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Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers.This episode will cover the topic of Femoroacetabular Impingement, from our Knee & Sports section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube
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We are in our sixth year of the podcast and I'm in the middle of my 20th year as a sports medicine physician. Twenty years flew by which means I've probably passed the halfway point in my medical career, unless I feel inspired to still be seeing patients in my seventies, which seems highly unlikely. I thought it would be fun to look back at the last twenty years and talk with a trusted colleague who helped me on this path and what's maybe surprised us in how we deal with sports medicine issues and where we think things may head the rest of our careers. Connect with The Host! Subscribe to This Podcast Now! The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix! Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today! Links from this Episode: -- Dr. Andrew Gregory: https://www.childrenshospitalvanderbilt.org/doctors/gregory-andrew -- Vanderbilt Sports Medicine https://www.vumc.org/ortho/person/division-sports-medicine -- PRiSM https://www.prismsports.org/ -- Pediatric Sports Concussion https://publications.aap.org/pediatrics/article/142/6/e20183074/37534/Sport-Related-Concussion-in-Children-and -- Wu Z, Tu X, Tu Z. Hyperosmolar dextrose injection for Osgood-Schlatter disease: a double-blind, randomized controlled trial. Arch Orthop Trauma Surg. 2022 Sep;142(9):2279-2285. doi: 10.1007/s00402-021-04223-1. Epub 2021 Oct 21. PMID: 34673998. https://pubmed.ncbi.nlm.nih.gov/34673998/ -- Ultrasound in Pediatric Sport Medicne https://www.youtube.com/watch?v=aY5NmORhcYQ -- Press Ganey https://www.pressganey.com/ -- Peer to Peer Review in Medicine https://www.youtube.com/watch?v=Zm6qN09bxhU -- Professionalization of Youth Sports https://publications.aap.org/aapnews/news/27833/Professionalization-of-youth-sports-can-lead-to -- Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'. Br J Sports Med. 2013 Sep;47(14):877-85. doi: 10.1136/bjsports-2013-092425. Epub 2013 Apr 11. PMID: 23580420. https://pubmed.ncbi.nlm.nih.gov/23580420/ -- Femoroacetabular Impingement https://orthoinfo.aaos.org/en/diseases--conditions/femoroacetabular-impingement/ -- AI In Medicine https://postgraduateeducation.hms.harvard.edu/trends-medicine/how-artificial-intelligence-disrupting-medicine-what-means-physicians Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode? Share YOUR perspective! Be an Advertiser/Sponsor for This Program! Tell Us What You Think! Feedback is the cornerstone and engine of all great podcast. Be sure to chime in with your thoughts, perspective sand more.
Watch the full video "The TRUTH About Hip Impingement Surgery Results You Won't Hear" on YouTube here: https://youtu.be/Qiu9PU6lsSg In this video, we look at an egregious example of deception at its worst or incompetence at its best. A 2015 paper on FAI surgery tried to come up with a way to continue to promote hip impingement surgery. To do so, they had conceal some key facts that nobody wants you to know about surgery for femoroacetabular impingement.
In this episode, we review the high-yield topic of Femoroacetabular Impingement from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
2023 OJSM William A. Grana Award for Best Research Paper spotlight - Dr. Olufemi Ayeni from McMaster University Medical Centre in Ontario joins us to discuss his award-winning study “Effect of Osteochondroplasty on Time to Reoperation After Arthroscopic Management of Femoroacetabular Impingement: Analysis of a Randomized Controlled Trial." As hip arthroscopy continues to grow as a beneficial treatment option in Sports Medicine, high level evidence is needed to support its efficacy. Dr. Ayeni and his group provide high quality data supporting the long term benefits of osteochondroplasty versus soft tissue work alone.
Are you wondering if you need to fix your ankle mobility to squat better, if you should wear orthotics when lifting weights, or why specific shoes help you lift weights? Understanding how the foot and ankle function is important for making specific decisions about your feet and ankles in barbell training. The feet are our connection to the ground and our base of support and force transfer in all movements involving our feet and the ground. Because of this, the foot and ankle are quite complex, have a lot of movement, and have many bones, muscles, and joints to produce a stable and flexible base for human movement. As such, the foot and ankle are susceptible to injury outside of barbell training and powerlifting rather than because of it. Most foot and ankle issues that impede someone's ability to barbell train generally come from issues or injuries that occur outside of training. In most cases, it's possible to continue to train even with injuries or limitations to the foot or ankle. In this episode of the PRS Podcast, we discuss: The general functional anatomy of the ankle and foot How much ankle mobility do you need to barbell squat, and what to do about it How your ability to walk relates to barbell training and squat Flexible versus stiff feet The pros and cons of arch support And much more If you're a chiropractor, physical therapist, medical doctor, strength coach, or student clinician, this episode is a great review and application tutorial regarding the foot and ankle in barbell training. Resources Mentioned in this Episode: Overcoming a Hip Fracture and Squat Fails (Article) #41 - Femoroacetabular Impingement, A Labral Tear, & A Hip Fracture: Coach Rori's Story of 5 Nationals, 4 Arnolds, & 2 World Championships Without Surgery (Podcast) If you're enjoying our podcast, please leave us a review on Apple or Spotify. Join our Facebook Community for free form checks, live Q&As & more: https://www.facebook.com/groups/PRS.Barbell.Mastery Got questions or guests you'd like to hear on the show? Submit them here: https://forms.gle/7Vu2HmgHoeQY9xM59 Get in touch with the show! Web: https://www.progressiverehabandstrength.com Email: podcast@progressiverehabandstrength.com Rori IG: @rorimegan_prs Alyssa IG: @alyssahope_prs
