Femoroacetabular Impingement: A Natural History

This review article is devoted to the natural course of hip femoroacetabular impingement (FAI). The evolution of the understanding and views of surgeons on primary (idiopathic) arthrosis are considered. It is noted that nowadays, the primary arthrosis in fact almost always arises from anatomical var...

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Main Author: A. P. Sereda
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2020-09-01
Series:Travmatologiâ i Ortopediâ Rossii
Subjects:
Online Access:https://journal.rniito.org/jour/article/view/1366
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author A. P. Sereda
author_facet A. P. Sereda
author_sort A. P. Sereda
collection DOAJ
description This review article is devoted to the natural course of hip femoroacetabular impingement (FAI). The evolution of the understanding and views of surgeons on primary (idiopathic) arthrosis are considered. It is noted that nowadays, the primary arthrosis in fact almost always arises from anatomical variations. Among those are cam- and pincer-deformities, leading to impingement. In most of the major works, a reliable causal relationship of cam-FAI with arthrosis has been proven. Moreover, cam-FAI also carries the risk of impending arthroplasty. The association of pincer-FAI with arthrosis has been controversial. The course of FAI arthrosis, most likely, is not as aggressive as, for example, dysplastic arthrosis, and less often requires arthroplastics. Since cam-FAI is a reliable risk factor for arthrosis and arthroplasty, it could be assumed that timely surgical correction of FAI would stop or slow down arthrosis and avoid arthroplasty. However, at present, this assumption has not been proven, therefore, there is no reason to assert that surgery for FAI in any way affects its natural history in the form of severe arthrosis following by arthroplasty.
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spelling doaj.art-153187c5ad7c4e41a0d2ea22fea147362022-12-21T22:37:53ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332020-09-0126318219210.21823/2311-2905-2020-26-3-182-192899Femoroacetabular Impingement: A Natural HistoryA. P. Sereda0Federal Medical Biological AgencyThis review article is devoted to the natural course of hip femoroacetabular impingement (FAI). The evolution of the understanding and views of surgeons on primary (idiopathic) arthrosis are considered. It is noted that nowadays, the primary arthrosis in fact almost always arises from anatomical variations. Among those are cam- and pincer-deformities, leading to impingement. In most of the major works, a reliable causal relationship of cam-FAI with arthrosis has been proven. Moreover, cam-FAI also carries the risk of impending arthroplasty. The association of pincer-FAI with arthrosis has been controversial. The course of FAI arthrosis, most likely, is not as aggressive as, for example, dysplastic arthrosis, and less often requires arthroplastics. Since cam-FAI is a reliable risk factor for arthrosis and arthroplasty, it could be assumed that timely surgical correction of FAI would stop or slow down arthrosis and avoid arthroplasty. However, at present, this assumption has not been proven, therefore, there is no reason to assert that surgery for FAI in any way affects its natural history in the form of severe arthrosis following by arthroplasty.https://journal.rniito.org/jour/article/view/1366femoroacetabular impingementcam-faipincer-faicoxarthrosiship arthroplasty
spellingShingle A. P. Sereda
Femoroacetabular Impingement: A Natural History
Travmatologiâ i Ortopediâ Rossii
femoroacetabular impingement
cam-fai
pincer-fai
coxarthrosis
hip arthroplasty
title Femoroacetabular Impingement: A Natural History
title_full Femoroacetabular Impingement: A Natural History
title_fullStr Femoroacetabular Impingement: A Natural History
title_full_unstemmed Femoroacetabular Impingement: A Natural History
title_short Femoroacetabular Impingement: A Natural History
title_sort femoroacetabular impingement a natural history
topic femoroacetabular impingement
cam-fai
pincer-fai
coxarthrosis
hip arthroplasty
url https://journal.rniito.org/jour/article/view/1366
work_keys_str_mv AT apsereda femoroacetabularimpingementanaturalhistory