Clinical Presentation of Patients with Symptomatic Anterior Hip Impingement
Top Cited Papers
- 1 March 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Clinical Orthopaedics & Related Research
- Vol. 467 (3), 638-644
- https://doi.org/10.1007/s11999-008-0680-y
Abstract
Femoroacetabular impingement (FAI) is considered a cause of labrochondral disease and secondary osteoarthritis. Nevertheless, the clinical syndrome associated with FAI is not fully characterized. We determined the clinical history, functional status, activity status, and physical examination findings that characterize FAI. We prospectively evaluated 51 patients (52 hips) with symptomatic FAI. Evaluation of the clinical history, physical exam, and previous treatments was performed. Patients completed demographic and validated hip questionnaires (Baecke et al., SF-12, Modified Harris hip, and UCLA activity score). The average patient age was 35 years and 57% were male. Symptom onset was commonly insidious (65%) and activity-related. Pain occurred predominantly in the groin (83%). The mean time from symptom onset to definitive diagnosis was 3.1 years. Patients were evaluated by an average 4.2 healthcare providers prior to diagnosis and inaccurate diagnoses were common. Thirteen percent had unsuccessful surgery at another anatomic site. On exam, 88% of the hips were painful with the anterior impingement test. Hip flexion and internal rotation in flexion were limited to an average 97° and 9°, respectively. The patients were relatively active, yet demonstrated restrictions of function and overall health. These data may facilitate diagnosis of this disorder. Level of Evidence: Level II, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.Keywords
This publication has 38 references indexed in Scilit:
- The Frog-leg Lateral Radiograph Accurately Visualized Hip Cam Impingement AbnormalitiesClinical Orthopaedics & Related Research, 2007
- Arthroscopic Management of Femoroacetabular ImpingementThe American Journal of Sports Medicine, 2007
- Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disordersThe Journal of Bone and Joint Surgery. British volume, 2007
- Hip morphology influences the pattern of damage to the acetabular cartilageThe Journal of Bone and Joint Surgery. British volume, 2005
- Anterior Femoroacetabular ImpingementPublished by Ovid Technologies (Wolters Kluwer Health) ,2004
- Anterior Femoroacetabular ImpingementPublished by Ovid Technologies (Wolters Kluwer Health) ,2004
- Anatomy, Pathologic Features, and Treatment of Acetabular Labral TearsPublished by Ovid Technologies (Wolters Kluwer Health) ,2003
- The Role of Labral Lesions to Development of Early Degenerative Hip DiseaseClinical Orthopaedics and Related Research, 2001
- Surgical dislocation of the adult hipThe Journal of Bone and Joint Surgery, 2001
- A 12-Item Short-Form Health SurveyMedical Care, 1996