Challenge of the Week / Basic Science / 03.06.20

When treating male versus female patients with femoroacetabular impingement, which of the following sex differences may impact the treatment plan?
  • Male patients are more likely to display cam-type impingement.
  • Male patients do have more cam-type impingement, which is pertinent to operative planning.

  • Female patients are more likely to present with bilateral symptomatic hips.
  • Male patients are more likely to have bilateral symptoms.

  • Female patients are more likely to present at a younger age.
  • Early literature on femoroacetabular impingement (FAI) supports that pincer type impingement is more common in female patients and becomes symptomatic 1 to 2 decades after the typical presentation age for male patients with cam-type impingement.

  • Male patients have lower baseline patient-reported outcomes.
  • Female patients have lower baseline patient-reported outcomes. While improvements following surgery are of the same magnitude in both sexes, female patients report lower scores after surgery.

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