Femoroacetabular Impingement Morphological Changes in Sample of Patients Living in Southern Mexico Using Tomographic Angle Measures

摘要

Background: Femoroacetabular impingement (FAI) is a condition caused by abnormal contact between the femur head and the acetabulum, which damages the labrum and articular cartilage. While the prevalence and the type of impingement may vary across human groups, the variability among populations with short height or with a high prevalence of overweight has not yet been explored. Latin American studies have rarely been conducted in reference to this condition, including the Mayan and mestizo populations from the Yucatan Peninsula. Objective: We aimed to describe the prevalence of morphological changes in femoroacetabular impingement by measuring radiological angles in abdominopelvic tomography studies in a sample of patients from a population with short height. Methods: In this prospective study, patients with programmed abdominopelvic tomography unrelated to femoroacetabular impingement but with consistent symptoms were included. Among the 98 patients, the overall prevalence of unrelated femoroacetabular impingement was 47%, and the pincer-type was the most frequent. The cam-type occurred more frequently among individuals with taller stature compared to their peers. Alpha and Wiberg angles predicted cam- and pincer-type, respectively, with over 0.95 area under the curve values in ROC analyses. The inter-rater agreement in the study was >91%. Conclusions: In a patient population from Yucatan, Mexico, attending ambulatory consultations unrelated to femoroacetabular impingement, an overall morphological changes prevalence of 47% was observed. Angle measurements using tomographic techniques can be used to predict cam- and pincer-type femoroacetabular impingement. Average stature was observed to be shorter in patients with cam-type femoroacetabular impingement, but body mass index did not vary between groups.