Femoroacetabular Impingement Flashcards Preview

MS Test 3: Lower Quarter > Femoroacetabular Impingement > Flashcards

Flashcards in Femoroacetabular Impingement Deck (25)
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1
Q

What is FAI considered?

A

primary impingement of the hip joint

2
Q

What is role of labrum in the hip?

A

extension of acetabulum to enhance jt stability, suction seal and increases shock absoprtion

3
Q

What is the premise behind FAI?

A

misshapen at joint leads to breakdown of intra articular structures

4
Q

What is a CAM -FAI?

A

nonspherical femoral head rotating inside acetabulum, likely from slipped capital femoral epiphysis

5
Q

What is PINCER- FAI?

A

prominent anterolateral rim of acetabulum likely from overgrowth of anterior rim or retroversion of acetabulum

6
Q

For either CAM or PINCER what is end result?

A

femur rubs against acetabulum in early flexion ROM

7
Q

What is usual PP for FAI?

A

non specific groin pain that can radiate to medial thigh, C sign (deep inferior hip pain)

intermittent sharp pain, clicking, catching, popping, pain with twisting, pivoting, full flexion

8
Q

What can FAI be commonly misdiagnosed as?

A

hip flexor tendinitis

9
Q

What special tests are important to use for FAI?

A

FABER, Scour, Log roll, FADIR

10
Q

What is important to have done before surgery?

A

intra articular injection to help differentiate between other pathologies

11
Q

What are important principles for non-op tx of FAI?

A

avoid irritating positions- avoid squats, limit to 45 degree of HF

maximize mobility of jt -posterior and inferior

core/glute/lumbopelvic strength

12
Q

What is a post op precaution of a femoroplasty?

A

avoid spontaneous load as it could cause a femoral neck fracture

13
Q

What is a post op precaution of a labral repair?

A

limited weight bearing for 4 weeks

14
Q

What is a post op precaution of a micro fracture surgery?

A

longer protection to encourage fribrocartilage healing responses

15
Q

What are goals of post op phase 1, Week 1-6?

A

protect surgical site, patient education, normalize gait with AD, minimize pain and inflammation, 75% ROM in all planes

16
Q

What are precautions for phase 1 of post op recovery?

A

no pivoting/rotating durin ambulation, avoid sx provocation during ADL/therex, no active SLR/hyperextension, typically 20% WB, Limit ER to 30 degrees

17
Q

What can’t you do during phase 1 of post op recovery?

A

no joint play assessment

18
Q

What is typical treatment for post op phase 1?

A

isometrics minus hip flexion, bike with minimal resistance, PROM after 7-10 days

19
Q

What is criteria to advance to stage 2?

A

pain is well controlled, normal gait with assistive device

20
Q

What are goals for phase 2, weeks 6-12 post op?

A

protect hip flexors, restore full ROM, normal gait w/o asst device, no pain and stairs

21
Q

What is tx for post op phase 2?

A

closed chain movements/ strengthening, joint mobs if needed in week 6-8, double limb to single limb balance

22
Q

What is criteria to progress to stage 3?

A

full ROM, normal gait w/o AS, good pelvic control during SLS

23
Q

What are goals during phase 3 , weeks 11-13 of post op recovery?

A

gym program, full ROM, 5/5 strength, pain free ADL, good dynamic balance

24
Q

What is tx in phase 3?

A

end range ROM, introduce diagonal patterns for lumbopelvic control, initiate plyos

25
Q

When will running program begin post op?

A

if meets criteria around weeks 14-16