On this week's episode of the Ready to Run Podcast, we have the pleasure of meeting with Lindsey Plass to discuss femoroacetabular impingement (otherwise known as FAI) and hip labrum tears in runners. Lindsey is a Chicago-based physical therapist, performance coach, author, and international speaker. Lindsey is a former college soccer player turned 10-time marathoner and triathlete. She completed an orthopedic physical therapy residency and manual therapy fellowship making her a board certified Orthopedic Clinical Specialist and Fellow of the American Academy of Orthopedic Manual therapists. It was her own lived experience, nearly 10 years ago, with hip pain related to FAI and a labral tear that sparked her interest in helping others with hip issues getting back to doing the things they love. She is a clinician and coach and owner of Plass Physical Therapy and Performance. She is currently faculty in the University of Chicago Medicine Orthopedic Physical Therapy Residency and University of Chicago Manual Physical Therapy Fellowship. In 2021, Lindsey was invited to be a part of the international Young Athlete's Hip Research Collaboration led by Dr. Henrik (Paul) Dijkstra who is the Director of Medical Education at Aspetar. Lindsey was also invited as an expert clinician panel member of the 2022 Oxford University Young Adult Hip Consensus meeting, where she represented physical therapists internationally. We are excited to share her wealth of knowledge and expertise in how to recognize and manage these injuries with the best current evidence. Let's get ready to run with Lindsey Plass! Show notes: 5:10- What is FAI and its associated pathologies? 7:50- Prevalence of FAI 9:15- When does cam/pincer morphology develop? 12:15- Signs and symptoms of FAI/hip labrum tear 19:15- Key components of the physical exam and diagnostic work-up 28:45- Interpretation of MRI findings 33:00- Common functional impairments in patients with symptomatic FAI 39:10- Understanding non-surgical and surgical treatment options and managing expectations 44:10- Effect of athlete level of sport and decision-making process for surgical and non-surgical treatment of FAI References: Freke MD, Kemp J, Svege I, Risberg MA, Sem-ciw A, Crossley KM. Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence. Br J Sports Med. 2016;50:1180. Kemp JL, Coburn SL, Jones DM, Crossley KM. The Physiotherapy for Femoroacetabular Impingement Rehabilitation STudy (physioFIRST): A Pilot Randomized Controlled Trial. J Orthop Sports Phys Ther. 2018 Apr;48(4):307-315. Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG. Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up. Am J Sports Med. 2018 May;46(6):1306-1314. Thorborg K, Reiman MP, Weir A, Kemp JL, Serner A, Mosler AB, HÖlmich P. Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management. J Orthop Sports Phys Ther. 2018 Apr;48(4):239-249. Social media links: Website: https://plassptperformance.com/ Instagram: @plassptperformance
Five articles from the May 2023 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “Long-term Outcomes After Arthroscopic Treatment of Femoroacetabular Impingement for Patients With Borderline Dysplasia,” “Internal Fixation of Unstable Osteochondritis Dissecans of the Knee: Long-term Outcomes in Skeletally Immature and Mature Patients,” “Lower Extremity Injury Rates on Artificial Turf Versus Natural Grass Playing Surfaces: A Systematic Review,” “Factors Associated With Meniscal and Articular Cartilage Injury in the PLUTO Cohort,” and “The Effect of Vitamin C and N-Acetylcysteine on Tendon-to-Bone Healing in a Rodent Model of Rotator Cuff Repair.” Click here to read the articles.
Injuries can happen to anyone. Even to the people who are supposed to help you prevent training injuries and rehabilitate from powerlifting injuries back to the powerlifting platform. And PRS Clinical Coach Dr. Rori Alter, PT is no different. What we know about injuries, how to treat them, and long term prognosis has changed over the years. Since the onset of Dr. Rori's hip injury over a decade ago, prevalence, diagnostic measures, and treatment options and outcomes have wildly changed for femoroacetabular impingement syndrome and hip labral tears. Dr. Rori has helped countless barbell athletes rehabilitate from hip injuries and surgeries related to FAI and barbell training and it is the injury category she is most passionate about helping people overcome. Because she has gone through it herself! In this episode of the PRS Podcast Dr. Rori shares her story about the onset of her hip symptoms leading to many bumps in the road on her powerlifting journey. She shares: What lead her to realize something was wrong with her hips How and why she was initially diagnosed with FAI and if her symptoms at the time were actually related to FAI or training Why she decided against surgery How her hip dysfunction increased her risk for low back pain from barbell training How she fractured her hip What lifts are most affected by her hip condition How she was able to continue to train and win podium spots at Nationals, The Arnold, and the World Championships despite what many people would consider career enders Overcoming a Hip Fracture and Squat Fails (article) https://www.progressiverehabandstrength.com/articles/overcoming-a-hip-fracture-and-squat-fails If you're enjoying our podcast, please leave us a review on Apple or Spotify. Join our Facebook Community for free form checks, live Q&As & more: https://www.facebook.com/groups/PRS.Barbell.Mastery Got questions or guests you'd like to hear on the show? Submit them here: https://forms.gle/7Vu2HmgHoeQY9xM59 Get in touch with the show! Web: https://www.progressiverehabandstrength.com Email: podcast@progressiverehabandstrength.com Rori IG: @rorimegan_prs Alyssa IG: @alyssahope_prs
