Femoroacetabular Impingement: A Natural History

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Abstract

This review article is devoted to the natural course of hip femoroacetabular impingement (FAI). The evolution of the understanding and views of surgeons on primary (idiopathic) arthrosis are considered. It is noted that nowadays, the primary arthrosis in fact almost always arises from anatomical variations. Among those are cam- and pincer-deformities, leading to impingement. In most of the major works, a reliable causal relationship of cam-FAI with arthrosis has been proven. Moreover, cam-FAI also carries the risk of impending arthroplasty. The association of pincer-FAI with arthrosis has been controversial. The course of FAI arthrosis, most likely, is not as aggressive as, for example, dysplastic arthrosis, and less often requires arthroplastics. Since cam-FAI is a reliable risk factor for arthrosis and arthroplasty, it could be assumed that timely surgical correction of FAI would stop or slow down arthrosis and avoid arthroplasty. However, at present, this assumption has not been proven, therefore, there is no reason to assert that surgery for FAI in any way affects its natural history in the form of severe arthrosis following by arthroplasty.

About the authors

A. P. Sereda

Federal Medical Biological Agency

Author for correspondence.
Email: drsereda@gmail.com
ORCID iD: 0000-0001-7500-9219

Andrey P. Sereda — Dr. Sci. (Med.), Deputy Head

Moscow

Russian Federation

References

  1. Smith-Petersen M.N. The classic: Treatment of malum coxae senilis, old slipped upper femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxa plana by means of acetabuloplasty. 1936. Clin Orthop Relat Res. 2009;467(3):608-615. doi: 10.1007/s11999-008-0670-0.
  2. Elmslie R.C. Remarks on Aetiological Factors in OsteoArthritis of the Hip-Joint. Br Med J. 1933;1(3757):[1]-3, 46-1.
  3. Lloyd-Кoberts G.C. Osteoarthritis of the hip; a study of the clinical pathology. J Bone Joint Surg Br. 1955;37-B(1):8-47.
  4. Adam A., Spence A. Intertrochanteric osteotomy for osteoarthritis of the hip: a review of fifty-eight operations. J Bone Joint Surg Br. 1958;40-B(2): 219-226.
  5. Nicoll E.A., Molden N.T. Displacement osteotomy in the treatment of osteoarthritis of the hip. J Bone Joint Surg Br. 1961;43(1):50-60.
  6. Murray R.O. The aetiology of primary osteoarthritis of the hip. Br J Radiol. 1965;38(455):810-824. doi: 10.1259/0007-1285-38-455-810.
  7. Stulberg S., Harris W. Acetabular dysplasia and development of osteoarthritis of the hip. In: The hip: Proceedings of the Second Open Scientific Meeting of the Hip Society. St. Louis; Mosby, 1974. p. 82-93.
  8. Stulberg S., Cordell L. Harris W., Ramsey P.L., MacEwen G.D. Unrecognized childhood hip disease: a major cause of idiopathic osteoarthritis of the hip. In: The hip: Proceedings of the Third Meeting of the Hip Society. St. Louis; Mosby, 1975. p. 212-228.
  9. Solomon L. Patterns of osteoarthritis of the hip. J Bone Joint Surg Br.1976;58(2):176-183.
  10. Resnick D. The «tilt deformity» of the femoral head in osteoarthritis of the hip: a poor indicator of previous epiphysiolysis. Clin Radiol. 1976;27(3):355-363. doi: 10.1016/s0009-9260(76)80089-x.
  11. Fitzgerald R.H. Jr. Acetabular labrum tears. Diagnosis and treatment. Clin Orthop Relat Res. 1995;311: 60-68.
  12. Altenberg A.R. Acetabular labrum tears: a cause of hip pain and degenerative arthritis. South Med J. 1977;70(2):174-175.
  13. Ueo T., Hamabuchi M. Hip pain caused by cystic deformation of the labrum acetabulare. Arthritis Rheum. 1984;27(8):947-950. doi: 10.1002/art.1780270817.
