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Evidence Informed Physiotherapy

Hip Joint Impingement

KEY POINTS

- femoral acetabular impingement (FAI) is a common problem among dancers, runners and those who play agility-based sports.  Females are at higher risk than males (67% of presenting with FAI) (Hale et al 2021)
- two hip bone shapes (CAM-type and pincer-type) are more likely to experience FAI, however it is also know that many people have these hip bone shapes and never experience FAI, nor develop hip joint osteoarthritis
- conservative management includes maintaining hip movement, back & pelvic muscle control exercises, hip external rotator & gluteal strengthening, balance & proprioception exercises, & flexibility for the hip joint muscles
- the Warwick agreement on FAI management also concluded that surgery should only be done on the basis of current symptoms - not in an attempt to lower the change of future hip joint osteoarthritis

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FAI Warwick.jpg

Hale RF, Melugin HP, Zhou J, LaPrade MD, Bernard C, Leland D, Levy BA, Krych AJ. Incidence of Femoroacetabular Impingement and Surgical Management Trends Over Time. Am J Sports Med. 2021 Jan;49(1):35-41

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