FAI Flashcards
Overview
abnormal hip jt. ______ and _______ _______ arrangement
Symptomatic contact between proximal ______ and __-____
morphology
bonty shape
femur; acetabulum
Prevalence
Bological _______
Higher with ______ or ____ range activities
males
vigorous; end range
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
Genetics; biological
morphology
sibling
athletes
excessive
hip
anterior
posterior
ADD
IR
Etiology- largely ______
More often:
- abnormal hip ______
- vigorous athletic ______
_______ of both
Less often
Slipped ____ ______ _____ (SCFE)
_______ ______ fx or malunion
________ ________ ________ Disease
mechanics
loading
combination
capital femoral epiphysis
femoral neck
legg calve perthes’
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
spherical
anterior superior
12
males
general population
athletes
Pincer
_________ acetabulum or anterior _________
Neck primarily contacts _________ ________ but also may contact _______ labrum
MOST Common in ______ aged _______ biological _______
Deeper; osteophyte
anterior superior; posterior
middle
athletic
females
Pathomechanics- Mechanical ________ leading to ________ cascade of events
impingement
degenerative
Structures Involved
with or without a ____-______ _____ changes/ ______ tears
83% with ______ _______ damage
93% ________ damage
age; related joint
labral
articular
labral
Labrum is made of ________
primarily Type ____ collagen
fibrocartilage
I
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
active
groin
radiological
athletes; groin
hip; groin
Symptoms
_______ onset of _____ pain into the anterior ______/______ (deep _____)
Worsened with repetitive and or prolonged _____ ______
_______ Pain
Possible ______ hip pain
gradual
hip
hip; groin
pinch
hip flexion
Groin
lateral
An example of FAI activities that worsens pain:
__________, _________, prolonged ________ (bony ____-packed position)
Squatting
Stairs
sitting
closed
Signs
Observation: Impaired ______ ______
Functional Test: Imapired ______ and ______ dominant squatting pattern
LQ control
balance
quad
Signs
ROM- Pain and loss of motion with hip ______ to 90°/ IR < ___° @ 90° of Hip FLX and or horizontal ______
FLX
20
ADD
Signs
< ____ ° total rotation @ 90° FLX is largest predictor for _____ pain!
85
groin
Signs
Possible limitation with ________ and _______ if > 20° between sides (high spec)
ABD; dysplasia
Signs
Hip maltracking may be present when the hip deviates into ______ while moving into FLX @ _____°
ABD
100
Resisted MMT
decreased activion of ______ / ______/ _______s
GMax
ABD
ER
With chronic FAI, there would be Weak _____ and ______
ER
ABD
Combined Motions- ______ block
consistent
Stress Tests
Compression probably _____ and distx ______
+
relieving
Accesory Motion- _______
hypomobility
Special Tests
______/_______/______ probably positive
_________ _________ test probably positive
Possible + ______ ________
FIR/FADDIR/FABER
Ligamentum Teres
femoral torsion
Palpation- TTP over _______ hip joint or _____o’clock region
anterior
12
PT Rx
POLICED
______ management
Orthotics
Foot: limits hip ____/____
Hip: not ________
Patient _______- moderate support
- limit Hip ______ > ____°
______ cues for LE control
______ for cartilage ____ and possibly ______
Load
ADD; IR
recommended
Education
FLX; 90
verbal
JM; integrity; mobility
MET
primarily for ______ integrity, ____ function, and possibly _______
_____ and ______ strengthening for ___-____ weeks
Emphasize _____ control
Combo of _____ and ______ provided significant clinical improvement
cartilage
muscle
mobility
hip; core
LE
JM; MET
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
50
satisfactory
play
ARJC
MD Rx
Injections
__________ injection P! functional benefits @ ___ weeks (lasted to 12 mths)
_________- pain functional benefits at 2 weeks (lasted to 12 wks)
__________
-regenerative
Viscosupplementation
Corticosteroid
Orthobiolgic
What’s the typically Sx if needed for FAIS?
arthroscopy; requires high skill and typically successful with labral resconstruction in athletes
