Pathohistologic Changes in Hip Tissues and Clinical-Morphologic Correlations in Diseases Complicated by Femoroacetabular Impingement Syndrome


The purpose of the work was to detect clinical-morphologic correlative dependences in patients with clinically marked femoroacetabular impingement (FAI) syndrome basing on the study of pathomorphologic changes in hip joint tissues, semiquantitative quantification of pathologic changes intensity, frequency analysis of their occurrence in nosologic groups of comparison. Study was performed on specimens of hip joint tissues - femoral head, acetabulum, acetabular labrum and joint capsule, resected during indicated corrective surgeries for femoral head aseptic necrosis and juvenile epiphysiolysis. Clinical-morphologic study revealed various pathologic changes: dystrophic-destructive, ischemic-necrotic and productive-inflammatory. In patients with FAI syndrome clinical and morphologic correlative dependences varied by absolute value, sign and degree of reliability of association coefficient parameters, i.e. groups of patients with certain nosologic units retained the peculiarities of rate and characteristics proportions in correlative dependences

About the authors

V. V Grigorovskiy

Institute of Traumatology and Orthopaedics of Ukrainian academy of medical sciences, Kiev, Ukraine


V. V Filipchuk

Institute of Traumatology and Orthopaedics of Ukrainian academy of medical sciences, Kiev, Ukraine

M. S Kabatsiy

Institute of Traumatology and Orthopaedics of Ukrainian academy of medical sciences, Kiev, Ukraine


