Femoroacetabular Impingement (FAI) Syndrome
Draft Report Published: 7/27/2011
Public Comment Period: 7/27 - 8/17/2011
Final Report Published: 8/26/2011
HTCC Public Meeting: 9/16/2011

Topic Summary

Femoroacetabular impingement (FAI) syndrome is a recently recognized diagnosis in primarily younger individuals where relatively minor abnormalities in the joint (orientation or morphology) are thought to cause friction/impingement and pain. It is theorized that FAI starts the breakdown of cartilage, leading to osteoarthritis (OA). There are two types of FAI: cam impingement (most common in young athletic males) and pincer impingement (most common in middle-aged women). Proponents believe that surgical correction of the impinging deformities will alleviate the symptoms and retard the progression of OA degeneration. However, significant questions remain about the safety, efficacy and effectiveness and cost effectiveness of hip surgery for FAI.

Primary Criteria Ranking

Safety = Medium
Efficacy = High
Cost = High