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Femoroacetabular Impingement Syndrome: Clinical Assessment and Surgical Management
Journal article   Peer reviewed

Femoroacetabular Impingement Syndrome: Clinical Assessment and Surgical Management

Mark D Wishman and Robert W. Westermann
Operative techniques in orthopaedics, Vol.35(4), 101226
07/2026
DOI: 10.1016/j.oto.2026.101226

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Abstract

Femoroacetabular impingement (FAI) syndrome is a motion-related clinical disorder of the hip with a triad of symptoms, clinical signs, and imaging findings. Patients with FAI syndrome are at risk of developing early onset osteoarthritis (OA) of the hip joint if not properly identified and managed which may lead to need for early total hip arthroplasty. Given this, interest in hip arthroscopy for surgical correction of cam and pincer deformities and concomitant evaluation and repair of associated soft tissue injuries such as labral tears or chondral defects has grown significantly. Studies have demonstrated improved patient reported outcomes and decreased risk for the development of early OA after these procedures. Hip arthroscopy has been shown to have a steep learning curve and therefore a comprehensive understanding of the technical aspects of this surgery is needed to provide optimal care. Here, the methods of clinical and imaging-based evaluation and surgical management of these patients are discussed.
Femoroacetabular impingement hip arthroscopy cam deformity

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