and is highly related to sports activity. Most of the FAI type related to sports activity was cam type, and soccer and martial arts such as taekwondo were the most common cause of it.

Historical analysis of the diagnosis and management of femoroacetabular impingement prior to the year 2000: a systematic review

“…Pediatric hip disorders, high-impact athletic activities and genetic factors have all been proposed as possible mechanisms for the development of FAI [ 2 , 3 ]. The prevalence of FAI is roughly 10–15% in the general adult population, with children that participate in high-intensity sports being ten times more likely to develop cam deformity than age-matched counterparts [ 4 ]. The prevalence of symptomatic athletes is 55%, much greater than the general adult population [ 4 ].…”

“…The prevalence of FAI is roughly 10–15% in the general adult population, with children that participate in high-intensity sports being ten times more likely to develop cam deformity than age-matched counterparts [ 4 ]. The prevalence of symptomatic athletes is 55%, much greater than the general adult population [ 4 ].…”

“…Additionally, magnetic resonance arthrography (MRA) is recommended to evaluate the labrum to verify the presence of FAI [ 7 ]. Non-operative and surgical options exist for treatment of FAI [ 4 ]. Non-operative management includes activity modification, physical therapy and pain medication [ 4 ].…”

“…Non-operative and surgical options exist for treatment of FAI [ 4 ]. Non-operative management includes activity modification, physical therapy and pain medication [ 4 ]. If non-operative techniques fail, a number of hip preservation techniques exist to relieve symptoms of pain, improve function and decrease risk/progression of hip OA [ 4 ].…”

“…Non-operative management includes activity modification, physical therapy and pain medication [ 4 ]. If non-operative techniques fail, a number of hip preservation techniques exist to relieve symptoms of pain, improve function and decrease risk/progression of hip OA [ 4 ]. These include open surgical hip dislocation, reverse periacetabular osteotomy, mini-open direct anterior approach and hip arthroscopy [ 4 ].…”