Physical examination tests for the diagnosis of femoroacetabular impingement. A systematic review

Pacheco-Carrillo, Aitana; Medina-Porqueres, Iván

doi:10.1016/j.ptsp.2016.01.002

Cited by 34 publications

(32 citation statements)

References 34 publications

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“…There is conflicting evidence whether range of motion differs between individuals with and without hip-related pain 8–12 16 17. The heterogeneity in both the classification of patients with hip-related pain,2 18 and measurement methods described in the studies included in these systematic reviews, contributes to this conflicting evidence 8–12 16.…”

Section: Discussionmentioning

confidence: 99%

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

et al. 2019

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Hip-related pain can significantly impact quality of life, function, work capacity, physical activity and family life. Standardised measurement methods of physical capacity of relevance to young and middle-aged active adults with hip-related pain are currently not established. The aim of this consensus paper was to provide recommendations for clinical practice and research on standardised measurement methods of physical capacity in young and middle-aged active adults with hip-related pain. Four areas of importance were identified: (1) clinical measures (range of motion, muscle strength, functional impairments), (2) laboratory-based measures (biomechanics and muscle function (muscle activity, size and adiposity)), (3) physical activity, and (4) return to sport/performance. The literature was reviewed, and a summary circulated to the working group to inform discussion at the consensus meeting. The working group developed clinical and research recommendations from the literature review, which were further discussed and modified within the working group at the consensus meeting. These recommendations were then presented to all 38 International Hip-related Pain Research Network (IHiPRN) participants for further discussion, refinement and consensus voting. Therefore, the recommendations voted on were based on a combination of current evidence and expert opinion. The consensus meeting voted on 13 recommendations, six of which were clinically orientated, and seven more research specific. We recommended that clinicians working with young and middle-aged active adults with hip-related pain assess strength using objective methods of measurement, and clinically assess performance of functional tasks, including walking and running. Physical activity should be quantified using both self-reported and objective measures, and patient expectations of recovery should be quantified prior to treatment. It was recommended that return to physical activity (including sport and occupation) be quantified, and sport-specific activities should be assessed prior to return to sport. The IHiPRN participants were uncertain regarding recommendations for range of motion assessment. Research recommendations were that the measurement properties of range of motion, strength and functional performance tests be investigated, reported and improved in both clinical and research settings. Reporting of movement-related parameters (biomechanics and muscle function) should be standardised and the relationship among movement-related parameters, symptoms, function, quality of life, and intra-articular and imaging findings should be investigated. Quantification of return to physical activity (including sport and occupational demands) is required in future research, and the return to sport continuum should be used. Future research is required to determine the best criteria for rehabilitation progression and return to physical activity following hip-related pain management.

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Section: Discussionmentioning

confidence: 99%

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

et al. 2019

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“…The diagnosis of FAIS was confirmed by personal history, physical examination and imaging findings. Clinical tests included flexion, adduction and internal rotation (FADIR) and flexion, abduction and external rotation (FABER), 6 whereas imaging included an anteroposterior (AP) radiograph of the pelvis with the patient standing up, a lateral radiography of the femoral neck (Dunn or Ducroquet) and magnetic resonance imaging in patients with surgical indication for better lip and acetabular cartilage evaluation. In case of diagnostic doubt after all routine tests, signs and symptoms were reassessed after an intra-articular anesthetic injection.…”

Section: Palavras-chavementioning

confidence: 99%

Aspectos clínicos e radiográficos de pacientes com síndrome do impacto femoroacetabular: Há diferença entre quadril sintomático e assintomático?

et al. 2020

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Resumo Objetivos Comparar características clínicas e radiográficas entre quadril sintomático e assintomático em pacientes com síndrome do impacto femoroacetabular unilateral e estabelecer correlações entre os achados. Métodos Estudo retrospectivo, que consultou prontuários de pacientes com síndrome do impacto femoroacetabular, entre janeiro de 2014 e abril de 2017. Os pacientes foram avaliados clinicamente pelo questionário International Hip Outcome Tool 33 (iHOT33), escala visual analógica de dor, amplitude de rotação de quadril e força muscular de quadril e joelho. A avaliação radiográfica foi composta por mensurações do ângulo alfa, sinal do cruzamento, índice de retroversão acetabular, sinal da espinha isquiática e sinal da parede posterior do acetábulo. Resultados Foram incluídos no estudo 45 prontuários de pacientes, com tempo médio de sintomas até o diagnóstico de 28,6 meses e pontuação média no iHOT33 de 39,9. O valor médio de rotação medial do quadril sintomático foi de 20,5° e do assintomático 27,2°, com (p < 0,001). A positividade do sinal do cruzamento para quadril sintomático foi de 68,9% e do assintomático 55,6% (p = 0,03). Para índice de retroversão, o valor médio do quadril sintomático foi de 0,15 e do quadril assintomático foi 0,11 (p = 0,02). Encontramos correlação positiva entre o tempo de sintomas e a redução de amplitude de rotação medial de quadril (p = 0,04) e entre o índice de massa corpórea (IMC) e a redução amplitude de rotação medial de quadril (p = 0,02). Conclusão Ao comparar características clínicas e radiográficas, observamos redução de rotação medial e aumento do índice de retroversão acetabular no quadril sintomático, bem como associação entre o longo tempo de sintoma e o IMC elevado com perda de rotação medial dos quadris.

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“…The “C” sign, where the patient cups his hand over the greater trochanter when asked to localize his pain, was found to be associated with intra-articular hip pathology. 14 Range of motion is evaluated in the supine position with a goniometer ( Fig 1 ). Passive range of motion of the symptomatic hip is compared with the contralateral side, and pain with each maneuver should be recorded.…”

Section: Detailed Historymentioning

confidence: 99%

Comprehensive Clinical Evaluation of Femoroacetabular Impingement: Part 1, Physical Examination

Frangiamore

Mannava

Geeslin

et al. 2017

Arthroscopy Techniques

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A thorough evaluation of the hip must include a comprehensive medical and surgical history focused on the hip joint, surrounding soft tissues, and the associated structures of the spine, pelvis, and lower extremities. These details can guide the physical examination and provide insight into the cause of the patient's chief complaints. A proper examination includes physical examination while the patient is in the upright, supine, prone, and lateral position, as well as an evaluation of gait. Guided by a thorough history, the physical examination enables the surgeon to distinguish between intra-articular and extra-articular contributors to hip pain, selection of appropriate imaging modalities, and ultimately supports medical decision making.

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Physical examination tests for the diagnosis of femoroacetabular impingement. A systematic review

Cited by 34 publications

References 34 publications

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

Aspectos clínicos e radiográficos de pacientes com síndrome do impacto femoroacetabular: Há diferença entre quadril sintomático e assintomático?

Comprehensive Clinical Evaluation of Femoroacetabular Impingement: Part 1, Physical Examination

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