Groin pain after open FAI surgery: the role of intraarticular adhesions

Beck, M (2009). Groin pain after open FAI surgery: the role of intraarticular adhesions. Clinical orthopaedics and related research, 467(3), pp. 769-74. Heidelberg: Springer-Verlag 10.1007/s11999-008-0653-1

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Femoroacetabular impingement (FAI) is an established cause of osteoarthrosis of the hip. Surgery is intended to remove the cause of impingement with hip dislocation and resection of osseous prominences of the acetabular rim and of the femoral head-neck junction. Using the Merle d'Aubigné score and qualitative categories, recent studies suggest good to excellent outcomes in 75% to 80% of patients after open surgery with dislocation of the femoral head. Unsatisfactory outcome is mainly related to pain, located either in the area of the greater trochanter or in the groin. There are several reasons for persisting groin pain. Joint degeneration with joint space narrowing and/or osteophyte formation, insufficient correction of the acetabula, and femoral pathology are known factors for unsatisfactory outcome. Recently, intraarticular adhesions between the femoral neck and joint capsule have been identified as an additional cause of postoperative groin pain. The adhesions form between the joint capsule and the resected area on the femoral neck and may lead to soft tissue impingement. MR-arthrography is used for diagnosis and the adhesions can be treated successfully by arthroscopy. While arthroscopic resection improves outcome it is technically demanding. Avoiding the formation of adhesions is important and is perhaps best accomplished by passive motion exercises after the initial surgery.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Beck, Martin

ISSN:

0009-921X

ISBN:

19082679

Publisher:

Springer-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:09

Last Modified:

26 Jun 2018 14:44

Publisher DOI:

10.1007/s11999-008-0653-1

PubMed ID:

19082679

Web of Science ID:

000263070900023

BORIS DOI:

10.7892/boris.30387

URI:

https://boris.unibe.ch/id/eprint/30387 (FactScience: 193060)

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