Femoroacetabular Impingement

(OBQ20.108) A 21-year-old recreational hockey goalie presents to your clinic with 6 weeks of right hip and groin pain. He denies any acute traumatic injuries. On physical examination, he has pain with flexion, adduction, and internal rotation of the right hip and reports deep-seated groin pain when asked to perform a squat. After reviewing his radiographs and MRI you prescribe him a course of physical therapy in order to focus on core and hip strengthening. You allow him to bear weight as tolerated. Which radiographic studies did this patient most likely present to your clinic with?

(SBQ19HK.21) An NFL wide receiver presents for evaluation of activity-related right hip groin pain. On exam, pain is recreated with right hip flexion, adduction, and internal rotation. AP and lateral radiographs of the right hip are demonstrated in Figures A and B, respectively. An MRI is obtained and demonstrates preserved joint space, no cartilage lesions, and no edema within the femoral head or acetabulum. The professional athlete elects to pursue surgical intervention to address his symptoms. What is the likelihood that this patient will be able to return and compete at the professional level?

(OBQ18.34) A 16-year-old male athlete presents to your office with left hip pain that worsens when sitting. Physical examination is remarkable for pain with flexion, adduction, and internal rotation of the hip. His radiographs are shown in Figures A and B. When counseling the patient about open treatment of his condition, he should be told that he should be able to return to sports in:

(OBQ18.18) A 26-year-old male reports persistent activity-related right hip pain. His radiograph is shown in Figure A. After failing a trial of conservative treatment, he undergoes hip arthroscopy. What findings would you expect to see during this procedure?

(OBQ17.74.1) A 17-year-old hockey goalie presents with longstanding activity-related right hip pain. On physical examination, he has limited hip internal rotation. He also has pain with flexion, adduction, and internal rotation of his hip. Figure A is the AP radiograph of the right hip. This radiographic finding is most suggestive of which of the following?

(OBQ11.259) In the radiographic evaluation of femoroacetabular impingment (FAI), which of the following views is obtained with a standing radiograph and an angle of 65 degrees between the pelvis and the film?

(SBQ07HK.82.1) A 23-year-old hockey goalie returns to clinic complaining of continued right groin pain. Hip pain worsens when he assumes a crouched position but he denies any clicking with hip motion. Physical therapy and a previous steroid injection near the iliopsoas bursa have provided no relief. Radiographs and MRI are shown in Figures A-D. Which hip position is most likely to reproduce his pain and what is the best next step in treatment?

(SAE07HK.44) Figure 24 shows the radiograph of a 36-year-old volleyball player with right hip pain. What is the cause of the pain?

(SAE07HK.35) A patient reports pain in the hip with functional positioning. With the patient supine, pain in which of the following positions would be typical for femoral acetabular impingement?