Diagnosis and Treatment of Patients With Femoroacetabular Impingement Syndrome
Femoroacetabular Impingement
About this trial
This is an interventional treatment trial for Femoroacetabular Impingement
Eligibility Criteria
Inclusion Criteria:
- Activity-related longstanding hip and/or groin pain for >3 months
- Known anterior and/or medial groin pain during the FADIR test with a pain severity of ≥2/10 on NRS.
- Radiological findings on plain radiographs of cam morphology defined as alpha angle >55° on a lateral view.
Exclusion Criteria:
- Inguinal-related groin pain diagnosed according to Doha Agreement.
- Pubic-related groin pain diagnosed according to Doha Agreement.
- Evidence of pre-existing hip osteoarthritis, defined as a joint space width <3 mm at the lateral sourcil on anterior-posterior pelvic radiograph.
- Previous hip pathology such as Perthes' disease, slipped upper femoral epiphysis, hip dysplasia defined as a Lateral Center Edge Angle <25°, or avascular necrosis.
- Other causes of hip and groin pain identified by the orthopedic surgeon during the clinical examination, such as stress fracture of the femoral neck, referred pain from the facet joint, referred pain from the sacroiliac joint, or other competing diagnosis (rheumatoid arthritis, cancer etc.)
- Previous hip injury such as acetabular fracture, hip dislocation, or femoral neck fracture.
- Previous intra- or extra-articular hip surgery.
- Pregnant.
- Intra-articular steroid hip injection during the preceding 3 months.
Sites / Locations
- All part of the study is conducted at Department of Orthopedic Department, Hvidovre HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
FAIS with intra-articular hip pain
FAIS without intra-articular hip pain
12-week of semi-standardized, progressive physiotherapist-led treatment supervised by a physiotherapist blinded to clinical and objective findings. The treatment program will consist of one weekly exercise training session at Hvidovre Hospital supervised by a physiotherapist and twice-weekly unsupervised exercise training sessions performed at home for a consecutive period of 12-weeks (12 supervised sessions; 24 unsupervised sessions). In conjunction with the physiotherapist-led treatment, participants will be advised to modify potential aggravating physical activitie, and gradually increase their level of activity during the treatment period.
12-week of semi-standardized, progressive physiotherapist-led treatment supervised by a physiotherapist blinded to clinical and objective findings. The treatment program will consist of one weekly exercise training session at Hvidovre Hospital supervised by a physiotherapist and twice-weekly unsupervised exercise training sessions performed at home for a consecutive period of 12-weeks (12 supervised sessions; 24 unsupervised sessions). In conjunction with the physiotherapist-led treatment, participants will be advised to modify potential aggravating physical activitie, and gradually increase their level of activity during the treatment period.