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Clinical Orthopaedics and Related Research

, Volume 467, Issue 3, pp 638–644 | Cite as

Clinical Presentation of Patients with Symptomatic Anterior Hip Impingement

  • John C. ClohisyEmail author
  • Evan R. Knaus
  • Devyani M. Hunt
  • John M. Lesher
  • Marcie Harris-Hayes
  • Heidi Prather
Symposium: Femoroacetabular Impingement: Current Status of Diagnosis and Treatment

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

Groin Pain Femoroacetabular Impingement Provocative Test Secondary Osteoarthritis Posterior Impingement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  • John C. Clohisy
    • 1
    Email author
  • Evan R. Knaus
    • 2
  • Devyani M. Hunt
    • 2
  • John M. Lesher
    • 2
  • Marcie Harris-Hayes
    • 3
  • Heidi Prather
    • 2
  1. 1.Department of Orthopaedic SurgeryWashington University School of MedicineSt. LouisUSA
  2. 2.Physical Medicine and Rehabilitation Section of the Department of Orthopaedic SurgeryWashington University School of MedicineSt. LouisUSA
  3. 3.Program in Physical TherapyWashington University School of MedicineSt. LouisUSA

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