FAI - Femoroacetabular Impingement

What is It?

Normal Hip

 

 

 

 

 

 

 


 

 

 

No impingement with flexion, adduction and internal rotation

Cam Impingement

 

 

Impingement of the femoral neck ‘cam’ with the acetabulum with flexion adduction and internal rotation

Pincer Impingement

 

 

Impingement of the femoral neck on the ‘pincer’ of the acetabular rim with flexion adduction and internal rotation

What are the Symptoms

What Else Could it Be?

Examination Findings

Why?

Signs of Pain

  • The impingement sign:
    • flexion, adduction and internal rotation reproduces pain

Tests and Investigations

X-rays of FAI

3-D CT Scans of FAI

3D CT Scans of FAI

MRI Scan of FAI

Cam Impingement

MRI Arthrogram of FAI

 

Management

Surgery

Arthroscopic surgery for FAI

 

Results

Rehabilitation

Hip arthroscopy rehabilitation

‘Fast track’ physiotherapy program

Click to see table

Slow track physiotherapy program

Click to see table

Case report 1- Patient with FAI

Case report 2 – Patient with FAI