  14. Currier B.L. Fitzgerald R.J. Acetabular labrum tears of the hip. Transaction of the AAOS 55 th Annual Meeting. Atlanta. 1988.
  15. Ikeda T., Awaya G., Suzuki S., Okada y., Tada H. Torn acetabular labrum in young patients. Arthroscopic diagnosis and management. J Bone Joint Surg Br. 1988;70(1):13-16.
  16. Santori N., Villar R.N. Acetabular labral tears: result of arthroscopic partial limbectomy. Arthroscopy. 2000;16(1):11-15. doi: 10.1016/s0749-8063(00)90121-x.
  17. Farjo L.A., Glick J.M., Sampson T.G. Hip arthroscopy for acetabular labral tears. Arthroscopy. 1999;15(2):132-137. doi: 10.1053/ar.1999.v15.015013.
  18. McCarthy J.C., Noble P.C., Schuck M.R., Wright J., Lee J. The watershed labral lesion: its relationship to early arthritis of the hip. J Arthroplasty. 2001;16(8 Suppl 1):81-87. doi: 10.1054/arth.2001.28370.
  19. Leunig M., Werlen S., Ungersböck A., Ito K., Ganz R. Evaluation of the acetabular labrum by MR arthrography. J Bone Joint Surg Br. 1997;79(2):230-234. doi: 10.1302/0301-620x.79b2.7288.
  20. Marín-Peña O. Femoroacetabular impingement. Berlin Heidelberg : Springer-Verlag; 2012. 274 p. doi: 10.1007/978-3-642-22769-1.
  21. Ganz R., Gill T.J., Gautier E., Ganz K., Krügel N., Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascularnecrosis. J Bone Joint Surg Br. 2001;83(8):1119-1124. doi: 10.1302/0301-620x.83b8.11964.
  22. Leunig M., Casillas M.M., Hamlet M., Hersche O., Nötzli H., Slongo T. et al. Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand. 2000;71(4):370-375. doi: 10.1080/000164700317393367.
  23. Myers S.R., Eijer H., Ganz R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res. 1999;(363):93-99.
  24. Ganz R., Parvizi J., Beck M., Leunig M., Nötzli H., Siebenrock K.A. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;(417):112-120. doi: 10.1097/01.blo.0000096804.78689.c2.
  25. Klaue K., Durnin C.W., Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;73(3):423-429.
  26. Ganz R., Bamert P., Hausner P., Isler B., Vrevc F. [Cervicoacetabular impingement after femoral neck fracture]. Unfallchirurg. 1991;94(4):172-175. (In German).
  27. Ito K., Minka M.A. 2nd, Leunig M., Werlen S., Ganz R. Femoroacetabular impingement and the cam-effect. A MRI-based quantitative anatomical study of the femoral head-neck offset. J Bone Joint Surg Br. 2001;83(2): 171-176. doi: 10.1302/0301-620x.83b2.11092.
  28. Parvizi J., Ganz R. Hip osteoarthritis. Orthopedics. 2003;26(11):1099, 1109.
  29. Leunig M., Ganz R. [Femoroacetabular impingement. A common cause of hip complaints leading to arthrosis]. Unfallchirurg. 2005;108(1):9-17. doi: 10.1007/s00113-004-0902-z. (In German).
  30. Beck M., Kalhor M., Leunig M., Ganz R. 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. 2005;87(7):1012-1018. doi: 10.1302/0301-620x.87B7.15203.
  31. Guanche C.A., Bare A.A. Arthroscopic treatment of femoroacetabular impingement. Arthroscopy. 2006;22(1):95-106. doi: 10.1016/j.arthro.2005.10.018.
  32. Philippon M.J., Schenker M.L. Arthroscopy for the treatment of femoroacetabular impingement in the athlete. Clin Sports Med. 2006;25(2):299-308, ix. doi: 10.1016/j.csm.2005.12.006.
  33. Wettstein M., Dienst M. Hip arthroscopy for femoroacetabular impingement. Orthopade. 2006;35(1):85-93. doi: 10.1007/s00132-005-0897-3.
  34. Espinosa N., Rothenfluh D.A., Beck M., Ganz R., Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. J Bone Joint Surg Am. 2006;88(5):925-935. doi: 10.2106/JBJS.E.00290.
  35. Beck M., Leunig M., Parvizi J. Boutier V., Wyss D., Ganz R. .Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004;418:67-73.
