• Left Double QuoteDr. Domb!
    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season.Thanks again for everything.Right Double Quote

    Corey WoottonChicago Bears and Detroit Lions

  • Left Double QuoteThank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.Right Double Quote

    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist

  • Left Double QuoteThank you for working your magic! You're the best!"Right Double Quote

    Zakiya BywatersChicago Red Stars, National Women's Soccer League

  • Left Double QuoteThanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.Right Double Quote

    Atari BigbyGreen Bay Packers and San Diego Chargers

  • Left Double QuoteDr. Domb Thanks for Fixing Me UpRight Double Quote

    Rashied DavisChicago Bears

  • Left Double QuoteHuge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!Right Double Quote

    Elena Delle DonneChicago Sky, MVP of the WNBA

  • Left Double QuoteDr. Domb! Thanks for taking care of the hip! All the best to you and your staffRight Double Quote

    Roosevelt ColvinChicago Bears' All-Decade Defense team

  • Left Double QuoteThanks doc for fixing my hipRight Double Quote

    Ryan ChiaveriniWindy City Live Co-Host on ABC7

Causes

The hip is a ball and socket joint. Friction-free movement of the hip joint is possible when there is a perfect fit of the hip ball (femoral head) and socket (acetabulum). Any abnormality in either one of these structures can interfere with the movement of the hip. Femoral acetabular impingement (FAI) is a mismatch in shape between the femoral head and acetabulum.

The three main causes for femoroacetabular impingement (FAI) are: Pincer impingement, Cam impingement, and combined pincer-cam impingement. In most cases, these form during development. In some cases, this may be in part due to sports played during adolescence.

Apart from these, certain diseases can lead to FAI. These may include:

Legg-Calve-Perthes disease: Lack of sufficient blood supply to the femoral head leads to bone death, causing an abnormal shape of the femoral head. This typically occurs in childhood during growth.

Slipped capital femoral epiphysis: Weakness of the growth plate causes the femoral head to slip backwards from the thigh bone and can cause an abnormal shape in development. This typically occurs in childhood during growth.

Coxa vara: Alteration of the angle between the femoral head and the rest of the thigh bone.

How FAI damages the labrum:

The labrum of the hip, similar to that of the shoulder, is a ring of rubbery fibrocartilage around the rim of the acetabulum. The labrum seals the lubricating fluid within the hip and contributes to stability of the joint. FAI can lead to damage of the labrum and subsequent symptoms of pain or instability in the hip or groin.

  • American Orthopaedic Society for Sports Medicine
  • The Arthroscopy Association of North America
  •  American Academy of Orthopaedic Surgeons
  • International Society for Hip Arthroscopy
  • The Association of Bone and Joint Surgeons