The Evaluation Indicators of X-ray Radiographs for Femoroacetabular Impingement Syndrome

Abstract

Objective: To explore the evaluation indicators of X-ray radiographs for femoroacetabular impingement (FAI) syndrome, and to propose therapeutic plans for FAI syndrome by using X-ray radiographs. Methods: From June 2016 to May 2018, patients who were diagnosed as FAI syndrome by hip joint anteroposterior radiographs in Second Yinzhou District Hospital were selected as research objects. After screening, the surgical treatment group included 52 cases, totally. Another 30 healthy adults who received X-ray radiography were included as the control group. Each included patient underwent minimally invasive surgery under hip arthroscopy. The efficacy indicators were evaluated, and the data were statistically analyzed. Results: By analyzing the basic data of the subjects, it was found that there was no significant difference in gender and body mass index between the healthy people and FAI patients (P > 0.05), but the VAS and Harris scores of 7d, 30d, 90d, and 180d after surgery were significantly higher than those before the operation, and with the prolongation of the treatment time, the scores increased continuously, the difference had statistical significance (P < 0.05). By analyzing patients' knee joint mobility, it was found that after therapy, the flexion, pronation, abduction, and extension of knee joint at 30d, 90d, and 180d were distinctly increased compared with those before therapy. Also, the difference had statistical significance (P < 0.05) with the treatment time increasing; the X-ray films of hip joint of the subjects were observed, and it was found that there were healthy people, clamp type FAI, and cam type FAI three typical kinds. There were significant differences in the angle, eccentricity, depth of acetabulum, coverage rate of acetabulum, and CE angle among cam type patients, clamp type patients, and healthy people (P < 0.05). Conclusion: The research in this study found that when using the X-ray radiographs to determine the FAI syndrome, the differences between the classification of FAI symptoms and the healthy adults were obvious. In addition, the knee joint gradually recovered significantly in the range of movement (RM) after treatments, thereby providing experimental basis for diagnosing and treating the FAI syndrome in the later clinical stage.