FAITBMJ (Clinical research ed.) 2019
Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
Arthroscopy produced significantly better HOS-ADL scores at 8 months than physiotherapy and activity modification, with a difference around the prespecified minimum clinically important difference.
Randomised trialManagementHip (young adult & sports)
UK FASHIoNLancet (London, England) 2018
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial.
Both groups improved, but hip arthroscopy gave significantly better iHOT-33 scores at 12 months than Personalised Hip Therapy, a difference judged to be clinically meaningful.
Randomised trialManagementHip (young adult & sports)
Mansell military FAI trialThe American journal of sports medicine 2018
Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up.
Both groups improved, but there was no significant difference between surgery and physical therapy at 2 years; many patients allocated to physical therapy crossed over to surgery, limiting interpretation.
Randomised trialManagementHip (young adult & sports)
Warwick AgreementBritish journal of sports medicine 2016
The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.
Defined FAI syndrome as a motion-related clinical disorder requiring a triad of symptoms, clinical signs and imaging findings (cam or pincer morphology); morphology alone without symptoms is not FAI syndrome.
GuidelineDiagnosisHip (young adult & sports)
Mont osteonecrosis updateThe Journal of bone and joint surgery. American volume 2015
Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today? A Ten-Year Update.
Joint-preserving procedures are indicated before femoral head collapse, with good mid- to long-term results in several series; once collapse has occurred, total hip arthroplasty gives excellent long-term outcomes, whereas resurfacing and hemiresurfacing have performed poorly.
OtherManagementHip (young adult & sports)
PAO 20-year follow-upClinical orthopaedics and related research 2008
Mean 20-year followup of Bernese periacetabular osteotomy.
Roughly 60% of hips were preserved at 20 years, and older age, poorer preoperative function and pre-existing arthritis predicted failure.
Cohort studyPrognosisHip (young adult & sports)
Clohisy young adult hip radiographsThe Journal of bone and joint surgery. American volume 2008
A systematic approach to the plain radiographic evaluation of the young adult hip.
Recommended a well-centred AP pelvis plus lateral views (e.g. cross-table lateral, frog-leg, Dunn) and set out key measures such as lateral centre-edge angle, Tonnis angle, crossover sign and head-neck offset.
OtherDiagnosisHip (young adult & sports)
Ganz FAI conceptClinical orthopaedics and related research 2003
Femoroacetabular impingement: a cause for osteoarthritis of the hip.
Described cam (aspherical femoral head-neck junction) and pincer (acetabular over-coverage) impingement and their characteristic patterns of labral and cartilage damage, proposing FAI as a cause of early osteoarthritis.
OtherDiagnosisHip (young adult & sports)
Alpha angle (Notzli)The Journal of bone and joint surgery. British volume 2002
The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement.
Symptomatic patients had significantly larger alpha angles than controls, establishing the alpha angle as a measure of cam morphology.
Cohort studyDiagnosisHip (young adult & sports)
Steinberg (University of Pennsylvania) stagingThe Journal of bone and joint surgery. British volume 1995
A quantitative system for staging avascular necrosis.
Extended Ficat-type staging by incorporating MRI findings and quantifying the extent of head involvement, which helps predict progression and guide treatment.
OtherDiagnosisHip (young adult & sports)
Bernese PAOClinical orthopaedics and related research 1988
A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results.
Showed that large acetabular corrections were achievable through a single approach with the posterior column left intact, allowing early mobilisation without external fixation.
Cohort studyManagementHip (young adult & sports)