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Posterior Femoroacetabular Impingement

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Posterior Hip Disorders

Abstract

Intra-articular femoroacetabular impingement (FAI) is an abnormal contact of the acetabular rim and the femoral head-neck junction and can occur from either anterior or posterior conflicts. This condition causes labral and cartilage damage, leads to painful range of motion, and may cause osteoarthritis over time. In addition to the known intra-articular causes, recent advances in physical examination of the hip, as well as hip arthroscopy, have identified extra-articular causes of posterior femoroacetabular impingement. The purpose of this chapter is to discuss, in detail, the etiology, pathology, examination, and treatment of posterior femoroacetabular impingement. The goal is to describe the unique approach to this challenging diagnosis and offer the orthopedic surgeon new tools with which to return patients and athletes to their daily lives and to their respective sports.

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Financial Disclosures

Board member/owner/officer/committee appointments: HIPCO, MJP Innovations, LLC, Arthrosurface, Vail Health Services, Vail Valley Surgery Center (MJP). Royalties: Smith & Nephew, Arthrocare, DonJoy, Bledsoe, Linvatec, Elsevier, Slack, Inc. (MJP). Paid consultant or employee: Smith & Nephew (MJP). Research or institutional support from companies or suppliers: Smith & Nephew, Ossur, Arthrex, Siemens, Vail Valley Medical Center, National Institute of Health, National Institute of Aging, National Institute of Arthritis and Musculoskeletal and Skin Disease (MJP/SPRI).

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Authors and Affiliations

  1. The Steadman Clinic/Steadman Philippon Research Institute, Vail, CO, USA

    Justin J. Mitchell MD & Marc J. Philippon MD

  2. Center for Outcomes-Based Orthopaedic Research (COOR), Steadman Philippon Research Institute, Vail, CO, USA

    Karen K. Briggs MPH

Authors
  1. Justin J. Mitchell MD
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  2. Karen K. Briggs MPH
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  3. Marc J. Philippon MD
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Corresponding author

Correspondence to Marc J. Philippon MD .

Editor information

Editors and Affiliations

  1. Medical and Research Director, Hip Preservation Center, Baylor University Medical Center, Dallas, TX, USA

    Hal D. Martin

  2. International Consultant, Hip Preservation Center / Baylor Scott and White Research Institute, Baylor University Medical Center, Dallas, TX, USA

    Juan Gómez-Hoyos

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Mitchell, J.J., Briggs, K.K., Philippon, M.J. (2019). Posterior Femoroacetabular Impingement. In: Martin, H., Gómez-Hoyos, J. (eds) Posterior Hip Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-78040-5_15

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  • DOI: https://doi.org/10.1007/978-3-319-78040-5_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78038-2

  • Online ISBN: 978-3-319-78040-5

  • eBook Packages: MedicineMedicine (R0)

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