The Journal of Bone and Joint Surgery (American). 2007;89:2508-2518.
doi:10.2106/JBJS.F.01296
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Current Concepts Review

Impingement of the Native Hip Joint

Aditya V. Maheshwari, MD1, Aamer Malik, MD1 and Lawrence D. Dorr, MD1

1 Aditya V. Maheshwari, MD Aamer Malik, MD Lawrence D. Dorr, MD The Arthritis Institute, 501 East Hardy Street, Suite 300, Inglewood, CA 90301. E-mail address for L.D. Dorr: Patriciajpaul@yahoo.com

Investigation performed at The Arthritis Institute, Inglewood, California

The first 150 words of the full text of this article appear below.


   Introduction
 
Formula Impingement at the hip is a common cause of osteoarthritis.

Formula Impingement is mostly due to morphologic changes as a consequence of in utero malformation or childhood hip disease such as Legg-Calvé-Perthes disease or slipped capital femoral epiphysis.

Formula On the basis of patterns and stages of labral and chondral injuries, impingement has been classified as cam type, pincer type, or mixed cam-pincer type.

Formula The diagnosis is based on the medical history and the findings on physical examination and imaging studies.

Formula Hip impingement is a mechanical problem, and nonoperative treatment will not correct the pathomechanics. Surgical correction should be considered prior to the onset of arthritis and must be designed to protect the vascularity of the femoral head.

Impingement of the hip joint has been a hidden disease until the current decade. Femoroacetabular impingement was identified as a dynamic cause of osteoarthritis by Ganz et al.1-22, although Murray23 . . . [Full Text of this Article]


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Mini-Anterior Approach in Femoroacetabular Impingement
Manuel Ribas, M.D., et al.
JBJS Online, 20 Nov 2007 [Full text]