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Hip impingement occurs most frequently in young athletes—and often with little or no symptoms. That’s why it is so important to consult with an orthopaedic specialist if your child (or any family member) is exhibiting signs of hip challenges.
Your hip is a ball-and-socket joint. The femoral head is the ball and the acetabulum is the socket. Hip impingement, also known as femoral acetabular impingement (FAI), is the abnormal friction that occurs between the femoral head and the acetabular rim. The friction can result in cartilage tears and hip labral tears. When it is not treated, FAI can lead to the bones rubbing together, eventually leading to osteoarthritis.
Kayal Orthopaedic Center in Bergen County, NJ, is proud to have Dr. Victor Ortiz, a highly respected expert in hip preservation, serving as our chief of hip services. Dr. Ortiz, along with Dr. Robert A. Kayal, founder and CEO, use innovative hip preservation treatments and therapies to fix hip impingement and other hip-related problems, including osteoporosis and sports injuries.
Reduce your risk.
There are two types of hip impingement:
There can be a problem with both the ball and the socket, as well.
These problems also can cause hip impingement:
Pinpoint your pain.
Although you can develop FAI at any time between your teen years and middle age, it occurs most often in young athletes, typically after they suffer minor trauma. It is possible to have hip impingement for years without knowing it, because it doesn’t always cause pain in the early stages. At first, you might experience periodic pain in the front of your hip or your groin. If you overburden your hip by exercising or sitting for long periods, your pain could grow worse. Other symptoms can include:
Get the answers you need.
Your surgeon at one of our centers in Bergen County, NJ, or Stony Point, NY, will begin by examining your hip, looking for signs of limited range of motion. You also will undergo X-ray and MRI testing. An X-ray can show any excess bone on the acetabular rim, femoral head or femoral neck. An MRI can identify labrum and cartilage tears. Your specialist also may order a CT scan to help determine whether you require surgery.
Life’s too short to put up with pain.
We will explore nonsurgical treatments first, including:
If these treatments are not effective, your surgeon may recommend hip impingement surgery. FAI is treated using hip arthroscopy, a minimally invasive procedure in which a lighted scope and thin tools are inserted through small incisions over your hip. Or your situation may require a more invasive surgical procedure.
The type of surgery depends on the cause of hip impingement and the amount of cartilage damage. However, the goal of both approaches is pain relief and hip preservation, which involves repairing damage to preserve the natural hip structures.
During hip arthroscopy, your torn labrum is repaired and the prominent part of the bony malformation of your hip may be decompressed. Femoral acetabular osteoplasty is a more invasive procedure that is done to remove the prominent bony area from the femoral neck. Both procedures restore femoral neck clearance and restore free range of motion in your hip.
Those who are too young for total hip replacement surgery and those with arthritis that hasn’t advanced are good candidates for surgical treatment. However, every patient is unique. You and your surgeon will determine the course of treatment that is best for you. Early diagnosis and surgery improve your chances of a full recovery. However, even surgery performed later can lessen pain and improve range of motion.
Our practice has several convenient locations in Bergen County, NJ: Franklin Lakes, Westwood, Glen Rock, Paramus, Garfield, Paterson, North Bergen and Montvale (coming in 2020), along with our Stony Point, NY, location. Call us at 844.777.0910 or contact us here on the web to schedule your appointment.