Femoroasetabular sıkışma sendromlu hastalarda pelvik bölgenin radyolojik anormallikleri ve klinik sonuçlar

Abstract

Aim : In our study, we aimed to examine the clinical outcomes and radiological changes in the pelvic region in patients with femoroacetabular impingement syndrome; to emphasize the importance of femoroacetabular impingement in the etiology of hip pain and conservatif management. Methods : The sociodemographic and clinical characteristics, abdominal and pelvic computed tomography scans, pelvic magnetic resonance imaging of 104 patients diagnosed with femoroacetabular impingement syndrome were retrospectively analyzed. Results : 41.3% of the patients were female, 58.7% were male and the mean age was 52.78 ± 13.18. 37.5% of the patients are housewives; 29.8% are not working; 28.8% were working and 3.8% were students. The proportion of patients with hip pain was 76%. 31.7% had pain in the right hip; 22.1% had pain in the left hip and 22.1% in both hip regions. Activity modification and medical therapy for 17.3% of the patients; medical treatment and home exercise program in 32.7%; physiotherapy was applied in 26.0%; no treatment was applied in 24.0%. 54.8% of the patients were diagnosed by tomography and 45.2% of them were diagnosed by magnetic resonance imaging. According to radiological results, 80.8% of them had cam; 5.8% had pincer and 13.5% had mixed type of femoroacetabular impingement. In 53.7% of asymptomatic patients and in 61.8% of the patients with pain complaints had additional radiological changes in the pelvic region. Accompanying radiological changes in the pelvic region were mostly subcortical cysts and sclerosis. Conclusion : Femoroacetabular impingement syndrome, which is one of the important factors in the development of hip osteoarthritis, should be considered when investigating the causes of hip pain. Protection of the hip joint and increasing the patient's quality of life should be aimed with early diagnosis and effective treatment. For these purposes, physiotherapy can be considered as a treatment option in patients with symptomatic femoroacetabular impingement syndrome.