Location
Philadelphia, PA
Start Date
9-5-2018 1:00 PM
Description
Introduction: The objective of this study was to evaluate the incidence of bilateral femoroacetabular impingement (FAI) in a consecutive group of patients and to evaluate the fate of the asymptomatic hip with
FAI.
Method: Between 2004 to 2016, 652 patients presented with hip pain arising from underlying FAI. Diagnosis of FAI was made based on clinical symptoms and imaging. 557 patients (646 hips) were included for the final analysis. Of these, 170 patients had bilateral radiological diagnosis of FAI. Of these, 88 patients presented with bilateral hip symptoms. The remaining 82 patients had unilateral hip symptoms. Of these 82 patients, 8 patients decided to have surgery on both hips under the same anesthesia. The
remaining 74 patients decided to have the contralateral asymptomatic hip with FAI observed.
Results: Of the cohort with bilateral FAI and an asymptomatic hip, 60 patients became symptomatic at an average 2.1 years follow-up. Of these 60 patients 43 patients needed surgical intervention. Binary logistic
regression model identified that reduced neck shaft angle, increased lateral CE angle and increased alpha angle, younger age as predictors for developing symptoms in the contralateral hip.
Discussion: Based on this study it appears that the incidence of bilateral FAI is common. The majority of patients with unilateral symptomatic FAI and radiographic evidence of bilateral FAI become symptomatic relatively quickly and require surgical intervention in the contralateral hip.
Embargo Period
5-30-2018
Bilateral Femoroacetabular Impingement: The Fate of the Asymptomatic Hip
Philadelphia, PA
Introduction: The objective of this study was to evaluate the incidence of bilateral femoroacetabular impingement (FAI) in a consecutive group of patients and to evaluate the fate of the asymptomatic hip with
FAI.
Method: Between 2004 to 2016, 652 patients presented with hip pain arising from underlying FAI. Diagnosis of FAI was made based on clinical symptoms and imaging. 557 patients (646 hips) were included for the final analysis. Of these, 170 patients had bilateral radiological diagnosis of FAI. Of these, 88 patients presented with bilateral hip symptoms. The remaining 82 patients had unilateral hip symptoms. Of these 82 patients, 8 patients decided to have surgery on both hips under the same anesthesia. The
remaining 74 patients decided to have the contralateral asymptomatic hip with FAI observed.
Results: Of the cohort with bilateral FAI and an asymptomatic hip, 60 patients became symptomatic at an average 2.1 years follow-up. Of these 60 patients 43 patients needed surgical intervention. Binary logistic
regression model identified that reduced neck shaft angle, increased lateral CE angle and increased alpha angle, younger age as predictors for developing symptoms in the contralateral hip.
Discussion: Based on this study it appears that the incidence of bilateral FAI is common. The majority of patients with unilateral symptomatic FAI and radiographic evidence of bilateral FAI become symptomatic relatively quickly and require surgical intervention in the contralateral hip.
Comments
Presented by Hannah Groff.