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Cam impingement is the result an abnormal morphology of the proximal femur, usually at the femoral head-neck junction; while pincer impingement is the result of an abnormal morphology or orientation of the acetabulum (Kassajian et al, 2007).

These changes can be found on conventional radiography, magnetic resonance imaging (MRI) and computed tomography (CT) examinations (Beall et al, 2005; Bredella and Stoller, 2005).

The term coxa profunda refers to a deep acetabulum with excessive acetabular coverage; also referred to as "deep socket." A center edge angle greater than or equal to 40 degrees has been found to be a reliable predictor of pincer impingement (Kutty, et al., 2012).

The center edge angle is the angle formed by a vertical line and a line connecting the femoral head center with the lateral edge of the acetabulum.

Aenta considers labrum reconstruction experimental and investigational for the treatment of FAI because there is insufficient evidence regarding the effectiveness of this approach.

Aetna consider surgery for FAI impingement experimental and investigational for all other indications.

Aetna considers capsular plication experimental and investigational for the treatment of FAI because there is insufficient evidence regarding the effectiveness of this approach.

Hip impingement syndrome, also known as femoro-acetabular impingement (FAI) syndrome, is a recently accepted pathological condition that primarily affects young and middle-aged adults.

It is characterized by hip pain felt mainly in the groin, and can result in chronic pain and decreased range of motion in flexion and internal rotation.

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