FEMOROASETABULAR IMPINGEMENT SENDROMU

Neslihan Yağmur Göz

Yoncalı Fizik Tedavi ve Rehabilitasyon Hastanesi, Fizik Tedavi ve Rehabilitasyon Ünitesi, Kütahya, Türkiye

Yağmur Göz N. Femoroasetabular Impingement Sendromu. Çalış M, Talay Çalış H ed. Ağrıda Odak Noktası Kalça. 1. Baskı. Ankara: Türkiye Klinikleri; 2025. p.133-142.

ÖZET

Femoroasetabular impingement sendromu (FAİS) kalça ekleminin biyomekanik olarak anormal teması ile ilişkilidir. 3 şekilde görülür; cam morfolojisi, pincer morfolojisi ve 2 morfolojinin kombinasyonu. Cam morfolojisi femur başının yuvarlaklığının bozulması iken pincer morfolojisi femur başının asetabulum kısmıyla fazla kaplanmasıdır. FAİS, toplumda sık görülen bir durumdur. Ön kalça ve kasıkta ağrı ile prezente olur. Kalçada takılma hissi, ses gelmesi, kilitlenme ve kalça eklemi hareketinin kısıtlanması görülebilir. Direk grafi sonrası manyetik rezonans görüntüleme (MRG) ve bilgisayarlı tomografi (BT) tanıda yardımcıdır. Labrum hasarı için MRG-artrogram yapılabilir. Tedavi, konservatif ve cerrahi tedavi olmak üzere 2 seçenektir. Konservatif tedavide ilk basamak hasta eğitimidir. Hastaya istirahat önerilmelidir ve abartılı kalça fleksiyonu, iç rotasyonu ve addüksiyonu yapmaması öğretilmelidir. Nonsteroid anti-inflamatuar ilaçlar, eklem içi kortikosteroid/hyaluronik asit enjeksiyonu konservatif tedavi seçeneklerindendir. Kor kaslarına, gluteal kaslara, kalça abdüktörlerine ve dış rotatörlerine güçlendirme egzersizleri tedaviye eklenmelidir. 4-6 haftalık konservatif tedaviye yanıtsız hastalarda cerrahi tedavi önerilir. Cerrahi tedavi artroskopik ya da açık cerrahi olarak kişiye özel planlanmalıdır.

Anahtar Kelimeler: Femoroasetabular impingement sendromu; Cam morfolojisi; Pincer morfolojisi

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