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Nonoperative treatment for femoroacetabular impingement : a systematic review of the literature
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Wall, Peter D. H., Fernandez, Miguel, Griffin, Damian R. and Foster, Nadine E. (2013) Nonoperative treatment for femoroacetabular impingement : a systematic review of the literature. PM&R, Volume 5 (Number 5). pp. 418-426. doi:10.1016/j.pmrj.2013.02.005 ISSN 1934-1482.
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Official URL: http://dx.doi.org/10.1016/j.pmrj.2013.02.005
Abstract
Objective
Femoroacetabular impingement (FAI) has been identified as a common cause of hip pain in young adults. However, it is not known whether an effective nonoperative treatment exists and whether there is any evidence to support such a treatment. The purpose of this review is to establish whether nonoperative treatments exist for FAI in the published literature and whether there is any evidence to support their use.
Type
A systematic review.
Literacy Survey
PubMed, Medline, EMBASE, CINAHL, AMED, and Cochrane Library databases were searched by using the following terms: femoroacetabular impingement, femoro-acetabular impingement, and hip impingement. The search was limited to English only but with no time constraints.
Methodology
The review was undertaken at 2 academic institutions within the United Kingdom; any article that described or provided evidence that related to a nonoperative treatment for FAI was included. Fifty-three articles met our criteria, of which, 48 were review and/or discussion based.
Synthesis
Five articles summarized primary experiments that described or evaluated nonoperative treatment, of which, 3 reported favorable outcomes. Many review and/or discussion articles (31 [65%]) indicated that a trial of conservative care was appropriate. Activity modification was most frequently recommended (39 [81%]), and nearly half promoted physical therapy as a treatment (23 [48%]).
Conclusion
The review literature appears to promote initial nonoperative treatment for FAI. Although the available literature with experimental data is limited, there is a suggestion that physical therapy and activity modification confer some benefit to patients. Nonoperative treatment regimens, particularly physical therapy, need to be evaluated more extensively and rigorously, preferably against operative care, to determine the true clinical effectiveness.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
| Journal or Publication Title: | PM&R | ||||
| Publisher: | Elsevier Inc. | ||||
| ISSN: | 1934-1482 | ||||
| Official Date: | 2013 | ||||
| Dates: |
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| Volume: | Volume 5 | ||||
| Number: | Number 5 | ||||
| Page Range: | pp. 418-426 | ||||
| DOI: | 10.1016/j.pmrj.2013.02.005 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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