ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Combining results from hip impingement and range of motion tests can increase diagnostic accuracy in patients with FAI syndrome.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of femoral retroversion and out-toeing gait with development of hip osteoarthritis and treatment: a systematic review.Acta orthopaedica · 2025Pooled it
- The Unique Features of Pediatric Sports Injuries: The Hip.Children (Basel, Switzerland) · 2026Review
- Active Range of Motion in Non-Impingement Directions After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.Journal of clinical medicine · 2026Article
- Article
- Cam morphology and the development of femoroacetabular impingement syndrome and hip osteoarthritis.Nature reviews. Rheumatology · 2026Review
- Case Report: C-arm-assisted peri-hip endoscopic debridement for calcific tendinitis at the deep insertion of the gluteus maximus.Frontiers in surgery · 2026Article
- Diagnosis and management of femoroacetabular impingement syndrome (FAIS): a survey of contemporary physiotherapy practice.BMC musculoskeletal disorders · 2025Article
- Spinopelvic fixation surgery in relation to the femoroacetabular impingement syndrome under the ultrasound.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Biomechanical features of a novel step-down-and-pivot task in football players with hip/groin pain.Royal Society open science · 2025Article
- Hip Active Range of Motion in Patients with Femoroacetabular Impingement Syndrome.Sensors (Basel, Switzerland) · 2025Article
- Effect of altered gluteus maximus strength on the magnitude and direction of hip joint contact forces during simulations of gait.PloS one · 2025Article
- Review of femoroacetabular impingement syndrome.Journal of hip preservation surgery · 2024Review
- Increased Duration and Intensity of Physical Activity Are Associated With Increased Pain in Individuals With Femoroacetabular Impingement Syndrome: An Ecological Momentary Assessment Study.Archives of physical medicine and rehabilitation · 2024Observational
- Validity and Reliability of Inertial Measurement Units in Active Range of Motion Assessment in the Hip Joint.Sensors (Basel, Switzerland) · 2023Article
- Arthroscopy Confers Favorable Clinical Outcomes in Asian Patients with Borderline Developmental Dysplasia of the Hip.Orthopaedic surgery · 2023Article
- Characteristics of Biomechanical and Physical Function According to Symptomatic and Asymptomatic Acetabular Impingement Syndrome in Young Adults.Healthcare (Basel, Switzerland) · 2022Article
- [Treatment strategies for the combination of hip dysplasia, femoroacetabular impingement and malrotation of the proximal femur : How much should be corrected?]Orthopadie (Heidelberg, Germany) · 2022Review
- Association between femoroacetabular impingement syndrome and limited lateral hip rotation in young athletes: A case-control study.Journal of children's orthopaedics · 2022Article
- Physical Examination of the Hip: Assessment of Femoroacetabular Impingement, Labral Pathology, and Microinstability.Current reviews in musculoskeletal medicine · 2022Review
- Are cam morphology size and location associated with self-reported burden in football players with FAI syndrome?Scandinavian journal of medicine & science in sports · 2022Article
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3 authors.
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Abstract
purposeClinical examination is an important part in the diagnosis of femoroacetabular impingement (FAI) syndrome. However, knowledge on reliability and validity of clinical diagnostic tests is scarce. The aims were to evaluate the inter-rater agreement and diagnostic accuracy of clinical tests to detect patients with FAI syndrome.
methodsEighty-one patients (49% women) were recruited. Two experienced raters performed impingement and range of motion (ROM) tests. Three criteria had to be fulfilled for the diagnosis of FAI syndrome: (1) symptoms; (2) CAM and/or Pincer morphology; and (3) being responder to intra-articular block injection. For inter-rater agreement, the Cohen's kappa statistics were used (0.41-0.60 = moderate, 0.61-0.80 = substantial agreement). For diagnostic accuracy, sensitivity, specificity, positive and negative predictive values were calculated.
resultsAnterior impingement test (AIMT), FADIR test and FABER test showed kappa values above 0.6. All passive hip ROM, except extension, had kappa values above 0.4. AIMT and FADIR showed the highest sensitivity, i.e., 80%, with a specificity of 26% and 25%, respectively. Passive hip ROM in internal rotation with neutral hip position had a sensitivity of 29% and a specificity of 94%.
conclusionThe AIMT, FADIR and FABER tests were reliable between two experienced raters, while results from different raters for hip ROM should be interpreted with caution. The AIMT and FADIR test can only be used to rule out patients with FAI syndrome, while evaluation of ROM in internal rotation with neutral position may be more suitable to rule in patients with FAI syndrome. LEVEL OF EVIDENCE: II.
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