Article

Femoro-acetabular 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. 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.
CI - Copyright (c) 2013 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS