AANA19 Hip Access Pass-Hold On_ Asymptomatic FAI Exists-Dr. J.W. Thomas Byrd, M.D.

Hold On_ Asymptomatic FAI Exists-Dr. J.W. Thomas Byrd, M.D.

Video Transcription

Video Summary

The speaker discusses femoroacetabular impingement (FAI), emphasizing that it’s common—up to 90% of athletes show radiographic signs, often asymptomatic. Pain and functional impairment primarily indicate surgery, but asymptomatic hips require cautious monitoring, not immediate surgery. FAI is a chronic, often unrecognized condition causing joint damage before symptoms arise, complicating diagnosis. Imaging changes are common but not always clinically significant. Treatment success depends on identifying enough contributing factors, including biomechanics and pelvic orientation. The key takeaway: operate only on symptomatic patients and carefully watch asymptomatic cases to prevent irreversible damage.

Keywords

femoroacetabular impingement

athlete hip pain

asymptomatic FAI

FAI diagnosis

FAI treatment criteria