ANÁLISIS CLÍNICO Y AVANCES EN EL TRATAMIENTO EN EL PINZAMIENTO FEMOROACETABULAR: REVISIÓN BIBLIOGRÁFICA

Abstract

Femoroacetabular impingement (PFA) is a structural alteration of the hip characterized by abnormal contact between the femoral head and the acetabulum, causing pain and restriction of movement, with the risk of osteoarthritis, especially in young people and athletes. An electronic search was carried out for scientific articles published from January 2018 to 2024 in the PubMed, Scopus, Web of Science and ScieLO databases. The PFA is classified into CAM, Pincer and mixed. The CAM variant involves an irregular femoral head that generates friction; the Pinza, acetabular overcoverage that limits movement; and the mixed, the combination of both. Its diagnosis includes symptoms, physical examination and imaging studies, where MRI and x-ray are key. Initial treatment is conservative (physiotherapy and analgesia), but if symptoms persist or there is progression of damage, surgery is required. Hip arthroscopy is preferred for its lower morbidity and faster recovery compared to open surgery, although the choice depends on the structural damage and the experience of the surgeon. In conclusion, the treatment of AFP must be adapted to each patient. While conservative approaches control initial pain, surgery, especially arthroscopy, is the best option to restore functionality and avoid complications. In advanced cases it should be carefully evaluated, since the prognosis may be limited.