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Hip Impingement

Hip impingement is a growing problem among young, active adults

Femoral acetabular impingement (FAI), or hip impingement, has become much more common in the last 10 years, especially among younger people who are active in sports. The Ohio State University Wexner Medical Center’s hip preservation specialists see patients from their teens through their sixties who have hip impingement.

What is hip impingement?

Hip impingement occurs when the ball of the femur doesn’t fit perfectly into the hip socket. If left untreated, hip impingement often develops into arthritis and the need for a hip joint replacement.

What Causes Hip Impingement?

Hip impingement can be caused by misshapen bones, spurs that develop over time or activities that damage the labrum, or cartilage that seals the socket. Hip impingement is often seen in children who were year-round athletes before and during puberty, when the hip growth plate fuses. High levels of activities such as soccer, basketball, field and ice hockey, martial arts, yoga, dance, cycling and rowing can cause the plate to fuse in an abnormal shape and lead to hip impingement.

What are the Symptoms of Hip Impingement?

Symptoms of hip impingement include pain in the lower back, groin, side of the hip and buttocks. It can be confused with other problems such as bursitis, piriformis syndrome, back pain, hip flexor strain, groin pull, pinched nerve and even endometriosis in women.

Why choose Ohio State for hip impingement treatment?

Ohio State’s Division of Hip Preservation is among the most comprehensive in the United States, with surgeons, clinicians, therapists and a fellowship to train future hip specialists. The team also has an outcomes database to review long-term results in hip impingement patients. They use three-dimensional motion analysis to help compare and predict joint characteristics in patients with and without hip impingement.

Identifying hip impingement and treating it early is important in preserving hip function. Hip impingement doesn’t always require surgery. Our comprehensive, multidisciplinary team includes physical therapists who work with patients to improve hip and core strength. If it’s needed, our specialists can reshape the bone and repair the hip cartilage using arthroscopic surgery.

John Ryan, MD, FAI treatment at Ohio State


 Content Editor ‭[2]‬


John Ryan, MD, hip preservation research


 Content Editor ‭[3]‬


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