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Hip arthroscopy for femoroacetabular impingement: use escalating beyond the evidence

Flavia M Cicuttini, Andrew J Teichtahl and Yuanyuan Wang
Med J Aust 2017; 206 (10): 424-426. || doi: 10.5694/mja16.00821
Published online: 5 June 2017

There is a concerning lack of data comparing surgical with non-surgical management of femoroacetabular impingement

Femoroacetabular impingement (FAI) is a common cause of groin pain in physically active young adults, accompanied by limited hip movements. It occurs when bony anatomical abnormalities of the femoral head-neck junction (cam deformity) and acetabular rim (pincer deformity) result in abnormal contact between the two joint surfaces during hip motion. Radiological evidence of FAI is present in about 25% of asymptomatic young adults in the general community.1 FAI increases the risk of end-stage hip osteoarthritis (OA) in later life and is a long term risk factor for joint replacement;2 it may be very disabling. The quality of life of young adults with FAI is comparable to that of older adults who had a total hip replacement for OA.3

  • Flavia M Cicuttini1
  • Andrew J Teichtahl2,3
  • Yuanyuan Wang1

  • 1 Monash University, Melbourne, VIC
  • 2 Baker IDI Heart and Diabetes Institute, Melbourne, VIC
  • 3 Alfred Health, Melbourne, VIC


Acknowledgements: 

Andrew Teichtahl is the recipient of a National Health and Medical Research Council (NHMRC) Early Career Fellowship (no. 1073284). Yuanyuan Wang is the recipient of an NHMRC Career Development Fellowship (Clinical Level 1, no. 1065464).

Competing interests:

No relevant disclosures.

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