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Femoroacetabular Impingement and Core Muscle Injury in Athletes: Diagnosis and Algorithms for Success.
- Source :
-
Sports medicine and arthroscopy review [Sports Med Arthrosc Rev] 2021 Mar 01; Vol. 29 (1), pp. 9-14. - Publication Year :
- 2021
-
Abstract
- Athletic hip injuries account for a substantial portion of missed time from sports in high-level athletes. For both femoroacetabular impingement (FAI) and core muscles injuries, a thorough history and physical examination are paramount to guide the treatment. While advanced imaging including computed tomography and magnetic resonance imaging are frequently obtained, a wealth of information can be ascertained from standard radiographs alone. For patients with isolated or combined FAI and core muscle injuries (CMIs), the initial treatment is often nonoperative and consists of rest, activity modification, and physical therapy of the hips, core, and trunk. Injections may then aid in both confirming diagnosis and temporary symptom abatement. Arthroscopic procedures for refractory FAI in experienced hands have been shown to be both safe and efficacious. While surgical repair options for CMIs are significantly more variable, long-term studies have demonstrated the rapid resolution of symptoms and high return to play rates. More recently, anatomic and clinical correlations between FAI and CMIs have been identified. Special attention must be paid to elite athletes as the incidence of concurrent FAI with CMI is extremely high yet with significant symptom variability. Predictable return to play in athletes with coexisting symptomatic intra-articular and extra-articular symptomatology is incumbent upon the treatment of both pathologies.<br />Competing Interests: Disclosure: T.S.L. is a paid consultant to Conmed Linvatec and Smith & Nephew. C.M.L. is a paid consultant to Smith & Nephew. J.W.T.B. is a paid consultant and receives royalties from Smith & Nephew and receives royalties from Springer. A.S.P. declares no conflict of interest.<br /> (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Algorithms
Arthroscopy
Athletic Injuries diagnostic imaging
Athletic Injuries surgery
Athletic Injuries therapy
Conservative Treatment
Femoracetabular Impingement diagnostic imaging
Femoracetabular Impingement surgery
Femoracetabular Impingement therapy
Humans
Injections, Intra-Articular
Magnetic Resonance Imaging
Medical History Taking
Muscle, Skeletal surgery
Physical Examination
Radiography
Return to Sport
Tomography, X-Ray Computed
Torso
Athletic Injuries diagnosis
Femoracetabular Impingement diagnosis
Muscle, Skeletal injuries
Subjects
Details
- Language :
- English
- ISSN :
- 1538-1951
- Volume :
- 29
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Sports medicine and arthroscopy review
- Publication Type :
- Academic Journal
- Accession number :
- 33395224
- Full Text :
- https://doi.org/10.1097/JSA.0000000000000294