Editorial Commentary: Hip Subspine Impact: Is There a Synergistic Effect Between Subspine Impact and Femoroacetabular Impingement?

Abstract

Hip subspine impingement (SSI) is a condition located in the extra-articular area of the hip and is characterized by irregular contact between the anterior inferior iliac spine (AIIS) and the distal femoral neck. Recently, it also has been described that SSI can occur in a normal AIIS, without or in combination with femoroacetabular impingement (FAI), which has redirected the focus of the research. In clinical practice, SSI has no characteristic symptoms/signs and shares similar clinical findings with FAI, making it an important cause of revision hip arthroscopy due to the increased risk of being underdiagnosed and untreated. Consequently, interest in studying SSI and FAI simultaneously has grown to determine whether injuries to the labrum, chondrolabral junction, and acetabular cartilage can be aggravated by dynamic dysfunction or abnormal morphology of the AIIS.