Welcome to episode 49! Today's guest is Mike Reiman who is a physiotherapist, active clinical researcher, educator and mentor with a special interest in the hip. He is also an associate professor at Duke University and an adjunct professor at Wichita State University. In this episode we will talk about femoroacetabular impingement abbreviated as FAI. You will learn more about FAI morphology and the development of FAI. Mike will elaborate on the epidemiolgy of FAI, what can trigger symptoms and the prognosis in regards to the development of hip osteoarthritis. Of course we will talk about diagnosis and physiotherapeutic treatment and finish of with a discussion about surgery for FAI.So make sure to listen to the whole episode! Enjoy! Content 0:00:00 - 0:01:04 Introduction 0:01:00 - 0:02:50 What is FAI? 0:02:50 - 0:04:35 How FAI develops 0:04:35 - 0:08:10 Epidemiology of FAI 0:08:10 - 0:09:52 Asymptomatic FAI 0:09:52 - 0:13:13 Triggers for symptomatic FAI 0:13:13 - 0:18:13 Prognosis: Do patients develop hip OA? 0:18:13 - 0:21:34 Screening 0:21:34 - 0:25:35 History & Examination 0:25:35 - 0:28:13 Confirming the Diagnosis 0:28:13 - 0:29:45 Imaging necessary? 0:29:45 - 0:31:54 Muscle Strength Testing 0:31:54 - 0:45:10 FAI Rehab Start to Finish 0:45:10 - 0:48:45 How good is Physio for FAI? 0:48:45 - 0:53:40 How good is Surgery for FAI? 0:53:40 - 0:58:30 How to choose: Surgery or FAI 0:58:30 - 0:59:50 Mike's Closing Thoughts 0:59:50 - 1:00:29 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. All bonus content can be found here Follow our Podcast on: Spotify | Apple Podcasts
Drs Spiker and Dienst discuss Preoperative Alpha Angles Can Predict Severity of Acetabular Rim Chondral Damage in Symptomatic Cam-Type Femoroacetabular Impingement: A Prospective Observatory Study
In this episode, we review the high-yield topic of Femoroacetabular Impingement from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message
Drs Tucker and Geeslin discuss ASMAR: Rehabilitation and Return to Sport After Arthroscopic Treatment of Femoroacetabular Impingement: A Review of the Recent Literature and Discussion of Advanced Rehabilitation Techniques for Athletes
Femoroacetabular impingement of the hip, or FAI, is a diagnosis that has really grown over the last several years and become more common.As rehabilitation specialists, we often work with these patients prior to surgery, as well as after surgical intervention.In the epsiode, I talk with Mike Reiman from Duke University about FAI, including a bit on the history, diagnosis, nonoperative treatment, and surgical procedure.Full Show Notes: https://mikereinold.com/femoroacetabular-impingement-with-mike-reimanLearn more about enrolling in my Champion Performance Specialist program: https://mikereinold.com/cps/ Click Here to View My Online Courses Want to learn more from me? I have a variety of online courses on my website!Support the show
Drs Nuelle and DeFroda discuss Top Ten Pearls for Successful Hip Arthroscopy for Femoroacetabular Impingement
Welcome to our second citation classics from our Sports team! The goal of these episodes are to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! Link to post: www.naileditortho.com/sports02 Link to video: https://youtu.be/8pIG8Wb1MeU Sports Team! Tucker Peabody - PGY 2- Ohio Health Dr. Ehab Nazzal PGY-3 Pittsburg Tyler Thorne, MD Tariq Said- MS6 - Missouri Wendell "Cody" Cole- PGY- 5 Tulane University
Drs Spiker and Matsuda discuss Incremental Decompression of Cam Femoroacetabular Impingement Must Be Assessed in Real Time by Arthroscopic Dynamic Examination: Playbook for the Perfect Femoroplasty
In this episode, Antonia and Andrew discuss a selection of articles from the May 18, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Articles Discussed: Health-Care Utilization and Expenditures Associated with Long-Term Treatment After Combat and Non-Combat-Related Orthopaedic Trauma, by Hering et al. Bipolar Hemiarthroplasty Does Not Result in a Higher Risk of Revision Compared with Total Hip Arthroplasty for Displaced Femoral Neck Fractures. An Instrumental Variable Analysis of 36,118 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry, by Farey et al. Antibiotic Prophylaxis with Cefazolin Is Associated with Lower Shoulder Periprosthetic Joint Infection Rates Than Non-Cefazolin Alternatives, by Marigi et al. Outcomes and Survivorship at a Median of 8.9 Years Following Hip Arthroscopy in Adolescents with Femoroacetabular Impingement. A Matched Comparative Study with Adults, by Fukase et al. Intermediate to Long-Term Outcomes and Causes of Aseptic Failure of an At-Risk Femoral Stem, by Gazendam et al. Long-Term Survival of HINTEGRA Total Ankle Replacement in 683 Patients. A Concise 20-Year Follow-up of a Previous Report, by Kvarda et al. A Novel Fluoroscopic View for Improved Assessment of the Safety of the Posterosuperior Screw in Femoral Neck Fracture Fixation, by Terhune et al. Spontaneous Facet Joint Osteoarthritis in NFAT1-Mutant Mice. Age-Dependent Histopathologic Characteristics and Molecular Mechanisms, by Wang et al. Association of a Wider Medial Gap (Medial Laxity) in Flexion with Self-Reported Knee Instability After Medial-Pivot Total Knee Arthropla
In this episode, Thomas is joined by Dr. John Belovich from Optimum Performance Chiropractic and Rehabilitation in Saint Louis. Dr. Belovich graduated from Logan University in 2019 and started his private practice in 2021. Dr. Belovich takes us through the diagnosis of Femoroacetabular Impingement (FAI), his personal experience with bilateral FAI and his journey from surgery back to lifting weights. Follow Dr. Belovich on IG at @drjbelovich Follow Dr. Kauffman @thomaskffmn on Twitter or on Instagram @tomkffmn Follow Elite Spine Radio @elitespineandperformance on Instagram and @elitespineplus on Twitter www.thomaskauffman.com www.elitespineplus.com
Five articles from the May 2022 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Femoroacetabular Impingement in Elite Skiers and Snowboarders: Return to Sports and Outcomes After Hip Arthroscopy", "Distalization of the Tibial Tubercle for Patellar Stabilization Combined With Medial Patellofemoral Ligament Reconstruction: Length of Distalization or Residual Patella Alta Does Not Affect Outcome", "Biomechanical Role of the Superior Capsule in a Rotator Cuff Sectioned and Repaired State: A Sequential Sectioning Study", "Orthosis and Foot Structure Affectthe Fifth Metatarsal Principal StrainsDuring Simulated Level Walking", and "Stretch-Induced Healing of InjuredMuscles Is Associated With Myogenesisand Decreased Fibrosis". Click here to read the articles.