  1. Гайко Г.В., Григоровский В.В., Гошко В.Ю., Филип- чук В.В. Патогистологические изменения при хондролизе тазобедренных суставов по данным биопсийных исследований. Вестник травматологии и ортопедии им. Н.Н. Приорова. 1998; 2: 38-43.
  2. Григоровский В.В., Кабаций М.С., Филипчук В.В. Патоморфологические изменения в тканях тазобедренного сустава детей и подростков и некоторые клинико-морфологические зависимости при последствиях асептического некроза, юношеского эпифизеолиза и хондролиза головки бедра. Травматология и ортопедия России. 2008; 3: 20-9.
  3. Кожевников О.В., Кралина С.Э., Горохов В.Ю., Огарев Е.В. Коксартроз у детей и подростков: профилактика развития при лечении врожденной и приобретенной патологии тазобедренного сустава и особенности эндопротезирования. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2007; 1: 48-55.
  4. Leunig M., Beaule P.E., Ganz R. The Concept of femoroacetabular impingement: current status and future perspectives. Clin. Orthop. Relat. Res. 2009; 467 (3): 616-22.
  5. Rylander L., Froelich J.M., Novicoff W., Saleh K. Femoroacetabular impingement and acetabular labral tears. Orthopedics. 2010; 33 (5): 342-50.
  6. Tannast M., Goricki D., Beck M., Murphy S.B., Siebenrock K.A. Hip damage occurs at the zone of femoroacetabular impingement. Clin. Orthop. Relat. Res. 2008; 466 (2): 273-80.
  7. Wensaas A., Gunderson R.B., Svenningsen S., Terjesen T. Femoroacetabular impingement after slipped femoral epiphysis. The radiological diagnosis and clinical outcome at long-term follow-up. J. Bone Joint Surg. Br. 2012; 94 (11): 1487-93.
  8. Dodds M.K., McCormack D., Mulhall K.J. Femoroacetabular impingement after slipped capital femoral epiphysis: does slip severity predict clinical symptoms? J. Pediatr. Orthop. 2009; 29 (6): 535-9.
  9. Monazzam S., Bomar J.D., Dwek J.R., Hosalkar H.S., Pennock A.T. Development prevalence of femoroacetabular impingement-associated morphology in a paediatric and adolescent population. A CT study of 225 patients. J. Bone Joint Surg. Br. 2013; 95 (5): 598-604.
  10. Rakhra K.S., Lattanzio P.-J., Cardenas-Blanco A., Cameron I.G., Blaule P.E. Can T1-rho MRI detect acetabular cartilage degeneration in femoroacetabular impingement? A pilot study. J. Bone Joint Surg. Br. 2012; 94 (9): 1187-92.
  11. Field R.E., Rajakulendran K. The labro-acetabular complex. J. Bone Joint Surg. Am. 2011; 93-A (Suppl. 2): 22-7.
  12. Grant A.D., Sala D.A., Davidovitch R.I. The labrum: structure, function, and injury with femoro-acetabular impingement. J. Child. Orthop. 2012; 6 (5): 357-72.
  13. Ito K., Leunig M., Ganz R. Histopathologic features of the acetabular labrum in femoroacetabular impingement. Clin. Orthop. Rel. Res. 2004; 429: 262-71.
  14. Wagner S., Hofstetter W., Chiquet M., Mainil-Varlet P., Ganz R., Siebenrock K.A. Early osteoarthritic changes of human femoral head cartilage subsequent to femoro- acetabular impingement. Osteoarthritis Cartilage. 2003; 11: 508-18.
  15. Ефимов А.С. Малая энциклопедия врача-эндокринолога. Киев: Медкнига; 2007: 255-60.
  16. Manaster B.J., Zakel S. Imaging of femoral acetabular impingement syndrome. Clin. Sports Med. 2006; 25 (4): 635-57.
  17. Martin H.D., Kelly B.T., Leunig M., Philippon M.J., Clohisy J.C., Martin R.L. et al. The pattern and technique in the clinical evaluation of the adult hip: the common physical examination tests of hip specialists. Arthroscopy. 2010; 26 (2): 161-72.
  18. Philippon M.J., Briggs K.K., Yen Y.M., Kuppersmith D.A. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: Minimum two-year follow- up. J. Bone Joint Surg. Br. 2009; 91 (1): 16-23.
  19. Фiлiпчук В.В. Креслов О.I., Озеров 1.О., Голюк С.Л. Новий опитувальник для визначення функiї кульшового суглоба у дiтей та пiдлiткiв. Укр. мед. альманах. 2011; 14 (2): 220-4.
  20. Tönnis D. Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer; 1987.
  21. Bardakos I.V., Villar R.N. Predictors of progression of osteoarthritis in femoroacetabular impingement. A radiological study with a minimum of ten years follow- up. J. Bone Joint Surg. Br. 2009; 91 (2): 162-9.
  22. Masjedi M., Nightingale C.L., Azimi D.Y., Cobb J.P. The three-dimensional relationship between acetabular rim morphology and the severity of femoral cam lesions. Bone Joint J. 2013; 95 (3): 314-9.
  23. Calder J.D., Hine A.L., Pearse M.F., Revell P.A. The Relationship between osteonecrosis of the proximal femur identified by MRI and lesions proved by histological examination. J. Bone Joint Surg. Br. 2008; 90 (2): 154-8.
  24. Motomura G., Yamamoto T., Yamaguchi R., Ikemura S., Nakashima Y., Mawatari T., Iwamoto Y. Morphological analysis of collapsed regions in osteonecrosis of the femoral head. J. Bone Joint Surg. Br. 2011; 93 (2): 184-7.
  25. Corten K., Ganz R., Chosa E., Leunig M. Bone apposition of the acetabular rim in deep hips. A distinct finding of global pincer impingement. J. Bone and Joint Surg. Am. 2011; 93 (Suppl. 2): 10-6.
  26. Tibor L.M., Leunig M. The pathoanatomy and arthroscopic management of femoroacetabular impingement. Bone Joint Res. 2012; 1 (10): 245-57.
  27. Konan S., Rayan F., Meermans G., Witt J., Haddad F.S. Validation of the classification system for acetabular chondral lesions identified at arthroscopy in patients with femoroacetabular impingement. J. Bone Joint Surg. Br. 2011; 93 (3): 332-6



Abstract - 65


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Copyright (c) 2014 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies