Radiological variables associated with progression of femoroacetabular impingement of the hip: A systematic review

Published on Mar 1, 2015in Journal of Science and Medicine in Sport4.319
· DOI :10.1016/J.JSAMS.2014.03.004
Alexis A. Wright20
Estimated H-index: 20
(RMIT: RMIT University),
Garrett S. Naze1
Estimated H-index: 1
(Carroll University)
+ 3 AuthorsEric J. Hegedus27
Estimated H-index: 27
(RMIT: RMIT University)
Sources
Abstract
Abstract Objectives Femoroacetabular impingement is gaining increased recognition as a cause of hip dysfunction. Of great concern is its potential association with labral tears and osteoarthritis. This systematic review examines the evidence regarding radiographic variables associated with the progression of femoroacetabular impingement. Design Systematic review. Methods Articles were selected following a comprehensive search of PubMed, CINAHL, SportDiscus, Embase, and Medline databases from database inception through October 2012. Inclusion criteria involved (1) estimates of the association between prognostic variables and progression of femoroacetabular impingement, (2) prospective or retrospective design, (3) patients diagnosed with femoroacetabular impingement based on established criteria, (4) the outcome of interest was radiologic and/or clinical progression of femoroacetabular impingement, and (5) access to the full text. Two independent reviewers assessed the methodological quality of each study and the association between prognostic variables and femoroacetabular impingement progression. Results Thirteen articles met the inclusion criteria; nine were considered to be of high quality. Moderate evidence of progression of femoroacetabular impingement to labral pathology was associated with increased alpha angle. Moderate evidence for their lack of association with progression of FAI was associated with alpha angle with respect to development of osteoarthritis, acetabular index, center edge angle, coxa profunda, coxa vara, and pistol grip deformity. Conclusions There is moderate evidence that increased alpha angle at baseline is associated with progression of femoroacetabular impingement to labral tear. Moderate evidence suggests a lack of association between other radiographic variables and progression of femoroacetabular impingement.
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References41
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Summary Objectives Femoroacetabular impingement is proposed to cause early osteoarthritis (OA) in the non-dysplastic hip. We previously reported on the prevalence of femoral deformities in a young asymptomatic male population. The aim of this study was to determine the prevalence of both femoral and acetabular types of impingement in young females. Methods We conducted a population-based cross-sectional study of asymptomatic young females. All participants completed a set of questionnaires and u...
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Background The anterior impingement test is intended to detect anterosuperior acetabular labral lesions. In patients treated for labral lesions its sensitivity is reportedly 95% to 100%, and in a small group of patients undergoing periacetabular osteotomy, its sensitivity was 59% and specificity 100%. However, the sensitivity, specificity, positive predictive value, and negative predict value of this test to detect these labral lesions in unselected patients with hip pain are unknown.
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#2Anne F. Mannion (UZH: University of Zurich)H-Index: 52
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Summary Objective To evaluate the proportion of "successes" after surgery for femoroacetabular impingement (FAI) using different external criteria, "feeling better" and "feeling good", and to determine the corresponding cut-off scores indicating "success" for the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) (0–10-point response scale), Oxford Hip Score (OHS) and EuroQoL-5D (EQ-5D and EQ-VAS). Design Prospective, observational study based in an orthopaedic hospital. Nine...
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Purpose Femoroacetabular impingement (FAI) and labral pathology have been recognized as causative factors for hip pain. The clinical diagnosis is now based on MRI-A (magnetic resonance imaging-arthrogram) because the physical diagnostic tests available are diverse and information on diagnostic accuracy and validity is lacking. The purpose of this systematic review was to identify the diagnostic accuracy and validity of physical tests that are used to assess FAI and labral pathology of the hip jo...
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#2Julie M. O'Brien (UBC: University of British Columbia)H-Index: 7
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Femoroacetabular impingement (FAI) has been suggested as a major cause of primary hip osteoarthritis (PHOA). We assessed the prevalence of FAI detected radiographically in a cohort that underwent total hip replacement (THR) for PHOA. Two radiologists independently assessed the retrospective preoperative radiographs (AP pelvis and lateral) of 82 subjects <55 years of age scheduled for THR. Subjects were categorized as: definite FAI, no FAI, and not possible to exclude FAI. Definite FAI was presen...
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Abstract Anterior femoroacetabular impingement can cause early hip osteoarthritis. The typical patient is an adult younger than 50 years of age, often with a history of sporting activities. The main symptom is intermittent pain triggered by static flexion (low seats) or dynamic flexion (during sporting or occupational activities that require repeated hip flexion). The characteristic physical finding is pain triggered by placing the hip in internal rotation and 70 to 110° of flexion. In additiona...
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Background Currently, plain radiographs and MRI are the standard imaging modalities used for diagnosing femoroacetabular impingement (FAI) and preoperative planning for arthroscopic treatment of FAI. The value of three-dimensional (3D) CT for these purposes is unclear.
