Pinzamiento femoroacetabular: Conceptos básicos en una nueva causa de dolor inguinal

• RODRIGO MARDONES R ^[1] ; VÍCTOR BARRIENTOS C ^[1] ; FERNANDO NEMTALA U ^[1] ; ALEXANDER TOMIC ^[1] ; MATÍAS SALINEROS U ^[1]
  1. [1] Hospital Militar de Santiago

     Hospital Militar de Santiago

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 1, 2010, págs. 102-108
• Idioma: español
• Títulos paralelos:
  • Femoroacetabular impingement as a cause of inguinal pain
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• Resumen

  • Femoro-acetabular impingement is an anatomical disturbance of the hip, caused by a deformity of the acetabulum, femur or both that causes an abnormal contact between both structures during certain movements. Its prevalence is 10 to 15% and causes chronic inguinal pain. It can be confused with several other causes of inguinal pain such as hernias, facet syndromes, a renal colic, etc. Patients with this condition are usually young individuals with inguinal pain that may appear after a minor trauma. During examination, pain may be elicited by infernal rotation and abduction movements of hip, flexed in 90°. Plain hip X ray is the most commonly used diagnostic method. Non-steroidal anti-inflammatory drugs and physical therapy can be used to alleviate pain, but the definitive treatment is surgical.