Femoroacetabular Impingement Overview
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Questions and Answers

What is a positive test when assessing hip conditions?

  • Reproduction of symptoms such as pain or clicking (correct)
  • Decreased pain during movement
  • Increased range of motion
  • Smooth hip joint movement

    • Surgical treatment for hip disorders includes arthroscopic repair only.

    False

    What is the recommended weight-bearing status immediately after labral repair surgery?

    50% body weight WB

    In Phase I of rehabilitation, __________ exercises are recommended to protect the repair.

    <p>gentle isometric</p> Signup and view all the answers

    Match the following rehabilitation phases with their focus:

    <p>Phase I = Protected weight-bearing and gentle isometric exercise Phase II = Progression of strengthening and range of motion Phase III = Full range of motion expect by 4-6 weeks Post-Op = ROM limits and weight-bearing restrictions</p> Signup and view all the answers

    What is a common cause of femoroacetabular impingement (FAI)?

    <p>Repetitive stress activities</p> Signup and view all the answers

    Cam impingement is characterized by a nonspherical head of the femur.

    <p>True</p> Signup and view all the answers

    List one symptom of femoroacetabular impingement (FAI).

    <p>Pain in hip</p> Signup and view all the answers

    The extra bone in __________ impingement causes damage to the acetabular labrum.

    <p>Pincer</p> Signup and view all the answers

    Match the following types of femoroacetabular impingement with their descriptions:

    <p>CAM Impingement = Nonspherical head of the femur Pincer Impingement = Overhanging rim of the acetabulum Mixed Impingement = Both CAM and Pincer types are present FAI Syndrome = Motion-related clinical disorder of the hip</p> Signup and view all the answers

    Which of the following is NOT a common symptom of labral tears?

    <p>Heart palpitations</p> Signup and view all the answers

    FAI occurs only in the presence of pain and symptoms.

    <p>False</p> Signup and view all the answers

    Which athletes are commonly affected by femoroacetabular impingement?

    <p>Hockey players, soccer players, runners, dancers</p> Signup and view all the answers

    Study Notes

    Femoroacetabular Impingement (FAI)

    • FAI is a condition where the hip joint is not shaped normally, affecting either the acetabulum or femoral head.
    • Bones rubbing together leads to pain and reduced range of motion (ROM).
    • Untreated FAI can damage cartilage, leading to osteoarthritis.
    • Common cause of hip pain across age groups, from adolescents to athletes.

    FAI Types

    • CAM Impingement: Nonspherical femoral head.
    • Pincer Impingement: Overhanging rim of the acetabulum, resulting in extra bone.
    • Mixed Impingement: Combination of CAM and Pincer types.

    FAI: Damage to the Hip Joint

    • Pincer Impingement: Acetabular labrum damage.
    • Pincer Impingement: Potential secondary articular damage, increasing osteoarthritis risk.
    • CAM Impingement: Articular cartilage damage due to delamination.

    FAI: Etiology & Symptoms

    • Etiology: Repetitive stress activities.
    • Common Athletes: Hockey, soccer, runners, dancers.
    • Common Occurrence: FAI can exist without pain or symptoms.
    • FAI Syndrome: Motion-related hip disorder characterized by a triad of symptoms, clinical signs, and imaging findings.
    • Symptoms: Hip pain, limited ROM, pain with hip rotation, pain with sitting and standing after prolonged sitting.
    • Impingement Tests: FADIR test (forced flexion, adduction, and internal rotation) reproduces symptoms.

    Labral Tear

    • Etiology: Often found with FAI, alongside articular damage.
    • Etiology: Can be caused by trauma or repetitive stress activities.
    • Common Athletes: Hockey, soccer, runners, dancers.
    • Location: Most common tear is anterior.
    • Anatomy: The labrum is a fibrocartilaginous rim attached to the acetabulum, deepening the hip socket

    Labral Tears: Symptoms

    • Symptoms: Hip or groin pain, catching or clicking, pain with hip rotation, worsening with prolonged sitting, standing, or walking.
    • Symptoms: Stiffness or limited ROM in the hip joint.

    Labral Tear: Rehabilitation

    • Rehabilitation: Essential for successful outcomes.
    • Rehabilitation: Compliance with rehab protocol and post-surgery restrictions is critical.

    FAI and Labral Tear: Test

    • Anterior Labral Tear Test: Video available at https://www.youtube.com/watch?v=wmK_PhkUbaM.
    • Anterior Labral Tear Test: Performed by passively moving the hip through a sequence of motions (flexion, external rotation, abduction followed by internal rotation, adduction, and extension).
    • Positive Test: Reproduces symptoms (pain and/or clicking).

    FAI and Labral Tears: Treatment

    • Conservative Treatment: Mobility and strengthening exercises.
    • Surgical Treatment: Arthroscopic resection/debridement or repair.
    • Labral Debridement: WB restrictions for 2 weeks, no ROM restrictions.
    • Labral Repair or Refixation: ER limited for 4 weeks post-op with antirotation bolster; flexion limited to 80-90°; 50% body weight WB.
    • Rehabilitation:
      • Phase I: Protected WB; gentle isometric exercise, ROM within pain-free range.
      • Phase II: Progression of strengthening and ROM.
      • Full ROM: Expected by 4-6 weeks.

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    Description

    Explore the condition of Femoroacetabular Impingement (FAI), its types, and the potential damage it can cause to the hip joint. Learn about the symptoms, causes, and the impact on different types of athletes. This quiz provides a comprehensive understanding of FAI and its significance in hip pain management.

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