FAI Flashcards

1
Q

Overview
abnormal hip jt. ______ and _______ _______ arrangement

Symptomatic contact between proximal ______ and __-____

A

morphology
bonty shape

femur; acetabulum

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2
Q

Prevalence
Bological _______
Higher with ______ or ____ range activities

A

males
vigorous; end range

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3
Q

Risk Factors
_______ and _______ sex
- abnormal bone _______
- higher risk for ______

Populations and Activities
- vigorous loading in ________
- use of ________ motion
- pediatric _____ conditions

Abnormal hip/pelvis kinematics
______ pelvic tilt

Limited _______ pelvic tilt

Excessive hip _______

Limited hip _______- more likely due to bony abutment than capsular tightness

A

Genetics; biological
morphology
sibling

athletes
excessive
hip

anterior
posterior
ADD
IR

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4
Q

Etiology- largely ______

More often:
- abnormal hip ______
- vigorous athletic ______
_______ of both

Less often
Slipped ____ ______ _____ (SCFE)
_______ ______ fx or malunion
________ ________ ________ Disease

A

mechanics
loading
combination

capital femoral epiphysis
femoral neck
legg calve perthes’

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5
Q

Congenital Types

CAM: Less ________ femoral head
Head contacts _______ ______ acetabulum or _____ o’clock position

More common in biological ______

Radiology- 37% presence in ____ _____ without pain

55% presence in ________ without pain

A

spherical
anterior superior
12

males
general population
athletes

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6
Q

Pincer
_________ acetabulum or anterior _________

Neck primarily contacts _________ ________ but also may contact _______ labrum

MOST Common in ______ aged _______ biological _______

A

Deeper; osteophyte

anterior superior; posterior

middle
athletic
females

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7
Q

Pathomechanics- Mechanical ________ leading to ________ cascade of events

A

impingement
degenerative

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8
Q

Structures Involved
with or without a ____-______ _____ changes/ ______ tears

83% with ______ _______ damage
93% ________ damage

A

age; related joint
labral
articular
labral

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9
Q

Labrum is made of ________
primarily Type ____ collagen

A

fibrocartilage
I

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10
Q

Labral tears should be considered in _______ individuals with mechanical ______ pain without alternative ________ dx

20% of _______ with _____ pain
Up to 55% prevalence in those with _____ and _____ pain

A

active
groin
radiological

athletes; groin
hip; groin

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11
Q

Symptoms
_______ onset of _____ pain into the anterior ______/______ (deep _____)

Worsened with repetitive and or prolonged _____ ______

_______ Pain
Possible ______ hip pain

A

gradual
hip
hip; groin
pinch

hip flexion
Groin
lateral

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12
Q

An example of FAI activities that worsens pain:
__________, _________, prolonged ________ (bony ____-packed position)

A

Squatting
Stairs
sitting
closed

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13
Q

Signs
Observation: Impaired ______ ______
Functional Test: Imapired ______ and ______ dominant squatting pattern

A

LQ control
balance
quad

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14
Q

Signs
ROM- Pain and loss of motion with hip ______ to 90°/ IR < ___° @ 90° of Hip FLX and or horizontal ______

A

FLX
20
ADD

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15
Q

Signs
< ____ ° total rotation @ 90° FLX is largest predictor for _____ pain!

A

85
groin

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16
Q

Signs
Possible limitation with ________ and _______ if > 20° between sides (high spec)

A

ABD; dysplasia

17
Q

Signs
Hip maltracking may be present when the hip deviates into ______ while moving into FLX @ _____°

A

ABD
100

18
Q

Resisted MMT
decreased activion of ______ / ______/ _______s

A

GMax
ABD
ER

19
Q

With chronic FAI, there would be Weak _____ and ______

A

ER
ABD

20
Q

Combined Motions- ______ block

A

consistent

21
Q

Stress Tests
Compression probably _____ and distx ______

A

+
relieving

22
Q

Accesory Motion- _______

A

hypomobility

23
Q

Special Tests

______/_______/______ probably positive

_________ _________ test probably positive

Possible + ______ ________

A

FIR/FADDIR/FABER
Ligamentum Teres
femoral torsion

24
Q

Palpation- TTP over _______ hip joint or _____o’clock region

A

anterior
12

25
Q

PT Rx
POLICED

______ management

Orthotics
Foot: limits hip ____/____
Hip: not ________

Patient _______- moderate support
- limit Hip ______ > ____°

______ cues for LE control

______ for cartilage ____ and possibly ______

A

Load
ADD; IR
recommended
Education
FLX; 90
verbal
JM; integrity; mobility

26
Q

MET
primarily for ______ integrity, ____ function, and possibly _______

_____ and ______ strengthening for ___-____ weeks

Emphasize _____ control

Combo of _____ and ______ provided significant clinical improvement

A

cartilage
muscle
mobility

hip; core
LE

JM; MET

27
Q

Prognosis
A little more than _____% report ______ outcome with PT

66% return to _____ through PT with that have labral tears

Presence of ______ is a poor prognosis

A

50
satisfactory
play
ARJC

28
Q

MD Rx
Injections
__________ injection P! functional benefits @ ___ weeks (lasted to 12 mths)

_________- pain functional benefits at 2 weeks (lasted to 12 wks)

__________
-regenerative

A

Viscosupplementation
Corticosteroid
Orthobiolgic

29
Q

What’s the typically Sx if needed for FAIS?

A

arthroscopy; requires high skill and typically successful with labral resconstruction in athletes