Does it make sense to get surgery for a labral tear? Does labral debridement alone seem to work well? Does surgery on a labral tear mean your hip pain will get better? The results of doing labral debridements in the past turned out to be nowhere near as good as expected.
Article discussed in this video: https://www.ncbi.nlm.nih.gov/pubmed/24493256
Article on the history and faults with FAI: https://uprighthealth.com/critical-history-overview-femoroacetabular-impingement/
Video breakdown on problems with hip pain diagnoses: https://www.youtube.com/watch?v=yRAwOvL6RUw
Does FAI surgery really work? https://www.youtube.com/watch?v=XBhSYVa0w0k
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1) FAI bone shapes are common as anatomic variants and are not indicative of a disease.
•Femoroacetabular Impingement: Prevalent and Often Asymptomatic in Older Men: The Osteoporotic Fractures in Men Study. Link: http://europepmc.org/abstract/MED/25736918
•The prevalence of cam-type deformity of the hip joint: a survey of 4151 subjects of the Copenhagen Osteoarthritis study. Link: www.ncbi.nlm.nih.gov/pubmed/18415788
2) Cam and pincer impingement do not lead to arthritis.
•Predictors of progression of osteoarthritis in femoroacetabular impingement: a radiological study with a minimum of ten years follow-up. Link: http://www.ncbi.nlm.nih.gov/pubmed/19190047
•Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study. Link: http://www.ncbi.nlm.nih.gov/pubmed/23850552
3) Labral tears and other joint pathologies exist in high numbers in individuals without any pain or hip symptoms.
•Identification of acetabularlabral pathological changes in asymptomatic volunteers using optimized, noncontrast 1.5-T magnetic resonance imaging. Link: http://www.ncbi.nlm.nih.gov/pubmed/22422932
•The prevalence of acetabularlabral tears and associated pathology in a young asymptomatic population. Link: http://www.bjj.boneandjoint.org.uk/content/97-B/5/623.long
4) Surgery for FAI often fails to meet patient expectations.
Fulfilment of patient-rated expectations predicts the outcome of surgery for femoroacetabular impingement. Link: http://www.oarsijournal.com/article/S1063-4584(12)00988-0/abstract
More FAI videos: https://www.youtube.com/playlist?list=PLfKNSz5BBcBH4lL9pn4XUX9ef0OyZPFtj
For more relevant material:
1) diagnostic criteria for FAI make no sense: http://uprighthealth.com/?p=7558
2) unreliability of x-rays and anterior hip impingement tests: http://uprighthealth.com/?p=7703
3) CAM impingement and supposed causation of arthritis: http://uprighthealth.com/?p=7784
4) What is arthritis really? http://uprighthealth.com/?p=7946
5) Prevalence of FAI in CT scans of young asymptomatic population: http://www.ajronline.org/doi/full/10.2214/AJR.12.8546
6) Is a Positive Femoroacetabular Impingement Test a Common Finding in Healthy Young Adults?: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676610/
7) Does FAI cause arthritis? This 2010 study gives a resounding NO: http://www.bjj.boneandjoint.org.uk/content/93-B/5/580.short
8) Does pincer impingement lead to arthritis? This study also says NO: http://www.ncbi.nlm.nih.gov/pubmed/23850552
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