Diagnosis and management of femoroacetabular impingement: a review of the literature

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dc.contributor.authorO'Shea, Aidan
dc.contributor.authorCrowley, Claire
dc.contributor.authorCrowley, Diarmuid
dc.date.accessioned2018-07-09T09:10:54Z
dc.date.available2018-07-09T09:10:54Z
dc.date.issued2018-01
dc.date.updated2018-07-06T11:37:24Z
dc.description.abstractFemoroacetabular impingement (FAI) is being increasingly diagnosed as a cause of hip pain among young and middle-aged adults, and is now recognised as a likely cause of early osteoarthritis (OA) of the hip. There are two main forms, “cam” impingement and “pincer” impingement, although the vast majority of cases have a combination of both forms known as “mixed” impingement. Over time, repetitive abnormal contact between the femoral head and acetabulum can result in chondral, labral, and eventually osseous pathology. A detailed history and physical examination in conjunction with radiological imaging help in the diagnosis of FAI. Diagnosis is made difficult by the fact that many asymptomatic patients have the characteristic features of FAI on imaging. Most patients should have a trial of conservative management prior to consideration for surgery. Arthroscopic and open surgical treatments are available, with neither showing superior outcomes. In general, early outcomes of surgical treatment appear to be favourable, however these outcomes are limited to a hip joint with little or no evidence of OA. Further high quality research is required to investigate the optimal approach to diagnosing and managing this complex condition.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'Shea, A., Crowley, C. and Crowley, D. (2018) 'Diagnosis and management of femoroacetabular impingement: a review of the literature', Physiotherapy Practice and Research, 39(1), pp. 5-13. doi:10.3233/PPR-170101en
dc.identifier.doi10.3233/PPR-170101
dc.identifier.endpage13en
dc.identifier.issn2213-0683
dc.identifier.issn2213-0691
dc.identifier.issued1en
dc.identifier.journaltitlePhysiotherapy Practice and Researchen
dc.identifier.startpage5en
dc.identifier.urihttps://hdl.handle.net/10468/6432
dc.identifier.volume39en
dc.language.isoenen
dc.publisherIOS Pressen
dc.rights© 2018, the Authors. Published by IOS Press. All rights reserved. This document is the Accepted Manuscript version of a Published Work that appeared in final form in Physiotherapy Practice and Research, 39(1). The final publication is available at IOS Press through http://dx.doi.org/10.3233/PPR-170101en
dc.subjectFemoroacetabularen
dc.subjectImpingementen
dc.subjectHipen
dc.subjectCamen
dc.subjectPinceren
dc.titleDiagnosis and management of femoroacetabular impingement: a review of the literatureen
dc.typeArticle (peer-reviewed)en
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