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Femoroacetabular Impingement, Labral Tears, Abductor Tendon Tears, and Hip Arthroscopy

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Principles of Orthopedic Practice for Primary Care Providers

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Abstract

Femoroacetabular impingement (FAI) and resultant labral tears are increasingly recognized as a cause of pre-arthritic hip pain, particularly in younger athletes. Tears of the abductor tendons increase in prevalence with age, and females are more commonly affected than males. These injuries can be both a significant source of pain and dysfunction and may be present in as many as 20% of individuals with hip degeneration. Conservative management is typically effective in management of both conditions with surgery reserved for refractory cases. Arthroscopic treatment for FAI, labral tears, and tears of the abductor tendon is a successful treatment when indicated.

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Abbreviations

FAI:

Femoroacetabular impingement

MRA:

Magnetic resonance angiography

MRI:

Magnetic resonance imaging

Suggested Reading

  • Alpaugh K, Chilelli BJ, Xu S, Martin SD. Outcomes after primary open or endoscopic abductor tendon repair in the hip: a systematic review of the literature. Arthroscopy. 2015;31:530–40.

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  • Nepple JJ, Byrd JW, Siebenrock KA, Prather H, Clohisy JC. Overview of treatment options, clinical results, and controversies in the management of femoroacetabular impingement. J Am Acad Orthop Surg. 2013;21(Suppl 1):S47–52.

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  • Safran MR. The acetabular labrum: anatomic and functional characteristics and rationale for surgical intervention. J Am Acad Orthop Surg. 2010;18:338–45.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Massachusetts General Hospital and Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Scott D. Martin

Authors
  1. Scott D. Martin
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Correspondence to Scott D. Martin .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Jeffrey N. Katz

  2. Departments of Physical Medicine and Rehabilitation and Orthopedic Surgery, Brigham and Women’s Hospital/Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Cheri A. Blauwet

  3. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Andrew J. Schoenfeld

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Martin, S.D. (2018). Femoroacetabular Impingement, Labral Tears, Abductor Tendon Tears, and Hip Arthroscopy. In: Katz, J., Blauwet, C., Schoenfeld, A. (eds) Principles of Orthopedic Practice for Primary Care Providers. Springer, Cham. https://doi.org/10.1007/978-3-319-68661-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-68661-5_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68660-8

  • Online ISBN: 978-3-319-68661-5

  • eBook Packages: MedicineMedicine (R0)

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