What You Need to Know
The Ultimate Guide to Recovering from Hip Impingement Without Surgery
Up to 67% of people have been reported to have FAI bone variations on imaging but do not have any symptoms³. If you only have the changes on imaging and no pain or restricted range of movement then you do not have femoroacetabular syndrome (FAIS)
Hip impingement, or femoroacetabular impingement (FAI), occurs when the femoral head (ball of the hip) pinches up against the acetabulum (cup of the hip). When this happens, damage to the labrum (cartilage that surrounds the acetabulum) can occur, causing hip stiffness and pain, and can lead to arthritis.
There are three types of FAI: pincer, cam, and combined impingement.
Hip impingement may be caused by a misshapen femoral head, deformed femoral neck, or a hip socket that covers too much of the femoral head. Over time, repetitive “bumping” or impingement of the femur on the rim of the acetabulum leads to cartilage and labral damage.
Question: What is the ICD-10 Code for Acetabular Labral Tear? Answer: The codes that begin with S73. 1- are for sprains of the hip. If the two ligaments offered in that subcategory do not pertain to your patient (iliofemoral and ishiocapsular), then the most appropriate code would be S73.
Femoroacetabular impingement happens when the joint is misshapen - simply put, the round ball and socket shape is not round. There are three common causes or types of FAI: cam, pincer, and combined (both cam and pincer) FAI.
Cam-type femoroacetabular impingement (FAI) is a known cause of groin pain and a condition that can give rise to osteoarthritis of the hip (1). Patients suffering from this condition are mainly young and experience pain when the hip is moved through internal rotation and adduction at 90° of hip flexion.
Femoroacetabular impingement (FAI), also called hip impingement, is a condition where the hip joint is not shaped normally. This causes the bones to painfully rub together. This condition can be treated with corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, rest and surgery.
Symptoms include a dull, aching pain in the groin that may get worse during movement and exercise, the sensation or sound of clicking or popping in the hip joint during movement, and stiffness in the thigh, hip, or groin.
Based on the results of this study, it appears that the incidence of bilateral FAI is relatively common at 31%. Most patients with unilateral symptomatic FAI and radiographic evidence of bilateral FAI eventually underwent surgical intervention in the contralateral hip (72%).
This tough, crescent-shaped cartilage structure lines the rim of the hip socket (called the acetabulum), which is located in the pelvic bone. Also known as the acetabular labrum, this should not be confused with the labrum of the shoulder, which is a similar structure called the glenoid labrum.
A hip (acetabular) labral tear is damage to cartilage and tissue in the hip socket. The labrum is a band of tough cartilage and connective tissue that lines the rim of the hip socket, or acetabulum. It cushions the joint of the hip bone, preventing the bones from directly rubbing against each other.
6: Tear of labrum of degenerative shoulder joint.
Hip impingement syndrome, also known as femoro-acetabular impingement (FAI) syndrome, is a recently accepted pathological condition that primarily affects young and middle-aged adults. It is characterized by hip pain felt mainly in the groin, and can result in chronic pain and decreased range of motion in flexion and internal rotation. Femoroacetabular impingement (FAI) occurs as a result of friction in the hip joint caused by abnormal contact between the femoral head and the rim of the acetabulum (hip socket). Over time, the repetitive contact can cause damage to the articular or labral cartilage, which may lead to degenerative joint disease.
Cam Impingement is a type of impingement in which the femoral head is aspherical, which prevents it from rotating smoothly inside the acetabulum (i.e., femoral cause ). Pincer Impingement is a type of impingement in which extra bone extends out over the normal rim of the acetabulum (ie, acetabular cause).
Aetna considers hip arthroscopy to repair degenerative labral tears (e.g., due to early osteoarthritis) experimental and investigational. Aetna considers labrum reconstruction experimental and investigational for the treatment of FAI because there is insufficient evidence regarding the effectiveness of this approach.