Table II.
Prognosis of femoroacetabular impingement (FAI)
Author/s | Population | Number of cases | Imaging used | Level of evidence | Major finding | ||||
---|---|---|---|---|---|---|---|---|---|
Allen et al67 | Patients < 55 yrs with symptomatic cam FAI (Canada) | 113 (82M, 31F) | AP pelvis and lateral x-ray | Prognostic, III | 88 patients with bilateral cam, but only 23 of these with bilateral symptoms | ||||
Audenaert et al68 | Patients < 65 yrs undergoing THR (Belgium) | 121 | AP pelvis and cross-table lateral x-ray | Prognostic, IV | Low correlation of radiological and activity variables with age at THR. Patients with primarily cam impingement were younger at THR than patients with primarily pincer impingement | ||||
Bardakos and Villar69 | Patients < 55 yrs with idiopathic OA with 10 years of radiological follow-up (UK) | 43 hips (43 patients) (35M, 8F) | Supine AP pelvis x-ray | Prognostic, III | 28 of 43 showed radiological progression of OA | ||||
Clohisy et al70 | Patients < 50 yrs undergoing THR (US) | 604 (710 hips), (314M, 290F), 118 with FAI | AP pelvis and cross-table lateral x-ray | Prognostic, IV | High prevalence of FAI in patients previously diagnosed with “unknown causes of OA” (118 of 121), 70 FAI patients with radiographs at more than one timpoint all with bilateral findings, 73% progression of disease over time | ||||
Hartofilakidis71 | Contralateral hip of patients < 65 yrs treated for unilateral hip disease (Greece) | 96 with FAI (31M, 65F) | AP pelvis x-ray | Prognostic, IV | 17.7% progression of OA over 10 years, presence of “idiopathic OA” on contralateral side was the only predictor of progression |