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Lenox Mount Sinai NewYork-Presbyterian Hospital weill Cornell
FAI Hip Surgery

What is FAI Hip Surgery?

Hip impingement is when part of the soft tissue around the hip socket gets pinched or compressed. For example, the soft tissue called the labrum can become frayed or torn. FAI or femoroacetabular impingement is often interchangeable with a hip impingement in general. This can happen when there is abnormal contact between the ball and socket of the hip joint.

The type of pain that can lead to FAI hip surgery often starts in groin come prolonged sitting, walking or repetitive activity. This very common among athletes who are repeatable causing the hip to rotate or flex. Our patients often first notice a popping or clicking sound coming from or felt on the front part of the hip.

Pain can also extend past the groin into the thigh, pelvis, and buttocks. This is a complex area of the body so it is important to go to a specialist to rule out other potential originates of the pain and discomfort.

Friction increases during hip movements and various parts of the joint can be damaged. Also, the bone itself can wear abnormally. There may be too much hip adduction, or movement of the leg toward the body. Alternately, the muscles that move the leg away from the body can be weakened.

What causes FAI Hip Impingement?

FAI or impingement of the hip can be caused by:

  • Stress on the hip joint
  • A fall or other direct injury to the area
  • Normal wear-and-tear of aging
  • Arthritis and osteoarthritis

How to Treat FAI Hip Impingement?

Treating an impingement of the hip must go from most conservative to more aggressive treatment. Initially, the following treatments are recommended:

  • Resting the affected hip
  • Immobilizing the injured hip
  • Exercises recommended by your doctor or physical therapist to rehabilitate and strengthen the muscles around the hip
  • Medication to reduce the hip swelling and pain

If the above methods don’t work, arthroscopic surgery may be necessary. What type of surgical actions the doctor performs during the surgery will depend on the type and severity of hip impingement.

  • American Orthopaedic Society for Sports Medicine
  • Arthroscopy Association of North America
  • International Society for Hip Arthroscopy
  • American Academy of Orthopaedic Surgeons
  • Ambra Health
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