Update On FAI Management In The Athlete

Description

In this detailed presentation by Dr. Struan Coleman, the focus is on femoroacetabular impingement (FAI) and core muscle injuries, particularly their prevalence among athletes. Dr. Coleman explains that FAI, characterized by abnormal contact between the femoral head and acetabulum, can manifest in three types: CAM, pincer, and most commonly, a mixed type. He elaborates on CAM impingement, describing it as a growth disturbance leading to excess bone at the femoral neck, which can cause cartilage damage. He also discusses pincer impingement, resulting from over-coverage of the acetabulum and related anatomical abnormalities. Dr. Coleman emphasizes the critical clinical sign of restricted internal hip rotation at 90 degrees of flexion as an indicator of impingement and how this restriction often leads to compensatory injuries in adjacent structures, such as core muscle injuries.



Dr. Coleman highlights the diagnostic challenges and the importance of high-quality imaging for assessing cartilage health, arguing that cartilage condition is a better predictor of surgical outcomes than labral tears. He explains the surgical approach for addressing both FAI and core muscle injuries, emphasizing a multidisciplinary approach that can include simultaneous surgeries for both types of injuries, which significantly improves return-to-sport rates. He candidly shares case studies and insights from his clinical practice, noting that many athletes experience improved outcomes after addressing these intertwined injuries. Throughout the presentation, the importance of understanding the mechanics of hip function in relation to overall athletic performance is underscored.

Specialties