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Background: Radiographic features specifically related to the occurrence of femoroacetabular impingement (FAI) appear to be highly prevalent in the asymptomatic population. It remains unclear, however, how these incidental findings should be interpreted clinically and which other variables might differentiate between true incidental findings and preclinical patients.Purpose: To study the association between cam and overall hip morphological characteristics and range of motion in impingement pati...
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Background The impact of hip arthroscopy on health-related quality of life (HRQoL) among younger patients with symptomatic femoroacetabular impingement (FAI) is unknown, but with increasing recognition of the condition there is likely to be increasing demand for arthroscopy.
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#1Nicholas J. Murphy (Kolling Institute of Medical Research)H-Index: 3
#2Laura E. Diamond (Griffith University)H-Index: 14
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Background:Bony morphology is central to the pathomechanism of femoroacetabular impingement syndrome (FAIS), however isolated radiographic measures poorly predict symptom onset and severity. More c...
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Summary Objective To compare early hip osteoarthritis (OA) features on magnetic resonance imaging (MRI) in high-impact athletes with and without hip and/or groin pain, and to evaluate associations between early hip OA features, the International Hip Outcome Tool (iHOT33) and Copenhagen Hip and Groin Outcome Score (HAGOS). Design A cross-sectional analysis evaluated data of the femoroacetabular impingement and hip osteoarthritis cohort (FORCe). One hundred and eighty-two symptomatic (hip and/or g...
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#2Samuel Pike (U of S: University of Saskatchewan)
Last. David A. Leswick (U of S: University of Saskatchewan)H-Index: 9
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Objective Femoral epiphyseal spurs are developmental projections that form at the edge of the physis. Although considered incidental, their association with acetabular labral tears has never been examined. Our aim was to assess the prevalence of femoral epiphyseal spurs in symptomatic patients with mechanical hip pain and explore if they are associated with labral tears on MRI. Materials and methods Hip MRI scans performed on a Siemens 3 T MRI using femoroacetabular impingement protocol were ret...
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#1Joanne L. Kemp (La Trobe University)H-Index: 22
#2Nina ØsteråsH-Index: 17
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BACKGROUND The primary aim of this study was to determine the prevalence of cam morphology in a cohort of people aged 40-55 years. Secondary aims were to: (1) determine differences in participant characteristics, physical impairments, radiographic and ultrasound appearances of people with and without cam morphology; and (2) explore associations between cam morphology and radiographic measures of hip osteoarthritis (OA). METHODS 107 people (68% women; 49 ± 4 years) from the Musculoskeletal pain i...
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Objective This paper aims to compare clinical and radiographic features of symptomatic and asymptomatic hips in patients with unilateral femoroacetabular impingement syndrome (FAIS) and to establish a correlation between these findings. Methods This is a retrospective study, based on medical records of patients diagnosed with FAIS between January 2014 and April 2017. The patients were assessed clinically as per the International Hip Outcome Tool 33 (iHOT33) questionnaire, visual analogue pain sc...
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#1T. Sean Lynch (CUMC: Columbia University Medical Center)H-Index: 21
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#1Cesar Garriga (University of Oxford)H-Index: 10
#2Maria T Sanchez-Santos (University of Oxford)H-Index: 12
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OBJECTIVE: Develop and internally validate risk models and a clinical risk score tool to predict incident radiographic knee osteoarthritis (RKOA) in middle-aged women. METHODS: We analysed 649 women in the Chingford 1000 Women study. The outcome was incident RKOA, defined as Kellgren/Lawrence grade 0-1 at baseline and ≥2 at year 5. We estimated predictors' effects on the outcome using logistic regression models. Two models were generated. The clinical model considered patient characteristics, me...
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#1Sarah Mottram (RMIT: RMIT University)H-Index: 2
#2Martin WarnerH-Index: 15
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Athletes with femoroacetabular impingement syndrome (FAIS) managed arthroscopically do not always return to sport. Inability to control back/pelvis, hip and lower limb movements may contribute to the onset and recurrence of symptoms. Our hypothesis is that results from a battery of cognitive movement control tests can inform a cognitive movement control (neuromuscular) retraining programme for improving the clinical presentation and quality of life in an athlete with FAIS. This case report prese...
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Die bildbasierte praoperative Planung ist mittlerweile fester Bestandteil vor Operationen am muskuloskelettalen System und im Falle von endoprothetischen Eingriffen obligat. Zunehmend gibt es Ansatze, zusatzliche computerbasierte kinematische Untersuchungen durchzufuhren und hierbei auch dynamische Bildanalysen zu generieren. Der Artikel beschreibt verschiedene dieser neuen Untersuchungstechniken und zeigt ihre klinische Relevanz auf.
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