  36. Peters C.L., Erickson J.A. Treatment of femoro-acetabular impingement with surgical dislocation and debridement in young adults. J Bone Joint Surg Am. 2006;88(8):17351741. doi: 10.2106/JBJS.E.00514.
  37. Tannast M., Goricki D., Beck M., Murphy S.B., Siebenrock K.A. Hip damage occurs at the zone of femoroacetabular impingement. Clin Orthop Relat Res. 2008;466(2):273-280. doi: 10.1007/s11999-007-0061-y.
  38. O’Donoghue D.H. Impingement exostoses of the talus and tibia. J Bone Joint Surg Am. 1957;39-A(4):835-852.
  39. Rab G.T. The geometry of slipped capital femoral epiphysis: implications for movement, impingement, and corrective osteotomy. J Pediatr Orthop. 1999;19(4):419-424. doi: 10.1097/00004694-199907000-00001.
  40. Morris W.Z., Li R.T., Liu R.W., Salata M.J., Voos J.E. Origin of Cam Morphology in Femoroacetabular Impingement. Am J Sports Med. 2018;46(2):478-486. doi: 10.1177/0363546517697689.
  41. Banerjee P., McLean C.R. Femoroacetabular impingement: a review of diagnosis and management. Curr Rev Musculoskelet Med. 2011;4(1):23-32. doi: 10.1007/s12178-011-9073-z.
  42. Clohisy J.C., Dobson M.A., Robison J.F., Warth L.C., Zheng J., Liu S.S. et al. Radiographic structural abnormalities associated with premature, natural hip-joint failure. J Bone Joint Surg Am. 2011;93 Suppl 2:3-9. doi: 10.2106/JBJS.J.01734.
  43. Середа А.П., Андрианова М.А. Рекомендации по оформлению дизайна исследования. Травматология и ортопедия России. 2019;25(3):165-184. doi: 10.21823/2311-2905-2019-25-3-165-184.
  44. Thomas G.E., Palmer A.J., Batra R.N., Kiran A., Hart D., Spector T. et al. Subclinical deformities of the hip are significant predictors of radiographic osteoarthritis and joint replacement in women. A 20 year longitudinal cohort study. Osteoarthritis Cartilage. 2014;22(10):15041510. doi: 10.1016/j.joca.2014.06.038.
  45. Gosvig K.K., Jacobsen S., Palm H., Sonne-Holm S., Magnusson E. A new radiological index for assessing asphericity of the femoral head in cam impingement. J Bone Joint Surg Br. 2007;89(10):1309-1316. doi: 10.1302/0301-620x.89B10.19405.
  46. Nötzli H.P., Wyss T.F., Stoecklin C.H., Schmid M.R., Treiber K., Hodler J. The contour of the femoral headneck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br. 2002;84(4):556-560. doi: 10.1302/0301-620x.84b4.12014.
  47. Agricola R., Heijboer M.P., Bierma-Zeinstra S.M., Verhaar J.A., Weinans H., Waarsing J.H. Cam impingement causes osteoarthritis of the hip: a nationwide prospective cohort study (CHECK). Ann Rheum Dis. 2013;72(6):918-923. doi: 10.1136/annrheumdis-2012-201643.
  48. Wyles C.C., Norambuena G.A., Howe B.M., Larson D.R., Levy B.A., yuan B.J. et al. Cam Deformities and Limited Hip Range of Motion Are Associated With Early Osteoarthritic Changes in Adolescent Athletes: A Prospective Matched Cohort Study. Am J Sports Med. 2017;45(13):3036-3043. doi: 10.1177/0363546517719460.
  49. Gosvig K.K., Jacobsen S., Sonne-Holm S., Palm H., Troelsen A. 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. 2010;92(5):1162-1169. doi: 10.2106/JBJS.H.01674.
  50. Wyles C.C., Heidenreich M.J., Jeng J., Larson D.R., Trousdale R.T., Sierra R.J. The John Charnley Award: Redefining the Natural History of Osteoarthritis in Patients With Hip Dysplasia and Impingement. Clin Orthop Relat Res. 2017;475(2):336-350. doi: 10.1007/s11999-016-4815-2.
  51. Anderson L.A., Anderson M.B., Kapron A., Aoki S.K., Erickson J.A., Chrastil J. et al. The 2015 Frank Stinchfield Award: Radiographic Abnormalities Common in Senior Athletes With Well-functioning Hips but Not Associated With Osteoarthritis. Clin Orthop Relat Res. 2016;474(2):342-352. doi: 10.1007/s11999-015-4379-6.
