Groin Injuries

Question 1

FAI

Answer 1

Femoral Actebular Impingement Syndrome (FAI)

Pain on Impingement Fest FADIR

Question 2

Acetabular Dysplasia

Answer 2

Misalignment between the femoral head and acetabulum secondary to changes in shape / size / orientation

Question 3

FAI Definition

Answer 3

FAI syndrome is a motion related clinical disorder of the hip with a triad of symptom, clinical signs and imaging findings. It represents symptomatic premature contact between the proximal femur and the acetabulum.

Motion or position related pain in hip or groin
 Pain may be felt in back, buttock or thigh
 Patients may describe:
– Clicking
– Catching
– Locking
– Stiffness
– RestrictedROM – Givingway

FAI Signs and Imaging: Signs are what you find on OE (impairments)
 Pain on hip impingement test (FADIR)
 Limited ROM
– Restricted internal rotation in hip flexion
 Imaging
– X-ray confirmation of a cam / pincer morphology
 Diagnosis
– For diagnosis of FAI syndrome, symptoms, signs and findings on imaging must be present
(triad)

Question 4

FAI Subjective

Answer 4

 Body Chart
– Deep groin pain worse in FADIR functional positions
– Often present with generalised groin pain
– May complain of chronic back / gluteal pain
 Common in athletes, cyclists, truck drivers (sustained hip joint flexion)
 Kicking sports, martial arts, ballet dancers
 May describe a ‘giving way’ sensation and acute pain
 May describe an audible click or clunk on IR and adduction of hip

Question 5

FAI Subjective

Answer 5

 Body Chart
– Deep groin pain worse in FADIR functional positions
– Often present with generalised groin pain
– May complain of chronic back / gluteal pain
 Common in athletes, cyclists, truck drivers (sustained hip joint flexion)
 Kicking sports, martial arts, ballet dancers
 May describe a ‘giving way’ sensation and acute pain
 May describe an audible click or clunk on IR and adduction of hip

Question 6

FAI Objective

Answer 6

Redcued functional movement Capacity
-reduced squat depth
Reduced HHD, ab +add +flex +IR and ER

special tests
- pain on FADIR
Hip quadrant ‘clunk’

Question 7

FAI treatment

Answer 7

“treat what you find”

address strength impariemnts
manual therapy to soft tissue
mobilisation

surgical
- arthoscopy
- Improve morphology
- repair labourm