Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 15, Issue 8, pp 1041–1047 | Cite as

Clinical presentation of femoroacetabular impingement

  • Marc J. Philippon
  • R. Brian Maxwell
  • Todd L. Johnston
  • Mara Schenker
  • Karen K. Briggs


The purpose of this study was to identify subjective complaints and objective findings in patients treated for femoroacetabular impingement (FAI). Three hundred and one arthroscopic hip surgeries were performed to treat FAI. The most frequent presenting complaint was pain, with 85% of patients reporting moderate or marked pain. The most common location of pain was the groin (81%). The average modified Harris Hip score was 58.5(range 14–100). The average sports hip outcome score was 44.0 (range 0–100). The anterior impingement test was positive in 99% of the patients. Range of motion was reduced in the injured hip. Patients who had degenerative changes in the hip had a greater reduction in range of motion. The most common symptom reported in patients with FAI was groin pain. Patient showed decreased ability to perform activities of daily living and sports. Significant decreases in hip motion were observed in operative hips compared to non-operative hips.


Hip arthroscopy Femoroacetabular impingement Labral Symptoms Groin pain 


  1. 1.
    Armfield DR, Tower JD, Robertson DD (2006) Radiographic and MR imaging of the athletic hip. Clin Sports Med 25:211–239PubMedCrossRefGoogle Scholar
  2. 2.
    Beall DP, Sweet CF, Martin HD et al (2005) Imaging findings of femoroacetabular impingement syndrome. Skeletal Radiol 34:691–701PubMedCrossRefGoogle Scholar
  3. 3.
    Beck M, Kalhor M, Leunig M, Ganz R (2005) Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg 87(7):1012–1018CrossRefGoogle Scholar
  4. 4.
    Burnett RS, Della Rocca GJ, Prather H, Curry M, Maloney WJ, Clohisy JC (2006) Clinical presentation of patients with tears of the acetabular labrum. J Bone Joint Surg. 88-A:1448–1457CrossRefGoogle Scholar
  5. 5.
    Byrd JW, Jones KS (2000) Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy 16:578–587PubMedCrossRefGoogle Scholar
  6. 6.
    Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC (2003) The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res 406:75–83PubMedCrossRefGoogle Scholar
  7. 7.
    Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112–120PubMedGoogle Scholar
  8. 8.
    Jager M, Wild A, Westhoff B, Krauspe R (2004) Femoroacetabular impingement cause by a femoral osseous head-neck bump deformity: clinical, radiological, and experimental results. J Orthop Sci 9:256–263PubMedCrossRefGoogle Scholar
  9. 9.
    Klaue K, Durnin CW, Ganz R (1991) The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg 73-B:423–429Google Scholar
  10. 10.
    Leunig M, Beck M, Dora C, Ganz R (2005) Femoroacetabular impingement: etiology and surgical concept. Op Tech Orthop 15:247–255CrossRefGoogle Scholar
  11. 11.
    Martin RL, Kelly BT, Philippon MJ (2006) Evidence of validity for the hip outcome score. Arthroscopy 22:1304–1311PubMedCrossRefGoogle Scholar
  12. 12.
    Murray RO, Duncan C (1971) Athletic activity in adolescence as an etiological factor in degenerative hip disease. J Bone Joint Surg 53-B:406–419Google Scholar
  13. 13.
    Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J (2002) The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg 84-B:556–560CrossRefGoogle Scholar
  14. 14.
    Philippon MJ, Schenker ML (2006) A new method for acetabular rim trimming and labral repair. Clin Sports Med 25:293–297PubMedCrossRefGoogle Scholar
  15. 15.
    Philippon MJ, Schenker ML (2006) Arthroscopy for the treatment of femoroacetabular impingement in the athlete. Clin Sports Med 25:299–308PubMedCrossRefGoogle Scholar
  16. 16.
    Philippon MJ, Stubbs AJ, Schenker ML, Briggs KK (2006) Factors associated with revision hip arthroscopy. Arthroscopy 22:e29–e30CrossRefGoogle Scholar
  17. 17.
    Vad VB, Bhat AL, Basrai D, Gebeh A, Aspergren DD, Andrews JR (2004) Low back pain in professional golfers: the role of associated hip and low back range-of-motion deficits. Am J Sports Med 32:494–497PubMedCrossRefGoogle Scholar
  18. 18.
    Yamamoto Y, Hamada Y, Ide T, Usui I (2005) Arthroscopic surgery to treat intra-articular type snapping hip. Arthroscopy 21:1120–1125PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Marc J. Philippon
    • 1
  • R. Brian Maxwell
    • 1
  • Todd L. Johnston
    • 2
  • Mara Schenker
    • 1
  • Karen K. Briggs
    • 1
  1. 1.Steadman Hawkins Research FoundationAttn: Clinical ResearchVailUSA
  2. 2.Cedar Valley Medical SpecialistWaterlooUSA

Personalised recommendations