Evidence Based Guide to Femoral Acetabular Impingement Syndrome for Physical Therapists -FPF Show Episode 44

By dpope2020

July 24, 2022

alternative to surgery for femoroacetabular impingement, cam impingement, conservative treatment for hip impingement, dan pope, fai hip, fai surgery, femoral acetabular impingement, femoroacetabular impingement, femoroacetabular impingement exercises, fitness pain free, hip impingement, hip impingement symptoms, hip impingement test, hip impingement treatment, hip pain, labral tear, physical therapist, physical therapy, physiotherapist, physiotherapy, pincer impingement

Evidence Based Guide to Femoral Acetabular Impingement Syndrome for Physical Therapists

Evidence Based Guide to Femoral Acetabular Impingement Syndrome for Physical Therapists:

  • 0:00 - Introduction
  • 2:29 What is the history of femoral acetabular impingement syndrome?
  • 4:15 What is femoral acetabular impingement syndrome?
  • 5:56 What is the relevant anatomy in femoral acetabular impingement syndrome?
  • 8:35 Radiographic findings in femoral acetabular impingement syndrome (CAM, Pincer, Mixed)
  • 11:22 What are the symptoms in femoral acetabular impingement syndrome?
  • 13:10 what are the clinical signs and best special tests in femoral acetabular impingement syndrome?
  • 16:14 What ranges of motion are restricted in femoral acetabular impingement syndrome?
  • 19:36 What radiographic findings can be expect in femoral acetabular impingement syndrome?
  • 21:28 How injections can help diagnosis femoral acetabular impingement syndrome
  • 22:00 What is the best treatment for femoral acetabular impingement syndrome?
  • 23:34 What does physical therapy look like for femoral acetabular impingement syndrome?
  • 24:22 What’s the type of physical therapy treatment for femoral acetabular impingement syndrome?
  • 25:44 Is surgery better then physical therapy for femoral acetabular impingement syndrome?
  • 26:55 What is surgical treatment for femoral acetabular impingement syndrome?
  • 28:15 What percentage of patients with femoral acetabular impingement syndrome will go on to require surgery?
  • 32:21 What’s the prognosis of femoral acetabular impingement syndrome?
  • 34:36 Should we treat asymptomatic femoral acetabular impingement?
  • 35:43 See exactly how I treat femoral acetabular impingement syndrome

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Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References:

  1. Griffin DR, Dickenson EJ, O'Donnell J, et alThe Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement British Journal of Sports Medicine 2016;50:1169-1176.

  2. Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 2003;417:112–20. doi:10.1097/01.blo.0000096804.78689.c2

  3. The Prevalence of Cam and Pincer Morphology and Its Association With Development of Hip Osteoarthritis. Van Klij, P., Heerey, J., Waarsing, J. H., & Agricola, R. (2018). Journal of Orthopaedic & Sports Physical Therapy, 48(4), 230–238.doi:10.2519/jospt.2018.7816

  4. Casartelli NC, Maffiuletti NA, Item-Glatthorn JF, Staehli S, Bizzini M, Impellizzeri FM, Leunig M. Hip muscle weakness in patients with symptomatic femoroacetabular impingement. Osteoarthritis Cartilage. 2011 Jul;19(7):816-21. doi: 10.1016/j.joca.2011.04.001. Epub 2011 Apr 12. PMID: 21515390.

  5. Pålsson A, Kostogiannis I, Ageberg E. Combining results from hip impingement and range of motion tests can increase diagnostic accuracy in patients with FAI syndrome. Knee Surg Sports Traumatol Arthrosc. 2020 Oct;28(10):3382-3392. doi: 10.1007/s00167-020-06005-5. Epub 2020 Apr 25. PMID: 32335699; PMCID: PMC7511272.

  6. Zhu Y, Su P, Xu T, Zhang L, Fu W. Conservative therapy versus arthroscopic surgery of femoroacetabular impingement syndrome (FAI): a systematic review and meta-analysis. J Orthop Surg Res. 2022 Jun 3;17(1):296. doi: 10.1186/s13018-022-03187-1. PMID: 35659016; PMCID: PMC9166461.

  7. Pennock AT, Bomar JD, Johnson KP, Randich K, Upasani VV. Nonoperative Management of Femoroacetabular Impingement: A Prospective Study. Am J Sports Med. 2018 Dec;46(14):3415-3422. doi: 10.1177/0363546518804805. Epub 2018 Nov 6. PMID: 30398893.

  8. Kemp JL, Mosler AB, Hart H, et al Improving function in people with hip-related pain: a systematic review and meta-analysis of physiotherapist-led interventions for hip-related pain British Journal of Sports Medicine 2020;54:1382-1394.

Image References:

  1. Hip Anatomy - Image Source, License, Attribution: OpenStax College – Edited by Fitness Pain Free LLC

  2. Radiographic Morphologies: Image source, license, attribution: Takuma-sa – Edited by Fitness Pain Free LLC