Purpose: The purpose of this case report is to present the successful management of symptomatic bilateral femoroacetabular impingement (FAI) syndrome in a patient who underwent surgical treatment on one side and non-surgical treatment on the other side.
Methods: We evaluated the treatment outcome of a young female presenting with bilateral FAI syndrome of cam morphology. A follow-up was performed at 5 years following surgical treatment on the right hip and 2 years following non-surgical treatment on the left hip. The evaluation included a clinical examination, patient-reported outcome measurements (PROM), plain radiographs, and magnetic resonance imaging (MRI).
Results: The patient experienced subjective improvements bilaterally. The clinical examination revealed differences in range of motion between the surgically treated and the non-surgically treated sides, with internal rotation differing the most (20° vs almost 0°). Flexion was, however, the same on both sides (125°). The PROM results were satisfactory on both sides, with slightly better results for the surgically treated side (the short version of the International Hip Outcome Tool [iHOT-12]: 96.9 vs 90, the Copenhagen Hip and Groin Outcome Score [HAGOS]: 90–100 vs 65–100). On the surgically treated side, the alpha angle decreased by 19° postoperatively. An MRI did not reveal any injury to the cartilage or labrum on either side.
Conclusion: This patient with bilateral FAI syndrome treated with arthroscopic surgery on one side and physiotherapy together with reduced physical activity on the other side, presented with good results bilaterally at follow-up.

Keywords: arthroscopy, physiotherapy, outcome, comparison



中文翻译：

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双侧股骨髋臼撞击综合征的不同治疗方法：病例报告

目的：本病例报告的目的是介绍在一侧接受外科治疗而另一侧接受非外科治疗的患者的症状性双侧股骨髋臼撞击（FAI）综合征的成功治疗。
方法：我们评估了一位年轻女性，其表现为双侧FAI综合征的凸轮形态。在右髋手术治疗后5年和左髋非手术治疗后2年进行随访。评估包括临床检查，患者报告的结局测量（PROM），X线平片和磁共振成像（MRI）。
结果：病人双侧都有主观改善。临床检查显示，经手术和未经手术的一侧之间的运动范围存在差异，内部旋转差异最大（20°几乎为0°）。但是，两侧的弯曲度相同（125°）。两侧的PROM结果均令人满意，而经手术治疗的一侧则好些（国际髋关节预后工具[iHOT-12]的简短版本：96.9与90，哥本哈根髋关节和腹股沟预后评分[HAGOS]：90） –100和65–100）。在经手术治疗的一侧，术后α角减小了19°。MRI并未显示出任何一侧软骨或唇唇的损伤。
结论：该患者患有双侧FAI综合征，一侧经关节镜手术治疗，另一侧接受物理疗法，同时身体活动减少，在随访中双侧表现良好。

关键词：关节镜，理疗，结果，比较