The hip is a joint formed by the head of the femur and the acetabulum of the pelvis. Femoroacetabular impingement syndrome is a very common pathology that occurs in young adults, generally athletes, characterized by the inadequate femoro-acetabular relationship accompanied by long-term disabling pain, and can, on many occasions, simulate other pathologies that affect the hip. In this post we talk about the importance of early diagnosis of femoroacetabular impingement.
What is femoroacetabular impingement
Femoroacetabular impingement, also known as femoroacetabular impingement, is a condition of the hip joint in which a impingement between the head of the femur and the acetabulum or cupulolabral lesions, favoring the development of osteocartilaginous and capsulolabral lesions.
Hip pain related to femoroacetabular impingement generally occurs in young people who, during childhood, have participated in intense sports, generally between the ages of 18 and 50.
Types of femoroacetabular impingement
Femoroacetabular impingement syndrome is classified into two types, depending on the bone involved.
On the one hand, there is talk of “cam” or “cam” type clamping when the femoral head and neck have an irregular morphology, being wider than the acetabulum of the pelvis. It is the least common type, common in young male athletes.
On the other hand, the “pincer” or “pincer” clamping It appears when there is overcoverage of the femoral head by the acetabulum, also damaging the labrum when the hip is flexed. It is more common than the previous type and is generally found in athletic women.
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Request diagnosisThe third type, mixed impingement, indicates that there are alterations of the types of impingement mentioned above, developing a “pincer” type alteration. Its about 86% of femoroacetabular impingement cases.
Symptoms of femoroacetabular impingement
During the early stages of femoroacetabular impingement, there are no notable symptoms. As it progresses, it manifests as pain in the patient's groin, and, less frequently, in the trochanteric region, glutes or in the iliac crest, when certain movements such as flexion and internal rotation of the hip are performed.
Climbing stairs, walking or standing for a long period of time can cause intense pain in the hip and groin area when the impingement has progressed, restricting, in some cases, the movement of this joint and the practice of certain activities. activity of daily living.
Causes of femoroacetabular impingement
The causes of this condition are not yet completely clear, but it is believed that it develops for various reasons.
Mainly, femoroacetabular impingement appears due to the existence of a genetic predisposition, present from birth.
Another cause of femoroacetabular impingement is the increase in stress on the growth plate during puberty, in which “cam” impingement deformities are diagnosed.
Furthermore, constant stress during the practice of some sporting discipline can trigger adaptive remodeling in the coxofemoral bones and lead to impingement.
Diagnosis and treatment of femoroacetabular condition
The pain in the groin and buttock that is associated with this condition can also be caused by other injuries or diseases, especially those that develop in the vicinity of the coxofemoral joint, such as tumors, fractures, pubalgia, inguinal hernias and tendonitis in the adductors and iliopsoas.
How femoroacetabular impingement is diagnosed
During the diagnosis of femoroacetabular impingement, a provocation test is performed, known as pinch or impingement test.
If additional pain occurs in the groin or buttocks when flexing the hip and turning it inward, the pinch test is considered positive.
Using diagnostic imaging tests, such as a CT scan or MRI, the morphology of the structure of the hip and pelvis, and degenerative changes in it, can be observed.
Surgical treatment for femoroacetabular impingement
Once the pathology has been diagnosed, with tests such as minimally invasive arthroscopic hip surgery, injured joints are repaired through minimal incisions in the patient's skin of about 2-3 mm.
The results show excellent results in patients. Little pain at the time of the intervention and after surgery, as well as reduction of the sac, minimal damage to the tissues, lower probability of infection are some of the postoperative benefits.
For its part, the patient's faster recovery, even being discharged from the hospital on the same day as the arthroscopic surgery, is another of its greatest benefits.
At Clínica Elgeadi we master the most innovative techniques for the treatment of pathologies that affect the hip and we have more than 10 years of experience in performing minimally invasive surgery. If you have any hip pathology, our experts in endoscopy and hip arthroscopy They will be looking forward to helping you. Make an appointment with our specialists and start a better quality of life.
8 thoughts on “Causas del dolor de cadera en adultos, el pinzamiento femoroacetabular”
Good day.
My name is Cynthia, and my diagnosis is femoroacetabular syndrome.
I would like to know if it is cured, not only by reducing the pain and stopping activities, but if it is possible to reverse its end.
Hello Cynthia,
With rehabilitation and certain therapeutic measures we can stop and improve the symptoms. We would have to study the causes of the pain, and see if we can improve any of them surgically.
Good afternoon.
Hello, I have bilateral hip impingement, the pain has been increasing for a couple of months, I play tennis regularly, I also do the gym, pilates and ride a road bike once a week, I am 56 years old, I am doing physiotherapy but the The pain continues, my doctor told me that I can continue playing because the pinch is mild, but the increase in pain makes me hesitate to continue playing. I am afraid of surgery because of all the time I have to be without physical activity. Should I stop doing any physical activity while doing physical therapy? Thank you
Hello Rebecca,
We cannot give you an answer without having full knowledge of your case. The best thing would be to see you in consultation, see your tests and develop a rehabilitation plan in a particular way. You can make an appointment by calling +34 910 053 900.
Greetings
Good evening, I'm Jaime. I felt pain in my buttock and lateral part of my hip. I went to an orthopedist. He recommended an AP PELVIS X-ray. and showed that the right femoroacetabular joint was diminished. with increased bone density in relation to acetabular sclerosis 2 years ago I underwent surgery for coaxtrosis of the left hip, which is recommended in advance, thank you for your attention and time.
Hi Jamie,
In principle, we should see the
You can make an appointment by calling 910 053 900 to look at it in person.
Greetings
Good evening, For 3 months I have had a sharp pain radiating from my right groin, upper part or front of my right thigh and down to my knee on the same side and the front of my lower leg, like electricity. The pain is more recurrent when I sit with my leg bent or when I try to stand up and fasten my shoes. I also have a hard time with the pain, pain in my groin when I close my leg more and when I stand up when I am sitting.
When I stand up, the pain decreases considerably. When I walk with long steps or climb stairs, the groin on the right side hurts and pulls the thigh in the front. When I sit for a long time, the pain starts in the groin (right groin) and radiates like an intermittent electric shock to the right thigh and knee. When I lie down or rest, the pain decreases considerably. I am using creams and painkillers, in addition to daily stretching or mobility exercises and it improves by the hour, but the next day the symptoms return. What could it be?
Hello Violet,
Symptoms may suggest a pinched nerve, such as compression of the femoral nerve, or a problem with the hip joint. We recommend that you consult with our specialists to evaluate through imaging studies and rule out other causes. You can make an appointment by calling 91 005 39 00.
Greetings