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Epidemiologie, Prävention und Früherkennung des Femoroazetabulären Impingement-Syndroms (FAIS)

Epidemiology, prevention and early detection of femoroacetabular impingement syndrome (FAIS)

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Zusammenfassung

Das Femoroazetabuläre Impingement-Syndrom (FAIS) hat in den letzten zwei Dekaden an Bedeutung gewonnen und ist eine der Hauptursachen des Hüftschmerzes bei jungen Erwachsenen. Das FAIS ist ein klinisches Erscheinungsbild, bei dem es durch pathologische Veränderungen am Kopf-Schenkelhals-Übergang oder am Azetabulum zu einem knöchernen Konflikt mit Einklemmungserscheinungen kommt. Das Zusammenspiel zwischen Symptomen, klinischen und radiologischen FAIS-Zeichen bestätigen die Diagnose. Insbesondere das Cam-FAIS scheint durch Überlastungen der Wachstumsfuge während der Adoleszenz zu entstehen. Hier findet sich gegebenenfalls ein Präventionsansatz, um die Entwicklung des FAIS zu beeinflussen. Eine ausreichende Evidenz durch qualitativ hochwertige Langzeitstudien liegt jedoch bisher nicht vor.

Abstract

During the last two decades femoroacetabular impingement syndrome (FAIS) has gained importance and is one of the main causes of hip pain in young adults. FAIS is a motion-related clinical pathology of the hip that represents symptomatic contact between the proximal femur and the acetabulum. Symptoms, clinical signs, and imaging findings must be present to diagnose FAIS. Especially the development of the cam-FAIS seems to be associated with an overuse of the growth plate during adolescence. Here an approach may be found for the prevention of the development of FAIS. Sufficient evidence through high-quality long-term results is yet lacking.

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Abbreviations

ECF:

Epiphyseolysis capitis femoris

FAIS :

Femoroazetabuläres Impingement-Syndrom

IGF :

„Insulin-like growth factor“

LWS :

Lendenwirbelsäule

Literatur

  1. Langhout R, Weir A, Litjes W et al (2019) Hip and groin injury is the most common non-time-loss injury in female amateur football. Knee Surg Sports Traumatol Arthrosc 27:3133–3141

    Article  Google Scholar 

  2. Nunley RM, Prather H, Hunt D et al (2011) Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am 93(2):17–21

    Article  Google Scholar 

  3. Ganz R, Parvizi J, Beck M et al (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112–120

    Google Scholar 

  4. Beck M, Kalhor M, Leunig M et al (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 Br 87-B:1012–1018

    Article  Google Scholar 

  5. Sankar WN, Nevitt M, Parvizi J et al (2013) Femoroacetabular impingement: defining the condition and its role in the pathophysiology of osteoarthritis. J Am Acad Orthop Surg 21(1):7–15

    Google Scholar 

  6. Griffin DR, Dickenson EJ, O’Donnell J et al (2016) The Warwick agreement on femoroacetabular impingement syndrome (FAI syndrome): an international con-sensus statement. Br J Sports Med 50:1169–1176

    Article  CAS  Google Scholar 

  7. Gosvig KK, Jacobsen S, Sonne-Holm S et al (2010) Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am 92:1162–1169

    Article  Google Scholar 

  8. Packer JD, Safran MR (2015) The etiology of primary femoroacetabular impingement: genetics or acquired deformity? J Hip Preserv Surg 2(3):249–257

    Article  Google Scholar 

  9. Tak I, Weir A, Langhout R, Waarsing JH et al (2015) The relationship between the frequency of football practice during skeletal growth and the presence of a cam deformity in adult elite football players. Br J Sports Med 49(9):630–634

    Article  Google Scholar 

  10. Roels P, Agricola R, Oei EH et al (2014) Mechanical factors explain development of cam-type deformity. Osteoarthritis Cartilage 22(12):2074–2082

    Article  CAS  Google Scholar 

  11. Saito M, Tsukada S, Yoshida K et al (2017) Correlation of alpha angle between various radiographic projections and radial magnetic resonance imaging for cam deformity in femoral head-neck junction. Knee Surg Sports Traumatol Arthrosc 25(1):77–83

    Article  Google Scholar 

  12. Sutter R, Pfirrmann CW (2017) A update on femoroacetabular impingement: what is new, and how should we assess it? Semin Musculoskelet Radiol 21:518–528

    Article  Google Scholar 

  13. Heuck A, Dienst M, Glaser C (2019) Femoroacetabuläres Impingement—an update. Radiologie 59:242–256

    Article  Google Scholar 

  14. Lerch TD, Boschung A, Todorski IAS et al (2019) Femoroacetabular impingement patients with decreased femoral version have different impingement locations and intra- and extraarticular aanterior subspine FAI on 3D-CT-based impingement simulation: implications for hip arthroscopy. Am J Sports Med 47(13):3120–3132

    Article  Google Scholar 

  15. Nepple JJ, Vigdorchik JM, Clohisy JC (2015) What is the association between sports participation and the development of proximal femoral cam deformity? A systematic review and meta-analysis. Am J Sports Med 43:2833–2840

    Article  Google Scholar 

  16. Agricola R, Heijboer MP, Ginai AZ et al (2014) A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2‑year follow-up. Am J Sports Med 42(04):798–806

    Article  Google Scholar 

  17. Palmer A, Fernquest S, Gimpel M et al (2018) Physical activity during adolescence and the development of cam morphology: a cross-sectional cohort study of 210 individuals. Br J Sports Med 52:601–610

    Article  Google Scholar 

  18. Omoumi P, Thiery C, Michoux N et al (2014) Anatomic features associated with femoroacetabular impingement are equally common in hips of old and young asymptomatic individuals without CT signs of osteoarthritis. AJR Am J Roentgenol 202(05):1078–1089

    Article  Google Scholar 

  19. Agricola R, Weinans H (2016) What causes cam deformity and femoroacetabular impingement: still too many questions to provide clear answers. Br J Sports Med 50:263–264

    Article  Google Scholar 

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Authors and Affiliations

  1. Klinik für Orthopäde, Traumatologie und Sporttraumatologie im St. Josefs-Krankenhaus Salzkotten, Akademisches Lehrkrankenhaus Universität Göttingen, St. Vincenz-Krankenhaus GmbH Paderborn, Dr.-Krismann-Str. 12, 33154, Salzkotten, Deutschland

    Marco Ezechieli

  2. Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland

    Ingo J. Banke

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  1. Marco Ezechieli
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  2. Ingo J. Banke
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Correspondence to Marco Ezechieli.

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Interessenkonflikt

M. Ezechieli und I. Banke geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Ezechieli, M., Banke, I.J. Epidemiologie, Prävention und Früherkennung des Femoroazetabulären Impingement-Syndroms (FAIS). Orthopäde 51, 167–175 (2022). https://doi.org/10.1007/s00132-022-04215-y

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