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Scientific article
French

Quelle prise en charge chirurgicale pour le conflit fémoro-acétabulaire ?

Published inRevue médicale suisse, vol. 19, no. 854, p. 2350-2356
Publication date2023-12-13
Abstract

Femoroacetabular impingement (FAI) is a frequent cause of hip pain in young people and athletes. It requires a complete work-up, including X-rays, hip arthro-MRI and CT coxometry with measurement of femoral torsion. The surgical management of CFA must be adapted to the morphological anomalies of the femur (cam), acetabulum (pincer) and femoral torsional disorders. Most CFA can be treated by hip arthroscopy, with correction of the cam and suture of the labrum. Some CFA with a bulky or posterior cam require surgical hip dislocation. A femoral rotation or derotation osteotomy can correct an associated torsional disorder. In cases of marked retroversion of the acetabulum, anteverting periacetabular osteotomy can reorient the acetabulum.

engfre
Keywords
  • Humans
  • Adolescent
  • Femoracetabular Impingement / diagnostic imaging
  • Femoracetabular Impingement / surgery
  • Femoracetabular Impingement / complications
  • Hip Joint / surgery
  • Acetabulum / surgery
  • Hip Dislocation / complications
  • Hip Dislocation / diagnostic imaging
  • Hip Dislocation / surgery
  • Radiography
  • Retrospective Studies
Citation (ISO format)
GAUTHIER, Morgan, ZINGG, Matthieu, HANNOUCHE, Didier. Quelle prise en charge chirurgicale pour le conflit fémoro-acétabulaire ? In: Revue médicale suisse, 2023, vol. 19, n° 854, p. 2350–2356. doi: 10.53738/REVMED.2023.19.854.2350
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Article (Published version)
accessLevelRestrictedaccessLevelPublic 06/14/2025
Identifiers
ISSN of the journal1660-9379
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