What is femoral acetabular impingement?

Femoroacetabular impingement (FAI) is a condition that affects the hip joint, specifically the junction between the femoral head (the ball-shaped top of the thigh bone) and the acetabulum (the socket in the pelvic bone). This condition occurs when there is an abnormality in the shape of either the femoral head, acetabulum, or both, leading to abnormal contact and friction within the hip joint. FAI can cause pain and limit hip joint movement, and it is considered a common cause of hip pain, especially in young and active individuals.

There are three main types of FAI:

  1. Cam Impingement: In this type, the femoral head is not perfectly round and may have an irregular shape. This irregularity can lead to abnormal contact between the femoral head and the acetabulum during hip movement.

  2. Pincer Impingement: In pincer impingement, the acetabulum covers too much of the femoral head, resulting in excessive coverage. This can also lead to abnormal contact and friction in the hip joint.

  3. Mixed Impingement: This is a combination of both cam and pincer impingements, where there are abnormalities in both the femoral head and the acetabulum.

FAI can lead to various symptoms, including hip pain, stiffness, limited range of motion, and, over time, it can potentially cause damage to the cartilage and labrum in the hip joint. It is often seen in individuals who are involved in activities that require repetitive hip motion or those with a family history of hip problems.

Treatment for FAI typically involves a combination of conservative measures and, in some cases, surgical intervention. Conservative treatments may include physical therapy, anti-inflammatory medications, and activity modification to reduce strain on the hip joint. Surgery may be considered when conservative treatments fail to provide relief or when there is significant joint damage. Surgical options for FAI include arthroscopy to reshape the bones and repair damaged tissue within the hip joint.

If you suspect you have femoroacetabular impingement or are experiencing hip pain, it is essential to consult a healthcare professional, such as an orthopedic specialist, for a proper evaluation and guidance on treatment options.

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