title: Imaging findings of femoroacetabular impingement syndrome: focusing on mixed-type impingement.
abstract: The aim of our study was to analyze the imaging findings of femoroacetabular impingement (FAI). Eight consecutive patients [age range, 19-46 years (mean, 28.6 years); M/F ratio=7:1] who underwent operation for FAI were analyzed. We analyzed bump, acetabular retroversion and protrusion, and osteoarthritis in the radiographs. In MR arthrography, we analyzed alpha-angle, anterolateral labral tear, cartilage abnormality, herniation pit, paralabral cyst, subchondral cyst, and marrow edema. We correlated the imaging findings with operative findings. In the radiographs, all eight patients showed bump and osteoarthritis (Kellgren-Lawrence score II-IV), and five (62.5%) patients showed acetabular retroversion. In MR arthrography, anterolateral labral tear and mild cartilage abnormality (Outerbridge grade I and II) were seen in all eight patients; increased alpha-angle was seen in six cases (75%). Anterolateral labral tear, bump, and mild cartilage abnormality were seen in all eight patients during operation. According to the above findings, we divided the patients into three cam-type and five mixed-type FAI. In the five mixed-type FAI, both bump and acetabular retroversion were seen. The mixed-type FAI is the most prevalent type in our study. The main imaging findings of mixed-type FAI were acetabular retroversion, bump, and early osteoarthritis in radiographs, and anterolateral labral tear, cartilage abnormality, and increased alpha-angle in MR arthrography.
authors.affiliation: Department of Radiology, Korea University College of Medicine, Seoul, South Korea.
authors.forename: Suk-Joo
authors.initials: SJ
authors.lastname: Hong
authors.forename: Won Yong
authors.initials: WY
authors.lastname: Shon
authors.forename: Chang Yoon
authors.initials: CY
authors.lastname: Lee
authors.forename: Jae Sung
authors.initials: JS
authors.lastname: Myung
authors.forename: Chang Ho
authors.initials: CH
authors.lastname: Kang
authors.forename: Baek Hyun
authors.initials: BH
authors.lastname: Kim
mesh_terms: D000328:Adult; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013577:Syndrome; D055815:Young Adult