Femoroacetabular Impingement: Current Concepts and Evolving Management Strategies in 2025

Abstract

Abstract Purpose of Review Femoroacetabular impingement (FAI) syndrome is an important, yet underdiagnosed, etiology of hip pain in adolescents and young adults. This paper reviews our current understanding of the diagnosis and management of FAI syndrome, emphasizing recent updates. Recent Findings Treatment recommendations emphasize a trial of conservative measures first, followed by operative intervention if that fails. Physical therapy is the gold standard first line of treatment. Utilization of injectable medications can be helpful, but data remains limited. Comprehensive hip arthroscopy including cam/pincer resection and labral/cartilage repair is the established surgical treatment. Careful patient selection for surgery is increasingly recognized as a key determinant of successful outcomes. Summary FAI syndrome is a common culprit of hip pain and onset of hip osteoarthritis in younger individuals. It is often underdiagnosed, and thus undertreated, resulting in delayed care. There are various treatment options, to include operative and non-operative interventions, which can drastically improve pain, function, and quality of life.