Clinical Presentation of Patients with Symptomatic Anterior Hip Impingement

• DOI: 10.1007/s11999-008-0680-y
• Publication Date: 2009-01-06T22:14:49Z
• Authors: John C. Clohisy; Evan R. Knaus; Devyani M. Hunt; John M. Lesher; Marcie Harris-Hayes; Heidi Prather
• Keywords: Femoroacetabular Impingement; Groin; Internal Rotation; Sports medicine

Femoroacetabular impingement (FAI) is considered a cause of labrochondral disease and secondary osteoarthritis. Nevertheless, the clinical syndrome associated with FAI not fully characterized. We determined history, functional status, activity physical examination findings that characterize FAI. prospectively evaluated 51 patients (52 hips) symptomatic Evaluation exam, previous treatments was performed. Patients completed demographic validated hip questionnaires (Baecke et al., SF-12, Modified Harris hip, UCLA score). The average patient age 35 years 57% were male. Symptom onset commonly insidious (65%) activity-related. Pain occurred predominantly in groin (83%). mean time from symptom to definitive diagnosis 3.1 years. by an 4.2 healthcare providers prior inaccurate diagnoses common. Thirteen percent had unsuccessful surgery at another anatomic site. On 88% hips painful anterior test. Hip flexion internal rotation limited 97 degrees 9 degrees, respectively. relatively active, yet demonstrated restrictions function overall health. These data may facilitate this disorder.