Drs Spiker and Gwathmey discuss Editorial Commentary: Repeat Revision Hip Arthroscopy: Unaddressed Femoroacetabular Impingement, Labral Damage, and Capsular Deficiency Are Commonly Encountered
Drs Spiker and Hagen discuss Magnetic Resonance Imaging Predictors of Chondral Lesions in Patients With Femoroacetabular Impingement: An Analysis of 545 Cases
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
A mature woman has new hip and groin pain when she picks up and carries her toddler granddaughter. Her doctor diagnoses femoroacetabular impingement, and approves the idea of massage. Femoroacetabular impingement? What is that? And is massage therapy appropriate? Sponsors: Anatomy Trains: www.anatomytrains.com Books of Discovery: www.booksofdiscovery.com Host Bio: Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com. Recent Articles by Ruth: “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34. “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34. “Critical Thinking,” Massage & Bodywork magazine, May/June 2021, page 54, www.massageandbodyworkdigital.com/i/1358392-may-june-2021/56. Check out ABMP's Pocket Pathology: www.abmp.com/abmp-pocket-pathology-app Resources: Dooley, P. J. (2008) ‘Femoroacetabular impingement syndrome', Canadian Family Physician, 54(1), pp. 42–47. Hip Arthroscopy in Femoroacetabular Impingement (no date) Medscape. Available at: http://www.medscape.com/viewarticle/923265 (Accessed: 26 October 2021). Hip Impingement (no date). Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/hip-impingement (Accessed: 26 October 2021). Nonsurgical vs Surgical Management of FAI (no date) Medscape. Available at: http://www.medscape.com/viewarticle/951224 (Accessed: 26 October 2021). Image of femoral acetabular impingement About our sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function. Website: anatomytrains.com Email: info@anatomytrains.com Facebook: facebook.com/AnatomyTrains Instagram: instagram.com/anatomytrainsofficial YouTube: www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA
Discussing the pathophysiology of femoroacetabular impingement, the evaluation process unique to FAI, and describing the treatment options for the patient with FAI Timestamps 1:40- Pathophysiology of femoroacetabular impingement 8:37- Evaluation of the patient with FAI 10:48- Special tests for FAI FADIR Anterior Impingement Test 13:51- Range of motion testing in FAI Hip Flexion Hip Internal Rotation 18:09- Treatment for FAI Surgical vs Conservative -- ARTICLE CITATIONS used for this episode: https://atcornerds.wixsite.com/home/blog AT CORNER FACEBOOK GROUP: https://www.facebook.com/groups/atcornerpodcast Instagram, Website, YouTube, and other links: atcornerds.wixsite.com/home/links EMAIL US: atcornerds@gmail.com SAVE on Medbridge: Use code ATCORNER to get $175 off your subscription SAVE on Precision AT: Use code ATCORNER for 15% off all home study courses Music: Jahzzar (betterwithmusic.com) CC BY-SA Free CEUs: Take the Course Quiz & Course Evaluation Support the show: Purchase the course outline AND BONUS CONTENT (a video demonstrating the special tests discussed in the episode and some manual therapy and exercise techniques you can use on your patients with FAI!) - Precision AT CEUs brought to you by Precision Athletic Training Precision Athletic Training (#P8644) is approved by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. -- -Sandy & Randy
In this episode, we sat down with Dr. Joanne Kemp to discuss Femoroacetabular Impingement Syndrome. Questions included: - How is FAIS defined? - Who gets FAIS? Why? - What should be emphasized during an evaluation? - What are the key components of rehabilitation? - When should imaging be considered? - When should surgery be considered? - What are realistic expectations after surgery? - Common myths or misconceptions that need debunking? - And much more! --- More about Dr. Joanne Kemp: Twitter: https://twitter.com/JoanneLKemp ResearchGate: https://www.researchgate.net/profile/Joanne-Kemp-2 --- More about us: YouTube Video: https://youtu.be/ulHaddxEoyE Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ --- This episode was produced by Matt Hunter.
Orthopaedic Surgeon Alex Bitzer, fellowship-trained in sports medicine, speaks with us about the treatments for FAI in part two of his discussion on the orthoPAc. Dr. Bitzer also joined us at Extremities in the Carolinas: Trauma for General Orthopaedics earlier this year. Catch him in the CME package available on our website! Not a member of the PAOS? AAPA Learning Central will have this CME package soon too.
In part 1 of a 2 part interview, fellowship-trained orthopaedic surgeon Dr. Alex Bitzer discusses the diagnosis of FAI, providing an overview of clinical exam and diagnostic imaging. Dr. Bitzer provides a presentation on FAI during our subspecialty conference, Extremities in the Carolinas. PAOS members may purchase enduring credit CME from this conference at PAOS.org, and will be available for AAPA members at the AAPA Learning Central.
