When treating male versus female patients with femoroacetabular impingement, which of the following sex differences may impact the treatment plan? |
- Male patients are more likely to display cam-type impingement. Male patients do have more cam-type impingement, which is pertinent to operative planning.
- Female patients are more likely to present with bilateral symptomatic hips. Male patients are more likely to have bilateral symptoms.
- Female patients are more likely to present at a younger age. Early literature on femoroacetabular impingement (FAI) supports that pincer type impingement is more common in female patients and becomes symptomatic 1 to 2 decades after the typical presentation age for male patients with cam-type impingement.
- Male patients have lower baseline patient-reported outcomes. Female patients have lower baseline patient-reported outcomes. While improvements following surgery are of the same magnitude in both sexes, female patients report lower scores after surgery.