Femoroacetabular Impingement

The clinical manifestation of FAI is usually the anterior or anterolateral low back pain, which refers to the inguinal region, sometimes spreading in front of the thigh (35-37). The patient can grasp the affected part with the hand to show back pain in the front and back using the "C" sign. It may be difficult for a child to explain the location of a symptom, and the pathology of the hip joint may be explained as inconvenient after femoral or knee pain, or activity. Adults are often associated with "stiffness" accompanying hip joint discomfort. Thus, low back pain increases in places and activities requiring flexion and / or internal rotation of the hip joint. Activities such as sitting, driving, squatting may exacerbate the symptoms. If there is sufficient damage in joints, such as eyelash tears or cartilage damage, there may be mechanical symptoms such as clicking and grasping the waist. Occasionally a patient may have a tight waist tendon or tight band that may have a visible or audible range of waist activity with or without low back pain during physical examination.

In the physical examination, the gait pattern of the two lower limbs, the range of activity and muscular strength of the lower limb were evaluated for comparison (38, 39). Relaxation of the abductor muscle or Trendelberg test during walking may indicate weakness of the affected hip abductor muscle. The extent of the activity of the waist is evaluated by the patient on the back. Hip flexion decreased by less than 90 °, and decrease in hip joint rotation was associated with FAI (36, 37, 40, 41). Clohisy and colleagues explain average hip flexion at 97 degrees at FAI, and average turning over at 9 degrees at flexion (37). Agroicola et al. It is reported that the hip joint's 83-degree adduction can highly predict the onset of hip joint OA (19). Front flexion of the hip joint is 90 °, forward impact test of adduction and inversion, when the acetabular lip is damaged, the acetabular lip and femoral neck are fixed in this position and the anterior hip joint or inguinal part It causes pain in her body (38). , 42). A positive anterior impact test will be performed in 8% of FAI patients (37). Trochanteric bursitis often accompanies pain due to tension

In focused hip total examination it is important to cooperate with patients to ensure that each provocative examination usually rebuilds certain symptoms that plague them. Prominent bone palpation such as greater trochanter and hip flexor muscle and extension of hamstring muscle occurs infrequently and discomfort occurs with typical deep, anterior or anterior lateral inguinal pain caused by FAI It differs greatly.

It is also important to remember that FAI results and health check results can also be seen in other types of hip joint diseases such as acetabulolodysplasia. Patients with acetolodysplastic dysplasia have adduct atrophy and anterior frontal positive test, suggesting testicular lesions. However, in comparison with acetabular dysplasia, the range of flexion and inner rotation of the buttocks in FAI is more severely limited.

Femoral acetabular impact (FAI) occurs in the hip joint. Impact refers to the compression or compression of a portion of the soft tissue surrounding the hip fossa. The femoral acetabulum tells us that impact occurs when the femur (femur) encounters the acetabulum (hip). There are two different types of impact. They differ slightly depending on where they are being squeezed and where the impact occurred. Femoral acetabular refers to the hip joint where the femoral head (femur) is in contact with the acetabulum or hip fossa. Two types of impact are known that cause soft tissue in that area to be compressed. The first one is cam shock. This happens when the rounded head of the thigh bone is not supposed to be round. It is close to the shape of a pistol grip

Hip arthroscopy for hip joint impact is a general indication for surgery. The medical term is femoral acetabular impact (FAI). This means that the joint socket (plier impact) or the ball (cam impact), or both, is spurred. Spur is mere extra growth of bone. As early research has shown that osteophytes are associated with hip arthritis, surgeons usually recommend removal of osteophytes. But the key lacking in the study is how they are linked to each other. A large-scale study specializing in impact and osteoarthritis answers how to represent the osteophytes formed to protect patients with joints and arthritis over time. So osteophytes do not cause arthritis, but protect it from harm! This means that by eliminating osteophytes, surgeons eliminate the body's natural reactions to protect themselves from arthritis. Removing hip spurs is a bad idea.