Drs Arner and Ranawat discuss Dynamic Assessment of Femoroacetabular Impingement Syndrome Hips
In this episode, we review the topic of Femoroacetabular Impingement from the Knee & Sports section. 2021 GLOBE GIVEAWAY: We are so confident that taking the GLOBE will advance your medical knowledge that we are offering an additional incentive of giving you PEAK Premium for 3 months for taking it and helping spread the word. HOW? Follow these 3 simple steps: 1. Take the free GLOBE Exam on Orthobullets: https://tinyurl.com/c9mc6znd 2. Tag 3 Friends in ONE of the following posts: Facebook Instagram Twitter 3. Fill out this quick form with your contact info: https://tinyurl.com/uavkaycz The offer ends July 4th at 11:59 pm PST. Don't miss out. *Individuals will be awarded 3 months of free PEAK to their Orthobullets account within 72 hours of Giveaway closing time. ** Refunds will not be issued for pre-existing PEAK subscribers. --- Send in a voice message: https://anchor.fm/orthobullets/message
During this episode we provide an overview of hip femoroacetebular impingement syndrome evaluation and treatment. Topics covered include: Classifying different hip pathologies and defining FAI The Funnel Approach to assessing the hip Guiding principles for treatment General treatment options for improving hip mobility and strength Articles Reiman MP, Thorborg K, Sportsphysio M. CLINICAL EXAMINATION AND PHYSICAL ASSESSMENT OF HIP JOINT-RELATED PAIN IN ATHLETES. Reiman MP, Agricola R, Kemp JL, et al. Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018. Br J Sports Med. 2020;54(11):631-641. doi:10.1136/bjsports-2019-101453 Thanks for listening and as always please let us know if you have any questions, recommendations, or topics you would like us to cover!
Femoroacetabular Impingement kan for noen gi smerter i hoften. Ikke så sjelden hos enkelte idrettsutøvere, men man kan også oppleve å bli plaget også som vanlig mosjonist. Greit å kjenne til. Pincer er noe annet, men gir like plager. Podcastene er ingen lærebok og kan inneholde feil, generaliseringer og unøyaktigheter som følge av en muntlig overlevering. For nøyaktige anbefalinger må man derfor oppsøke publiserte nasjonale retningslinjer og andre skriftlige kilder i tillegg.
Drs Nuelle and Schmitz discuss Sex Differences in Patients With CAM Deformities With Femoroacetabular Impingement: 3-Dimensional Computed Tomographic Quantification
On this episode, Dr. Lehman, Dr. Melander and Kinsey Shouse discuss FAI and treatment options for athletes involved in hockey and soccer.
Five articles from the January 2021 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Determining On-/Off-track Lesions in Glenohumeral Dislocation Using Multiplanar Reconstruction Computed Tomography Is Easier and More Reproducible Than Using 3-dimensional Computed Tomography", "Microstructural and Mechanical Properties of the Anterolateral Ligament of the Knee", "Changes in Matrix Components in the Developing Human Meniscus", "Prediction of Shoulder Pain in Youth Competitive Swimmers: The Development and Internal Validation of a Prognostic Prediction Model", and "Incidence of Femoroacetabular Impingement and Surgical Management Trends Over Time". Click here to read the articles.
Drs Tucker and Wolff discuss Primary and Revision Circumferential Labral Reconstruction for Femoroacetabular Impingement in Athletes: Return to Sport and Technique
Drs Tucker and Wolff discuss Primary and Revision Circumferential Labral Reconstruction for Femoroacetabular Impingement in Athletes: Return to Sport and Technique
Here, we are joined by Guest Panelist Dr. Jason Snibbe, orthopedic surgeon and hip specialist in Los Angeles, California. We discussed hip disorders that can present as groin pain. These include femoroacetabular impingement, labral tear, iliopsoas syndrome, athletic pubalgia, dysplasia, and bursitis. Each week we have even more interesting discussions. Please LIKE and SHARE. If you are interested to learn more, go to www.HerniaTalk.com or visit my webpage www.beverlyhillsherniacenter.com.Follow Dr. Towfigh on the following platforms:Youtube | Facebook | Instagram | Twitter
Five articles from the October 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Steep Posterior Tibial Slope and Excessive Anterior Tibial Translation Are Predictive Risk Factors of Primary Anterior Cruciate Ligament Reconstruction Failure: A Case-Control Study With Prospectively Collected Data", "Optimal Treatment of Cam Morphology May Change the Natural History of Femoroacetabular Impingement", "Anchor-Based Femoral Fixation for Physeal-Sparing Medial Patellofemoral Ligament Reconstruction: A Time-Zero Biomechanical Comparison With Tenodesis Screw Fixation", "Arthroscopic Biceps Tenodesis Outcomes: A Comparison of Inlay and Onlay Techniques", and "Performance and Return to Sport After Excision of the Fractured Hook of the Hamate in Professional Baseball Players". Click here to read the articles.
The molecular mechanism of how femoroacetabular impingement (FAI) morphology leads to hip osteoarthritis (OA) is yet to be determined. Expression and location of inflammation-related molecules during early- and late-stage FAI have not been previously described. Moreover, characterization of intraarticular inflammation away from cam deformity as well as the nature of the adjacent synovial tissue has also not been extensively characterized. In conclusion, hip cartilage exhibits an osteoarthritic phenotype in patients with early FAI similar to what was observed in hip OA secondary to FAI. Severe synovitis was only evident in late-stage disease. Click here to read the article.
