In young people in their 30s, 40s, especially in athletes, the cause may be a relatively recent diagnosis, which unfortunately most doctors are not familiar with. It's about hip impingement syndrome, the so-called. femoroacetabular impingement. Namely, due to a different design of the hip, excess bone and cartilage, or poor alignment of the joint, gradual damage to the joint elements occurs during movements. The diagnosis is verified by X-ray of the hips and magnetic resonance with contrast (MR arthrography).
In the case of non-treatment or inadequate treatment, arthrosis gradually occurs already in the 40s (sometimes much earlier) and the need for the installation of a total hip endoprosthesis. FAI is one of the rare diagnoses in orthopedics where surgical treatment is recommended first, rather than physical therapy.
The operation is performed arthroscopically -
with use of a camera through several incisions up to 1 cm.
In this way, arthrosis at a younger age and the need for early installation of a hip endoprosthesis are prevented.