TY - JOUR
T1 - Incidence of Femoroacetabular Impingement and Surgical Management Trends Over Time
AU - Hale, Rena F.
AU - Melugin, Heath P.
AU - Zhou, Jun
AU - LaPrade, Matthew D.
AU - Bernard, Christopher
AU - Leland, Devin
AU - Levy, Bruce A.
AU - Krych, Aaron J.
N1 - Funding Information:
One or more of the authors has declared the following potential conflict of interest or source of funding: This study was partially funded by the National Institutes of Health under grant T32AR056950 as well as Jiangsu Health International Exchange Program (JSH-2018-004) and grant UL1 TR002377 from the National Center for Advancing Translational Sciences. H.P.M. has received hospitality payments from DePuy Synthes Sales. M.D.L. has a family member with the following disclosures: intellectual property royalties and consulting fees from Arthrex Inc, Ossur, and Smith & Nephew. B.A.L. has received consulting fees from Arthrex Inc and Smith & Nephew; research support from Biomet, Stryker, and Smith & Nephew; speaking fees from Linvatec; and royalties from Arthrex Inc. A.J.K. has received research support from Aesculap/B. Braun, Arthritis Foundation, Ceterix, Exactech, Gemini Medical, Histogenics; consulting fees from Arthrex, JRF Ortho, DePuy, Vericel; and intellectual property royalties from Arthrex. A.J.K. is also a shareowner in Responsive Arthroscopy. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.
Publisher Copyright:
© 2020 The Author(s).
PY - 2021/1
Y1 - 2021/1
N2 - Background: Femoroacetabular impingement (FAI) is a well-known cause of hip pain in adolescents and young adults. However, the incidence in the general population has not been clearly defined. Purpose: To (1) define the population-based incidence of diagnosis of FAI in patients with hip pain, (2) report the trends in diagnosis of FAI over time, and (3) determine the changes in the rate and type of surgical management over time. Study Design: Cohort study; Level of evidence, 3. Methods: A geographic database was used to identify patients who were 14 to 50 years old with hip pain between the years 2000 and 2016. Chart and radiographic review was performed to determine which patients had FAI. To be included, patients had to have a triad of clinical symptoms, physical examination signs, and imaging findings consistent with FAI. Medical records were reviewed to obtain demographic information, clinical history, physical examination findings, imaging details, and treatment details. Statistical analysis determined the overall age- and sex-adjusted annual incidence of FAI diagnosis and trends over time. Results: There were 1893 patients evaluated with hip pain, and 716 (38%; 813 hips) had diagnosed FAI. The mean ± SD age was 27.2 ± 8.4 years, and 67% were female. The incidence of FAI diagnosis was 54.4 per 100,000 person-years. Female patients had a higher incidence than male patients (73.2 vs 36.1 per 100,000 person-years; P <.01). Incidence of FAI diagnosis were higher from 2010 to 2016 (72.6 per 100,000 person-years; P <.01) as compared with 2005 to 2009 (45.3) and 2000 to 2004 (40.3). Hip arthroscopy, surgical hip dislocation, and periacetabular osteotomy utilization increased from the 2000-2004 to 2010-2016 periods, respectively: 1 (1%) to 160 (20%; P =.04), 2 (1%) to 37 (5%; P =.01), and 1 (1%) to 22 (3%; P =.58). Conclusion: The overall incidence of FAI diagnosis was 54.4 per 100,000 person-years, and it consistently increased between 2000 and 2016. Female patients had a higher incidence than male patients. The utilization of joint preservation operations, including hip arthroscopy, surgical hip dislocation, and anteverting periacetabular osteotomy, increased over time.
AB - Background: Femoroacetabular impingement (FAI) is a well-known cause of hip pain in adolescents and young adults. However, the incidence in the general population has not been clearly defined. Purpose: To (1) define the population-based incidence of diagnosis of FAI in patients with hip pain, (2) report the trends in diagnosis of FAI over time, and (3) determine the changes in the rate and type of surgical management over time. Study Design: Cohort study; Level of evidence, 3. Methods: A geographic database was used to identify patients who were 14 to 50 years old with hip pain between the years 2000 and 2016. Chart and radiographic review was performed to determine which patients had FAI. To be included, patients had to have a triad of clinical symptoms, physical examination signs, and imaging findings consistent with FAI. Medical records were reviewed to obtain demographic information, clinical history, physical examination findings, imaging details, and treatment details. Statistical analysis determined the overall age- and sex-adjusted annual incidence of FAI diagnosis and trends over time. Results: There were 1893 patients evaluated with hip pain, and 716 (38%; 813 hips) had diagnosed FAI. The mean ± SD age was 27.2 ± 8.4 years, and 67% were female. The incidence of FAI diagnosis was 54.4 per 100,000 person-years. Female patients had a higher incidence than male patients (73.2 vs 36.1 per 100,000 person-years; P <.01). Incidence of FAI diagnosis were higher from 2010 to 2016 (72.6 per 100,000 person-years; P <.01) as compared with 2005 to 2009 (45.3) and 2000 to 2004 (40.3). Hip arthroscopy, surgical hip dislocation, and periacetabular osteotomy utilization increased from the 2000-2004 to 2010-2016 periods, respectively: 1 (1%) to 160 (20%; P =.04), 2 (1%) to 37 (5%; P =.01), and 1 (1%) to 22 (3%; P =.58). Conclusion: The overall incidence of FAI diagnosis was 54.4 per 100,000 person-years, and it consistently increased between 2000 and 2016. Female patients had a higher incidence than male patients. The utilization of joint preservation operations, including hip arthroscopy, surgical hip dislocation, and anteverting periacetabular osteotomy, increased over time.
KW - femoroacetabular impingement
KW - hip pain
KW - incidence
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U2 - 10.1177/0363546520970914
DO - 10.1177/0363546520970914
M3 - Article
C2 - 33226833
AN - SCOPUS:85096453439
SN - 0363-5465
VL - 49
SP - 35
EP - 41
JO - American Journal of Sports Medicine
JF - American Journal of Sports Medicine
IS - 1
ER -