hip
Femoroacetabular Impingement
intermediate
6 min
28 marks
6 questions
Clinical Scenario
A 28-year-old male professional footballer presents with 18 months of progressive right groin pain. The pain is worse with prolonged sitting, squatting, and kicking. He describes mechanical catching and limited range of motion. He has failed physiotherapy and cortisone injection. He wishes to continue playing professionally.
Clinical examination and imaging are provided.
Clinical examination and imaging are provided.
Clinical image for Femoroacetabular Impingement
Image source: Open Access medical literature (NIH/PubMed Central) • CC-BY License
Questions
Question 1 (4 marks)
Define femoroacetabular impingement (FAI). Describe the types and their morphological characteristics.
Question 2 (5 marks)
What clinical examination findings would you expect in FAI? How would you differentiate FAI from other causes of hip pain in a young adult?
Question 3 (6 marks)
Describe the imaging findings in FAI. What measurements define cam and pincer morphology?
Question 4 (5 marks)
What are the indications for hip arthroscopy in FAI? Describe the surgical technique.
Question 5 (4 marks)
What are the contraindications to hip preservation surgery? When would you consider alternative procedures?
Question 6 (4 marks)
What are the expected outcomes and complications of FAI surgery?