Key result
Femoral anteversion may protect against hip impingement, while retroversion worsens hip arthroscopy outcomes, highlighting a complex interplay between femoral and acetabular morphologies.
Femoral version and acetabular morphology have a complex interplay that affects the presentation and outcomes of femoroacetabular impingement.
Femoral anteversion may be a protective factor for hip impingement, whereas hip arthroscopy outcomes are worse for patients with femoral retroversion. Changes in version also affect the location of impingement. The association of increased anteversion with cam lesions may also explain the high number of patients with asymptomatic cam lesions. Thus, some patients may have large α angles but be asymptomatic. Finally, although femoral version is important, it must be considered in the setting of the patient's acetabular morphology. There is a complex interplay of femoral and acetabular morphologies.
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Sacolick et al. (2022) conducted an editorial in Femoroacetabular Impingement. Femoral anteversion and retroversion was evaluated. Femoral anteversion may protect against hip impingement, while retroversion worsens hip arthroscopy outcomes, highlighting a complex interplay between femoral and acetabular morphologies.
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