Evaluation and treatment of young adults with femoro-acetabular impingement secondary to Perthes' disease

Henk Eijer, D. A. Podeszwa, R. Ganz, M. Leunig

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Hip pain and loss of motion in young adults with previous Legg-Calve-Perthes-Disease may be caused by anterior femoro-acetabular impingement. Eleven patients (12 hips) with the chief complaint of groin pain and significant proximal femoral deformity were treated. Gadolinium-enhanced magnetic resonance arthrography in ten patients indicated labral injury and adjacent acetabular cartilage lesions in nine hips. A surgical dislocation of each hip confirmed that there was impingement induced intra-articular injury consistent with the pathology indicated on the MRI. Reshaping of the femoral head, with correction of the femoral head/neck offset, and treatment of the acetabular rim pathology was performed for each hip in conjunction with other procedures for the proximal femur. Correction of the impingement and increased range of motion could be visualized intra-operatively. At a mean follow-up of 33 months, half of all patients were pain-free and all had improvement in pain compared with preoperatively. Ten patients had an improved range of motion and two a slight decrease. No additional necrosis following the dislocation of the femoral head was seen.

Original languageEnglish (US)
Pages (from-to)273-280
Number of pages8
JournalHIP International
Volume16
Issue number4
StatePublished - Oct 2006

Fingerprint

Femoracetabular Impingement
Legg-Calve-Perthes Disease
Hip
Young Adult
Thigh
Articular Range of Motion
Pain
Pathology
Arthrography
Hip Dislocation
Groin
Femur Neck
Wounds and Injuries
Gadolinium
Therapeutics
Femur
Cartilage
Necrosis
Magnetic Resonance Spectroscopy
Joints

Keywords

  • Femoro-acetabular impingement
  • Hip
  • Hip dislocation
  • MR arthrography
  • Perthe's disease

ASJC Scopus subject areas

  • Surgery

Cite this

Evaluation and treatment of young adults with femoro-acetabular impingement secondary to Perthes' disease. / Eijer, Henk; Podeszwa, D. A.; Ganz, R.; Leunig, M.

In: HIP International, Vol. 16, No. 4, 10.2006, p. 273-280.

Research output: Contribution to journalArticle

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