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How Common Is Femoroacetabular Impingement (FAI)?

femoroacetabular impingement

An article appearing this year in Arthroscopy details a systematic review completed to determine if asymptomatic individuals show evidence on imaging of femoroacetabular impingement, or FAI. Cam, pincer, and combined lesions were included in the results. To read some basics about femoroacetabular injury, click here. Over 2100 hips (57% men, 43% women) with a mean age of 25 were studied. (Only seven of the 26 studies reported on labral tears.) The researchers found the following prevalence in this asymptomatic population:

Cam lesion: 37% (55% in athletes versus 23% in general population)

Pincer lesion: 67%

Labral tears: 68%

Mean lateral and anterior center edge angles: 30-31 degrees

The authors conclude that femoroacetabular impingement tissue changes and hip labral injury are common findings in asymptomatic patients, therefore, clinicians must determine the relevance of the findings in relation to patient history and physical examination. Because hip pain is a common comorbidity of pelvic pain, knowing how to screen the hip joint for FAI or labral tears, rehabilitate hips with joint dysfunction, and help someone return to activity following a hip repair is valuable to the pelvic rehabilitation therapist.

As the athletic population may have increased risk of hip injuries due to overuse, traumatic injury, or vigorous activity, being able to address dysfunction in both high level and less active patients is necessary. Herman & Wallace faculty member Steve Dischiavi has developed a course rich in athletic examples and including education about activating fascial systems in various planes. If you are ready to step up your game related to Biomechanical Assessment of the Hip & Pelvis, check out this continuing education course taking place next in Durham, North Carolina in May.

Musculoskeletal Screening Model for Pelvic Pain
Reeba Varghese - Featured Certified Pelvic Rehabil...

Upcoming Continuing Education Courses

Nutrition Perspectives for the Pelvic Rehab Therapist - Remote Course

Mar 5, 2021 - Mar 6, 2021
Location: Replacement Remote Course

Mobilization of Visceral Fascia 2: The Reproductive System - Valencia, CA Satellite Location

Mar 5, 2021 - Mar 7, 2021
Location: Henry Mayo Newhall Memorial Hospital

Mobilization of Visceral Fascia 2: The Reproductive System - Medford, OR Satellite Location

Mar 5, 2021 - Mar 7, 2021
Location: Asante Rogue Valley Medical Center

Mobilization of Visceral Fascia 2: The Reproductive System - St. Louis, MO Satellite Location

Mar 5, 2021 - Mar 7, 2021
Location: Mercy Hospital St. Louis

Mobilization of Visceral Fascia 2: The Reproductive System - Jackson, WY Satellite Location

Mar 5, 2021 - Mar 7, 2021
Location: Four Pines Physical Therapy

Male Pelvic Floor - Satellite Lab Course

Mar 6, 2021 - Mar 7, 2021
Location: Replacement Remote Course

Male Pelvic Floor - St Paul, MN Satellite Location (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Regions Hospital

Male Pelvic Floor - Kenosha, WI Satellite Location

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Location: Aurora Health Care

Pelvic Floor Level 2B - Self-Hosted (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Self-Hosted Course

Male Pelvic Floor - Atlanta, GA Satellite Location

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Location: JMM Health Solutions LLC

Male Pelvic Floor - Akron, OH Satellite Location (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Summa Health Center

Pelvic Floor Level 2B - Oklahoma City OK Satellite Course

Mar 6, 2021 - Mar 7, 2021
Location: Oklahoma Physical Therapy

Male Pelvic Floor - Asheville, NC Satellite Location

Mar 6, 2021 - Mar 7, 2021
Location: Cornerstone Physical Therapy

Pelvic Floor Level 2B - Little Rock, AR Satellite Course (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Core Pelvic Physical Therapy

Pelvic Floor Level 2B - Truckee, CA Satellite Course

Mar 6, 2021 - Mar 7, 2021
Location: Tahoe Forest Center for Health and Sports Performance / Alliance Therapy Partners

Pelvic Floor Level 1 - Self-Hosted (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Torrance CA Satellite Course

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Location: Women's Advantage Inc

Pelvic Floor Level 2B - Grand Rapids, MI Satellite Course

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Location: Mary Free Bed Rehabilitation Hospital

Pelvic Floor Level 1 - Jonesboro, AR Satellite Location (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Arkansas State University

Pelvic Floor Level 2B - Williamsburg, VA Satellite Course

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Location: Peak Therapy and Sports Rehabilitation

Pelvic Floor Level 2B - Livonia, MI Satellite Course (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Mendelson Kornblum Physical Therapy

Biofeedback for Pelvic Muscle Dysfunction - Tampa, FL Satellite Lab Course

Mar 6, 2021 - Mar 7, 2021
Location: Optimal Performance and Physical Therapies

Biofeedback for Pelvic Muscle Dysfunction - Denver, CO Satellite Lab Course

Mar 6, 2021 - Mar 7, 2021
Location: Kelsey Mathias OTR/L

Acupressure for Optimal Pelvic Health - Remote Course

Mar 6, 2021 - Mar 7, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Athens, GA Satellite Location (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Thrive Integrated Medicine

Pelvic Floor Level 2B - Glenwood Springs, CO Satellite Course

Mar 6, 2021 - Mar 7, 2021
Location: Valley View Hospital

Male Pelvic Floor - Self-Hosted (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - LaCrosse, WI Satellite Location (SOLD OUT)

Mar 6, 2021 - Mar 7, 2021
Location: O'Brien Physical Therapy, LLC