• Host Cory Smith, MD • Guest interviewee T. Sean Lynch, MD, discussing his review article, “Best Practice Guidelines for Hip Arthroscopy in Femoroacetabular Impingement: Results of a Delphi Process” • Articles summarized from July 1 issue [link to July 1 issue here]: o Review article “Orthopaedic Manifestations of Melanoma and Their Management” o Review article “Syndesmosis Injury From Diagnosis to Repair: Physical Examination, Diagnosis, and Arthroscopic-assisted Reduction” o Research article “The Utility of Obtaining Postmobilization Imaging in Nonsurgical Pelvic Ring Injuries” Follow this link to download these and other articles from the [July 1, 2020 issue of JAAOS] The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly. In addition, this podcast is brought to you by our sponsor, PICO: visit www.possiblewithpico.com
In this episode Jeremy has a conversation with Shane Dowd, Founder of gotROM now based in Bogota, Columbia. They both share their process of recovery from debilitating back and hip injuries and what they learned in the process about self-care and maintainance. Having backgrounds as trainers and bodyworkers, they have a shared experience of working with clients with many different kinds of postural and mobility challenges. This is a conversation meant to inform and inspire people during this at home period learn ways to feel good, and get resourced through gotRom's vast video library.https://www.gotrom.comhttps://www.youtube.com/user/LegacyAthleticsCAhttps://www.amazon.com/RumbleRoller-Original-Textured-Therapist-Technology/dp/B006QMK1FK/ref=sr_1_7?dchild=1&keywords=rumble+roller&qid=1587947275&sr=8-7https://www.amazon.com/Power-Systems-265938-Myo-Release-Myofascial/dp/B07F2FBM7H/ref=sr_1_3?crid=37RVB1LVJO2WU&dchild=1&keywords=myo+balls&qid=1587947337&sprefix=myo+ball%2Caps%2C165&sr=8-3https://www.amazon.com/OPTP-PFR36-Pro-Roller-Standard-Density/dp/B00YFU30L2/ref=sr_1_3?dchild=1&keywords=foam+roller+full+round+optp&qid=1587947463&sr=8-3Support the show (http://patreon.com/highwaytohealth)
Drs Tucker and Nho discuss Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up
Drs Tucker and Nho discuss Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up
Five articles from the March 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Incidence of Displaced Posterolateral Tibial Plateau and Lateral Femoral Condyle Impaction Fractures in the Setting of Primary Anterior Cruciate Ligament Tear", "Minimum 5-Year Outcomes and Return to Sports After Resection Arthroplasty for the Treatment of Sternoclavicular Osteoarthritis", "Knee Extension Deficit in the Early Postoperative Period Predisposes to Cyclops Syndrome After Anterior Cruciate Ligament Reconstruction: A Risk Factor Analysis in 3633 Patients From the SANTI Study Group Database", "Bilateral Hip Arthroscopy in High-Level Athletes: Results of a Shorter Interval Between Staged Bilateral Hip Arthroscopies", and "The Prevalence of Radiographic Findings of Structural Hip Deformities for Femoroacetabular Impingement in Patients With Hip Pain". Click here to read the articles.
In this episode, we review multiple-choice questions related to Femoroacetabular Impingement & Total Shoulder Arthroplasty. --- Send in a voice message: https://anchor.fm/orthobullets/message
In this episode, we review the high-yield topic of Femoroacetabular Impingement from the Sports section. --- Send in a voice message: https://anchor.fm/orthobullets/message
Studies on the effect of partial- and full-thickness chondral damage of the hip on outcomes and the ability to achieve meaningful clinical outcomes are limited. Patients with grade IV chondral defects experienced worse functional outcomes, lower satisfaction, and increased pain when compared with both patients without chondral damage or grade I-III chondromalacia at 2-year follow-up. Several predictors were associated with achieving clinically significant function in patients undergoing hip arthroscopic surgery for FAIS. Click here to read the article.
Brought to you by CSMi You have an athlete with want appears to be FAIS and you want to know if they would be able to return to full sport after surgery. How would you know? Are there predictors before surgery? Are predictors for failure after surgery also just predictors of failure in general? Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up. Stone AV, Beck EC, Malloy P, Chahla J, Nwachuckwu BU, Neal WH, Nho SJ. Arthroscopy. 2019 Aug 5. pii: S0749-8063(19)30437-2. doi: 10.1016/j.arthro.2019.05.022. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission
In Episode 7, a panel of orthopedic sports medicine specialists meet to review and discuss recent sports medicine literature. The four articles reviewed have been featured in prominent sports medicine journals in early 2019. The episode features Drs. Sheena Black MD, Michael Khair MD, and Brett Raynor MD, along with host Dr. Andrew Dold MD. The goal of Journal Club is review and perform a critical appraisal of recent literature in the sports medicine world with a focus on novel modalities and unique studies that may be changing the way we think about our current practices. The four articles discussed in Episode 7 are: (1) Predictors of Persistent Postoperative Pain at Minimum 2 Years After Arthroscopic Treatment of Femoroacetabular Impingement. Stone et al. (AJSM, March 2019). (2) Liposomal bupivacaine reduces opiate consumption after rotator cuff repair in a randomized controlled trial. Sethi et al. (J Elbow Shoulder Surg, May 2019). (3) Bridge-Enhanced Anterior Cruciate Ligament Repair: Two-Year Results of a First-in-Human Study. Murray et al. (Orthop J Sports Med, March 2019). (4) Intra-articular Injection of Platelet-Rich Plasma Is Superior to Hyaluronic Acid or Saline Solution in the Treatment of Mild to Moderate Knee Osteoarthritis: A Randomized, Double-Blind, Triple-Parallel, Placebo-Controlled Clinical Trial. Lin et al. (Arthroscopy, January 2019) This episode is sponsored by: Plymouth Medical - www.plymouthmedical.com For a chance to win a FREE Emcyte Centrifuge, please visit: https://info.plymouthmedical.com/thesportsmedicinepodcast The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast Email: thesportsmedicinepodcast@gmail.com Host: Dr. Andrew Dold, MD FACS FRCSC www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/
