Femoroacetabular impingement (FAI) is not a new idea but hip arthroscopy has allowed identification and surgical treatment of a greater number of patients. This increase is also partly the result of the confusion use of terminology which has resulted in ‘morphology’ being mistaken for ‘pathology’. This article clearly describes the difference between these two states, with a clear definition for the pathological state of FAI syndrome (FAIS), as well as the battery of tests needed to exclude or include a diagnosis of FAIS. This allows you to be confident about deciding whether FAIS is the cause of your patient’s hip/groin pain or not, enabling them to potentially avoid unnecessary and invasive surgery. Additionally, the article explains how the cam morphology is thought to occur, allowing you to advise children and adolescents on their activity levels during the crucial ‘growth spurt’ stage and so reduce the risk of cam development. Register free below (or log in if you already have an account) and you can access the article key points and other related resources.
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Kathryn Thomas (BSc Physio, MPhil Sports Physiotherapy) is a physiotherapist with a Masters degree in Sports Physiotherapy from the Institute of Sports Science and University of Cape Town, South Africa. She graduated both her honours and Masters degrees Cum Laude, and with Deans awards. After graduating in 2000 Kathryn worked in sports practices focusing on musculoskeletal injuries and rehabilitation. She was contracted to work with the Dolphins Cricket team (county/provincial team) and The Sharks rugby teams (Super rugby). Kathryn has also worked and supervised physios at the annual Comrades Marathon and Amashova cycle races for many years. She has worked with elite athletes from different sporting disciplines such as hockey, athletics, swimming and tennis. She was a competitive athlete holding national and provincial colours for swimming, biathlon, athletics, and surf lifesaving, and has a passion for sports and exercise physiology. She has presented research at the annual American College of Sports Medicine congress in Baltimore, and at The South African Sports Medicine Association in 2000 and 2011. She is Co-Kinetic’s technical editor and has taken on responsibility for writing our new clinical review updates for practitioners.
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