  52. Wylie J.D., Kim y.J. The Natural History of Femoroacetabular Impingement. J Pediatr Orthop. 2019;39(Issue 6, Supplement 1 Suppl 1):S28-S32. doi: 10.1097/BPO.0000000000001385.
  53. Wiberg G. Studies on Dysplastic Acetabula and Congenital Subluxation of the Hip Joint with Special Reference to the Complication of Osteo-Arthritis. JAMA. 1940;115(1): 81. doi: 10.1001/jama.1940.02810270083038.
  54. Heyman C.H., Herndon C.H. Legg-Perthes disease; a method for the measurement of the roentgenographic result. J Bone Joint Surg Am. 1950;32 A(4):767-778.
  55. Li P.L., Ganz R. Morphologic features of congenital acetabular dysplasia: one in six is retroverted. Clin Orthop Relat Res. 2003;(416):245-253. doi: 10.1097/01.blo.0000081934.75404.36.
  56. Agricola R., Heijboer M.P., Roze R.H., Reijman M., BiermaZeinstra S.M., Verhaar J.A. et al. Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study (CHECK). Osteoarthritis Cartilage. 2013;21(10): 1514-1521. doi: 10.1016/j.joca.2013.07.004.
  57. Kim W.y., Hutchinson C.E., Andrew J.G., Allen P.D. The relationship between acetabular retroversion and osteoarthritis of the hip. J Bone Joint Surg Br. 2006;88(6):727-729. doi: 10.1302/0301-620x.88B6.17430.
  58. Giori N.J., Trousdale R.T. Acetabular retroversion is associated with osteoarthritis of the hip. Clin Orthop Relat Res. 2003;(417):263-269. doi: 10.1097/01.blo.0000093014.90435.64.
  59. Beaulé P.E., Speirs A.D., Anwander H., Melkus G., Rakhra K., Frei H. et al. Surgical Correction of Cam Deformity in Association with Femoroacetabular Impingement and Its Impact on the Degenerative Process within the Hip Joint. J Bone Joint Surg Am. 2017;99(16):1373-1381. doi: 10.2106/JBJS.16.00415.
  60. Beaulé P.E., Grammatopoulos G., Speirs A., Geoffrey Ng. K.C., Carsen S., Frei H. et al. Unravelling the hip pistol grip/cam deformity: Origins to joint degeneration. J Orthop Res. 2018;36(12):3125-3135. doi: 10.1002/jor.24137.
  61. Rhon D.I., Greenlee T.A., Sissel C.D., Reiman M.P. The two-year incidence of hip osteoarthritis after arthroscopic hip surgery for femoroacetabular impingement syndrome. BMC Musculoskelet Disord. 2019;20(1):266. doi: 10.1186/s12891-019-2646-5.
  62. Honda E., Utsunomiya H., Hatakeyama A., Nakashima H., Suzuki H., Matsuda D.K., Sakai A., Uchida S. Patients aged in their 70s do not have a high risk of progressive osteoarthritis following arthroscopic femoroacetabular impingement correction and labral preservation surgery. Knee Surg Sports Traumatol Arthrosc. 2020;28(5):1648-1655. doi: 10.1007/s00167-019-05520-4.
  63. Poh S.y., Hube R., Dienst M. Arthroscopic treatment of femoroacetabular pincer impingement. Oper Orthop Traumatol. 2015;27(6):536-552. doi: 10.1007/s00064-015-0400-1.
  64. Byrd J.W., Jones K.S. Arthroscopic management of femoroacetabular impingement: minimum 2-year follow-up. Arthroscopy. 2011;27(10):1379-1388. doi: 10.1016/j.arthro.2011.05.018.
  65. Larson C.M., Giveans M.R., Stone R.M. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3,5-year follow-up. Am J Sports Med. 2012;40(5):10151021. doi: 10.1177/0363546511434578.
  66. Krych A.J., Thompson M., Knutson Z., Scoon J., Coleman S.H. Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy. 2013;29(1):46-53. doi: 10.1016/j.arthro.2012.07.011.
  67. Jackson T.J., Hanypsiak B., Stake C.E., Lindner D., El Bitar y.F., Domb B.G. Arthroscopic labral base repair in the hip: clinical results of a described technique. Arthroscopy. 2014;30(2):208-213. doi: 10.1016/j.arthro.2013.11.021.

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