In this episode, we review multiple-choice questions related to the high-yield topics of Achilles Tendon Rupture, Femoroacetabular Impingement & TKA in Patella Baja (Infera). --- Send in a voice message: https://anchor.fm/orthobullets/message
In this episode, Dr. John Clohisy reviews the high-yield topic of Femoroacetabular Impingement from the Sports section. Dr. Clohisy is Chief of Adult Reconstructive Surgery, Director of the Adolescent and Young Adult Hip Service as well as distinguished professor of Orthopaedic Surgery at Washington University School of Medicine. Core Webinar - HIP CONDITIONS & PRESERVATION - by AAHKS ** Sign Up for The Orthobullets Core Curriculum ** --- Send in a voice message: https://anchor.fm/orthobullets/message
Drs Tucker and Waterman discuss Return to Golf after Arthroscopic Management of Femoroacetabular Impingement Syndrome
Drs Tucker and Waterman discuss Return to Golf after Arthroscopic Management of Femoroacetabular Impingement Syndrome
Five articles from the March 2019 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Short-term Changes After Corticosteroid Injections Into the Normal Tendons of Rabbits: A Controlled Randomized Study", "Acute anterior cruciate ligament rupture: repair or reconstruction? Two-year results of a randomized control trial", "The Development Process of Bipolar Bone Defects From Primary to Recurrent Instability in Shoulders With Traumatic Anterior Instability" , "Ankle Lateral Ligament Augmentation Versus the Modified Brostrom-Gould Procedure: A 5-Year Randomized Controlled Trial" and "Predictors of Persistent Postoperative Pain at Minimum 2 Years After Arthroscopic Treatment of Femoroacetabular Impingement." Click here to read the articles.
Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients? In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover: What is FAI, and how can you identify it? Common clinical presentations Key subjective questions to ask Types of FAI morphology and how they are identified Is FAI just a normal finding? How you can perform an objective assessment in patients with FAI Differential diagnosis Components you need to include in your conservative treatment for FAI Which objective markers to use when treating FAI How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement When to refer for a surgical opinion Outcomes of surgical treatment Future risk of developing OA in presence of FAI Sports Injuries virtual conference presentation As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss: • Conservative management of FAI • Specific exercise progressions you can use • Return to sport for athletes Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Twitter - @JoannaLKemp Joanna Kemp - Research gate David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership LaTrobe Sports and Exercise Medicine Research Blog Twitter - @LaTrobeSEM GLA:D Australia Lake Health Group Articles associated with this episode: Griffin et al. 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Articola et al. 2014. A Cam Deformity Is Gradually Acquired During Skeletal Maturation in Adolescent and Young Male Soccer Players. A Prospective Study With Minimum 2-Year Follow-up. Other episodes of interest: Physio Edge 054 - Hip and groin pain part 2 with Benoy Matthew Physio Edge 053 - Hip and groin pain part 1 with Benoy Matthew Physio Edge 009 - Lateral hip pain with Dr Alison Grimaldi Physio Edge 004 - Hip injuries and labral tears with Nicole Hamilton
Five articles from the July 2017 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are "The Effect of Subcritical Bone Loss and Exposure on Recurrent Instability After Arthroscopic Bankart Repair in Intercollegiate American Football", "Femoroacetabular Impingement in Professional Football Players: Return to Play and Predictors of Career Length After Hip Arthroscopy", "High Rate of Osteoarthritis After Osteochondritis Dissecans Fragment Excision Compared With Surgical Restoration at a Mean 16-Year Follow-up", "Objectively Measured Physical Activity in Patients After Anterior Cruciate Ligament Reconstruction", and "Intratendon Delivery of Leukocyte-Poor Platelet-Rich Plasma Improves Healing Compared With Leukocyte-Rich Platelet-Rich Plasma in a Rabbit Achilles Tendinopathy Model". Click here to read the articles.
Five articles from the March 2017 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are "Muscle Degeneration Associated With Rotator Cuff Tendon Release and/or Denervation in Sheep", "Effect of External Ankle Support on Ankle and Knee Biomechanics During the Cutting Maneuver in Basketball Players", "Incidence, Mechanisms, and Severity of Game-Related College Football Injuries on FieldTurf Versus Natural Grass: A 3-Year Prospective Study", "Does the Chronicity of Anterior Cruciate Ligament Ruptures Influence Patient-Reported Outcomes Before Surgery?", and "Preoperative Outcome Scores Are Predictive of Achieving the Minimal Clinically Important Difference After Arthroscopic Treatment of Femoroacetabular Impingement". Click here to read the articles.
Five articles from the January 2017 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are "No Relationship Between Hamstring Flexibility and Hamstring Injuries in Male Amateur Soccer Players - A Prospective Study", "High Rate of Return to Running for Athletes After Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Capsular Plication", "Injuries to the Collateral Ligaments of the Metacarpophalangeal Joint of the Thumb, Including Simultaneous Combined Thumb Ulnar and Radial Collateral Ligament Injuries, in National Football League Athletes", "Traumatic and Degenerative Meniscus Tears Have Different Gene Expression Signatures", and "A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis". Click here to read the articles.
