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Hofteimpingement

Sist revidert:
Sist revidert av:


Definisjon:
Femoroacetabular innklemming (impingement), FAI, som over tid kan medføre skade og degenerative forandringer på labrum
Forekomst:
Er en tilstand som rammer yngre mennesker
Symptomer:
Smerter fortil og lateralt i hoften ofte i form av plutselige, stikkende smerter ved bevegelser, ev. ledsaget av et klikk og følelse av låsning
Funn:
Fleksjon, adduksjon og innoverrotasjons-test vil reprodusere smerten
Diagnostikk:
Tilleggsundersøkelser er røntgen, CT og MR
Behandling:
Reseksjon eller reparasjon av den ødelagte del av labrum og dekompresjon av benlesjoner som skaper trange forhold i hofteleddet, kan utføres ved åpen eller artroskopisk kirurgi
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  9. Martin RL, Sekiya JK. The interrater reliability of 4 clinical tests used to assess individuals with musculoskeletal hip pain. J Orthop Sports Phys Ther 2008; 38: 71-7 PubMed  
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  18. Philippon M, Schenker M, Briggs K, Kuppersmith D. Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression. Knee Surg Sports Traumatol Arthrosc 2007; 15: 908-14. PubMed  
  19. Larson CM, Giveans MR. Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy 2008; 24: 540-6. PubMed  
  20. Ilizaliturri VM Jr, Orozco-Rodriguez L, Acosta-Rodriguez E, Camacho-Galindo J. Arthroscopic treatment of cam-type femoroacetabular impingement: preliminary report at 2 years minimum follow-up. J Arthroplasty 2008; 23: 226-34. PubMed  
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  • Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo