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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Prevalence of Femoro Acetabular Impingement in A Rural Population Presenting to A Medical College

P. Joyagnees, K.M. Vijay, M. Murali Ganesh and S. Senthilnathan
Page: 667-671 | Received 20 Sep 2024, Published online: 30 Nov 2024

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Abstract

The hip joint, scientifically known as the acetabulofemoral joint, is the joint between the femur and acetabulum of the pelvis and its primary function is to support the weight of the body in both static (e.g. standing) and dynamic (e.g. walking or running) postures. The study seeks to bridge this gap and to raise awareness of the existence and importance of asymptomatic FAI in rural settings among Orthopaedic surgeons, and ultimately to enable better hip health by diagnosing the condition in a timely manner and implementing preventive measures. This cross-sectional radiographic study was conducted at the Department of Radiodiagnosis, Annapoorana Medical College and Hospitals, among 211 asymptomatic adults aged 30–65 years from a rural population. Standard anteroposterior (AP) pelvis and frog-leg lateral radiographs were analyzed for radiological features of femoroacetabular impingement (FAI). Measurements included lateral center-edge angle (LCEA), acetabular index (Tönnis angle), pistol grip deformity, and crossover signs. Hips were categorized as cam, pincer, or mixed type based on standard angular cut-offs. Informed consent was obtained, and ethical clearance was secured prior to data collection. The mean age of participants was 50.3 ± 12.5 years; 54% were females. Cam-type features such as pistol grip deformity were present in 4.3% (right) and 5.2% (left), while circle sign was more frequent on the left (8.1%). Pincer-type indicators including medialized posterior wall sign were seen in over 21% of hips, and acetabular roof overlap (crossover sign) was observed in 33–40% of cases. The LCEA was significantly higher on the left (42.7°) compared to the right (39.6°), and the acetabular index showed a side difference (p < 0.001), suggesting asymmetrical hip morphology in this rural cohort. Orthopaedic clinicians should focus on the triad of symptoms, physical findings, and imaging before diagnosing FAI syndrome.


How to cite this article:

P. Joyagnees, K.M. Vijay, M. Murali Ganesh and S. Senthilnathan. Prevalence of Femoro Acetabular Impingement in A Rural Population Presenting to A Medical College.
DOI: https://doi.org/10.36478/makrjms.2024.11.667.671
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.667.671