Professor Damian Griffin talks about the Warwick Agreement, an international consensus on the management of femoroacetabular impingement syndrome. This podcast brings you right up to date on the most current thinking about hip impingement or FAI. 0.38 Aim of the consensus 1.36 Consensus methodology 2.26 What is FAI syndrome? Symptoms, clinical signs, and imaging findings. 3.40 How should FAI syndrome be diagnosed? 6.26 What is the appropriate treatment for FAI syndrome? 8.26 What is the prognosis of FAI syndrome? 10.23 How should someone with an asymptomatic hip, with cam or pincer morphology, be managed? 11.53 What research is now needed? 14.15 How is this new definition of FAI syndrome going to influence clinical care? @DamianGriffin #WarwickAgreement Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Damian’s passion is the diagnosis and treatment of hip and groin pain in young adults. His clinical practice and research focus on joint-preserving surgery for early arthritis, hip arthroscopy, the management of femoroacetabular impingement and sport injuries of the hip. He runs the largest national referral service for young and active people with hip pain in the UK, based at the University Hospital of Coventry and Warwickshire NHS Trust, and for private patients and elite athletes in London and Coventry (www.hiparthroscopyclinic.co.uk). Damian leads a research team based at the University of Warwick, with a portfolio of hip research. In particular he is the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation:www.nets.nihr.ac.uk/projects/hta/1310302 You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk
In our first, of many, February podcasts, Dr. Kevin talks and Dr. Dimitre get hip about Femoroacetabular Impingement Syndrome. Please go to our member’s area to access the podcast Posted on 08/02/2016 by Dr. Dimitre The post Episode 17: Femoroacetabular Impingement Syndrome appeared first on Primary Medicine Podcast.
Find out how flawed measurements of improvement in hip surgery patients make hip surgery seem like a great idea. Resources: Harris Hip Score Arthroscopic Femoroplasty in the Management of Cam-type Femoroacetabular Impingement Partial Transcript: Hey, everybody! This is Matt Hsu from Upright Health and welcome to Episode 15 of the Upright Health Podcast. Today, I am looking at something called the Harris Hip Score. And we're looking at that in the context of hip surgery for people who Femoroacetabular Impingement nerve who have been given the diagnosis of FAI. I've talked in depth about this in videos and online in many different formats. I believe that this diagnosis is one of basically illusory misplaced faith in diagnostic imaging, and then you pile surgery on top of that and you leave people in a pretty terrible lurch. So I have been getting a lot of comments and emails from people who have been doing those stretches and taking a different approach to their hip problems and they've been seeing marked improvements. And I really appreciate your sharing those stories with me because it motivates me to continue digging deeper into the research and helping share more information that others can use to first, change their mindset and second, start doing different things like stretching properly, addressing muscle properly, addressing coordination issues properly so that they can start moving their hips better. So for all of all of you who have already sent those messages to me, I really appreciate it. I really enjoy hearing your stories of success and seeing you succeed, really with what can be a really frustrating, painful and stubborn problem. But in any case, today, we're talking about the Harris Hip Score because it's something that I noticed was referenced in a lot of studies on surgery for hip impingements. So basically, the Harris Hip Score is a questionnaire that's used to determine how healthy your hips are. It's only thirteen questions in its full form. There's a modified version which is a little bit shorter. It takes out a number of questions that have almost no… I mean very little amount of points that they add to your total score and that, you know, from my experience are probably -- from my vantage point anyway – are probably not that effective and useful for assessments, but in any case, it's got thirteen questions in its full form and you can have a total score of 100 points. The Harris Hip Score is used to determine whether or not surgery is successful. So in order to consider a surgery a success, you are supposed to have improvement in your Harris Hip Score of 20 points. So for example, if I were going to consider surgery for my hips, I would graded using the Harris Hip Score before surgery and after the surgery, I'd follow up, whatever, a couple months down the line, a year down the line, two years down the line. We'd check in and see what my Harris Hip Score is. As long as I'm maintaining a twenty point improvement, it's considered a successful surgery. So, I'm going to give you a study here to take a look at and it's from March 2009 edition of the clinical orthopedics and related research journal by J. W. Thomas Byrd and Kay S. Jones. What they had was two hundred people with hip problems. A couple of them had more than one hip that was problematic, so they had 207 hips to work on. Average age was thirty three years with a hundred and thirty eight men and sixty two women. They underwent correction of cam impingement, and also forty two patients underwent surgery for cam and pincer impingement. So in this abstract they mentioned that the increase in the Harris Hip Score -- the average increase -- was twenty points. Yes! So, based on the average, pretty successful. If we look deeper into the results,..
This podcast covers the JBJS issue for August 2013. Featured are articles covering: Clinical Research Fails to Support More Aggressive Management of Pediatric Upper Extremity Fractures; recorded commentary by Dr. Blasier; Operative Versus Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures - A Prospective, Randomized, Controlled Multicenter; A Cost-Utility Analysis Comparing the Cost-Effectiveness of Simultaneous and Staged Bilateral Total Knee Arthroplasty; Molecular Characterization of Articular Cartilage from Young Adults with Femoroacetabular Impingement; recorded commentary by Dr. D'Lima.
This podcast covers the JBJS issue for August 2013. Featured are articles covering: Clinical Research Fails to Support More Aggressive Management of Pediatric Upper Extremity Fractures; recorded commentary by Dr. Blasier; Operative Versus Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures - A Prospective, Randomized, Controlled Multicenter; A Cost-Utility Analysis Comparing the Cost-Effectiveness of Simultaneous and Staged Bilateral Total Knee Arthroplasty; Molecular Characterization of Articular Cartilage from Young Adults with Femoroacetabular Impingement; recorded commentary by Dr. D'Lima.