FAI

Question 1

Overview
abnormal hip jt. ______ and _______ _______ arrangement

Symptomatic contact between proximal ______ and ______

Answer 1

morphology
bonty shape

femur; acetabulum

Question 2

Prevalence
Bological _______
Higher with ______ or ____ range activities

Answer 2

males
vigorous; end range

Question 3

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

Answer 3

Genetics; biological
morphology
sibling

athletes
excessive
hip

anterior
posterior
ADD
IR

Question 4

Etiology- largely ______

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

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

Answer 4

mechanics
loading
combination

capital femoral epiphysis
femoral neck
legg calve perthes’

Question 5

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

Answer 5

spherical
anterior superior
12

males
general population
athletes

Question 6

Pincer
_________ acetabulum or anterior _________

Neck primarily contacts _________ ________ but also may contact _______ labrum

MOST Common in ______ aged _______ biological _______

Answer 6

Deeper; osteophyte

anterior superior; posterior

middle
athletic
females

Question 7

Pathomechanics- Mechanical ________ leading to ________ cascade of events

Answer 7

impingement
degenerative

Question 8

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

83% with ______ _______ damage
93% ________ damage

Answer 8

age; related joint
labral
articular
labral

Question 9

Labrum is made of ________
primarily Type ____ collagen

Answer 9

fibrocartilage
I

Question 10

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

Answer 10

active
groin
radiological

athletes; groin
hip; groin

Question 11

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

Worsened with repetitive and or prolonged _____ ______

_______ Pain
Possible ______ hip pain

Answer 11

gradual
hip
hip; groin
pinch

hip flexion
Groin
lateral

Question 12

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

Answer 12

Squatting
Stairs
sitting
closed

Question 13

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

Answer 13

LQ control
balance
quad

Question 14

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

Answer 14

FLX
20
ADD

Question 15

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

Answer 15

85
groin

Question 16

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

Answer 16

ABD; dysplasia

Question 17

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

Answer 17

ABD
100

Question 18

Resisted MMT
decreased activion of ______ / ______/ _______s

Answer 18

GMax
ABD
ER

Question 19

With chronic FAI, there would be Weak _____ and ______

Answer 19

ER
ABD

Question 20

Combined Motions- ______ block

Answer 20

consistent

Question 21

Stress Tests
Compression probably _____ and distx ______

Answer 21

+
relieving

Question 22

Accesory Motion- _______

Answer 22

hypomobility

Question 23

Special Tests

______/_______/______ probably positive

_________ _________ test probably positive

Possible + ______ ________

Answer 23

FIR/FADDIR/FABER
Ligamentum Teres
femoral torsion

Question 24

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

Answer 24

anterior
12

Question 25

PT Rx
POLICED

______ management

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

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

______ cues for LE control

______ for cartilage ____ and possibly ______

Answer 25

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

Question 26

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

_____ and ______ strengthening for ___-____ weeks

Emphasize _____ control

Combo of _____ and ______ provided significant clinical improvement

Answer 26

cartilage
muscle
mobility

hip; core
LE
10-12
JM; MET

Question 27

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

Answer 27

50
satisfactory
play
ARJC

Question 28

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

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

__________
-regenerative

Answer 28

Viscosupplementation
Corticosteroid
Orthobiolgic

Question 29

What’s the typically Sx if needed for FAIS?

Answer 29

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