Femoroacetabular impingement (FAI) is a condition where the bones of the acetabulum are abnormally shaped, making them not fit together properly. This can be due to irregular growths of the femur and or the iliac spine. This abnormality, then causes the hip bones to rub together, leading to damage within the joint. There are three types of FAI: pincer, cam and combined impingement. Pincer impingement occurs because of an extra bony growth that extends over the normal rim of the acetabulum. Conversely, cam impingement is formed when the femoral head is not round and cannot rotate smoothly inside the acetabulum. Combined impingement is a combination of pincer and cam (Figure 1). The causes of FAI typically relate to abnormal formation of the …show more content…
Upon further evaluation, the athlete may state that they have sharp, stabbing pain that occurs with turning, twisting, and squatting. When one presents these symptoms to a physician, the physician will then perform the impingement test. If this test recreates their hip pain, it indicates that it is positive and the physician may require imaging tests to help determine if they have FAI. The most common imaging tests performed are x-rays, CT scans, and MRI scans. X-rays are primarily to see if any arthritis is present within the joint, whereas CT and MRI scans can see the shapes and structures within the …show more content…
Recent research has found that specific sports, such as soccer, have a higher incidence of abnormal bony features due to the high shear stress that is applied to the femoral head prior to the closure of the athlete’s growth plates. Indicating that Cam impingements occur during skeletal maturation and high-impact sports practice.1 Again it can be assumed that the athlete had been partaking in such practices for quite some time, making him a ‘typical’ case. However, this athlete also had a labrum tear present. This could be due to playing on an FAI for many years, causing additional stresses to the tissues surrounding the hip
X-rays can be used for the diagnosis of osteoarthritis; the images would reveal damage and other changes related to osteoarthritis. With osteoarthritis of the knees, the patient would experience progressively increasing pain, stiffness, and they would have a decrease in daily functions. Patients experiencing these symptoms can be eligible for a total knee replacement.
To diagnose osteoarthritis, the doctor will collect information on personal and family medical history, perform a physical examination and order diagnostic tests. Further tests such as X-rays or blood tests are not usually necessary to confirm a diagnosis of osteoarthritis, although they may be used to rule out other possible causes of the symptoms, such as rheumatoid arthritis or a fractured bone. X-rays can also allow doctors to assess the level of damage to the joints but this is rarely helpful as the extent of damage visible on an X-ray isn’t a good indicator of how severe the symptoms really are.
High incident rates of HS is well understood in the current body of research, two establishing that HS represent 12 % of all injuries in football (8, 5). The incidence rate identified by previous researchers has been estimated to be 3-4.1 hamstring strains per 1000h of match
Imaging tests will be done to check whether there is damage to blood vessels or nerves around your knee. This may include a test that involves injecting a special dye into your blood vessels and looking at the dye through a CT scan (angiogram). An MRI or Doppler ultrasound could also be done.
Football and track and field involve repetitive bouts of quick acceleration for short and long periods, sudden changes in direction of maximum force may contribute to the high rate of hamstring strain commonly found amongst these sports. (Ropiak & Bosco, 2012). Regardless of all the aforementioned studies, there is not one exact cause of injury during high speed, kicking sports (Lees, Asai, Andersen, Nunome, & Sterzing,
If the results from the physical exam are unclear, doctors may recommend a bone scan (a nuclear isotope scan ) or an MRI to help rule out additional other possible conditions, such as a stress or a
Their bodies are growing and maturing, making them even more prone to physical injuries. As states by the Optimal Physical Therapy & Sports Performance Facility, the musculoskeletal and neurological systems are in the process of developing. Children and adolescents have open growth plates and their ligaments are stronger than the bony attachment sites where they serve as connectors. Growth at these plates can occur rapidly, and with each new body contour that results from rapid growth, the child/adolescent may experience their bones growing faster than their new body contours can keep up with, thus may have a period of crudeness. In agreement with an adolescent/child’s body being prone to physical injury, this age group can experience amenableness to musculoskeletal injuries at times of development because the physical activities that they may participate in, such as football, that stresses the young body
Many times, the physician will move the joint around and may have client preform range of motion to help analyze signs and symptoms. The physician will determine whether what testing would be best to get accurate diagnosis. An X-ray may be ordered to determine if there is any other difficulty with joint that may have same symptoms as ligament and meniscal injury. An MRI is more precise to determine if there is any further injury to ligament or menisci. Another test that may be done is arthroscopy. This is used to see inside the knee and can be used help trim or repair the injury/tear.
Hypermobility – hypermobility within the joint causes decreased stability. Causes may be weak supporting muscles, trauma, or increased ligament laxity (hormonal). Often seen with pregnant women as the ligaments relax around the hip joint due to protein hormone Relaxin in preparation for birthing, this in turn causing hypermobility within the hips which can lead to dysfunction causing compensation and pain.
By football being a full contact sport, and players always tacking each other it makes it hard on the body (Henderson 1). Bones lose density and strength. (Hobson 1) Ligaments and tendons tend to stiffen, lose circulation, and become more vulnerable. (3) Cartilage becomes stressed and susceptible to tearing.(4).It is every player’s dream is trying to make it to the next level and being the best at what they do. As players work hard to sharpen their game, their body is put through a series of injuries including tears, breaks, and sprains.
Cam impingement is more common in young men, presenting at an average age of 32 years. Athletes that are involved in high-impact sports, such as soccer, basketball and ice hockey, during adolescence have a higher prevalence of cam-type FAI as compared to non-athletes [13, 14]. This may be due to increased stresses on the femoral head while the physis of the femoral head is still developing. Another theory is that it may be due to new bone formation at the anterosuperior head-neck junction. Paediatric hip diseases such as Slipped Capital Femoral Epiphysis [7] and Calve-Perthes [8] have been associated with an increased incidence of FAI. Other factors which may influence impingement includes an abnormal femoral head neck offset, pistol grip deformity,
The doctor will take the patients medical history and do a physical examination and X-rays can be done to rule out any kind of arthritis. There may also be bone spurs or changes in the normal contour of the bone where the rotator cuff normally attaches.
A 22-year old female soccer player has had a 3-month history of deep aching pain in the antero-lateral right leg and on some occasions, bilaterally (1). The pain occurs within 15 to 20 minutes of her training regime or upon commencing a run. She reported symptoms of tightness in her anterior leg, and weakness of ankle dorsi-flexors (1). She described that symptoms worsened as the exercise duration was prolonged. When activity ceased, symptoms were alleviated, though pain would return if she re-engaged in the activity. Upon attempting to continue training, she developed numbness in the foot. On examination, mild tenderness was noted on palpation of the antero-lateral compartment (1).
There are several types of diagnostic techniques in classifying the types and conditions of knee injuries. Currently, the method used is diagnostic tests. The doctor uses one or more tests to determine the nature of a knee problem. In most cases, patients are given a primary diagnosis based on their medical history, physical examination, and imaging or other procedures [7]. There are several steps or process in determining the ACL diagnosis system. The process starts with a medical history, where the patient’s history is reviewed for further action.
Many people go several years before acknowledging they have AVN of the femoral head due to the presence of nonspecific symptoms and radiographic changes of the hip (Steppacher). AVN is a disease that typically progresses over time, and those with AVN of the femoral head characteristically experience joint pain in the early stages (Brown). The pain is, as expected in the hip region, but can also be seen present in the buttocks or the anterior and lateral thigh (Kaushik) This joint pain comes primarily from activities that involve bearing weight on the affected joint, the hip, or more specifically in this case, the femoral head (Brown). Pain in the groin may be seen as unilateral or bilateral, and is usually present in the patient with a slow-onset