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Femoroacetabular impingement syndrome (FAI) - Coggle Diagram
Femoroacetabular impingement syndrome (FAI)
Tests
FADDIR - sens but not spec - can rule out.
Subjective
Pain and stiffness provoked by certain movements.
Aggs: acceleration sports, squats, stairs, prolonged sitting.
Pain usually in groin/ hip but can also be felt in the thigh, back or buttock.
Clicking, catching, locking or giving away may be reported.
At risk groups include: young people involved in sports, 10-15 years when growth plates are forming, middle aged people with vigorous gym workouts.
Insidious.
Objective
Limited ROM usually internal rotation and flexion.
Symptoms will often be motion or position related.
Clear knee and lumbar spine.
Research
Why this and nothing else?
Provoked by particular movements,
Symptoms, clinical signs and diagnostic imaging will be used to aid diagnosis.
Differentials
Tendinopathy glute med or prox hamstring.
Deep gluteal pain syndrome.
Hip OA.
Labral tear.
Greater trochanteric pain syndrome.
Pathology
Pincer type: bone growth extends over the rim of acetabulum.
Cam type: bone growth on the femoral head.
Extra bone growing along one or both the hip joints. Can cause friction between bones resulting in pain and limitations in function.
Combined type: possible to have a combination.
Treatment
Activity modification and pt education.