ISA syndrome can be treated with conservative care, rehabilitation or surgery. Conservative care may include education, vigilant waiting, lifestyle, and changing activity. Physiotherapeutic rehabilitation aims to improve hip stability, neuromuscular control, strength, movement circumference and movement patterns. The operation, open or arthroscopic, aims to improve the morphology of the hip and repair damaged tissues. Proper management of the diversity of patients with ISA syndrome requires the availability of all these approaches. 7. Thorborg, K., Kraemer, O., Madsen, AD., Holmich, P. (2018). Results reported in the first year after hip arthroscopy and rehabilitation in case of feroacetebian impingement and/or labral injury: The difference between becoming better and returning to normal. American Journal of Sports Medicine, 46 (11), pp. 2607-2614. The panel was unable to recommend accurate diagnostic values for any of the common measurements of cam or clamp morphology definition in routine clinical practice. This is because we realized that impingement is the result of a complex interaction during movement between the acetabulum and the neck of the thigh.
We agreed that the depth, orientation, and edge of the acetabulum, as well as the head-neck profile, neck angle, and twist of proximal feminism vary in the general population. If a particularly unfavorable combination of these features occurs with provocative movements or positions, a patient with AIS syndrome may occur. It was not possible to record all this in a single measure, or even in a simple set of formal criteria. The main symptom of AIF syndrome is pain.3 However, there are large differences in location, nature, radiation, severity, and resolving factors that characterize this pain. Most patients report pain in the groin or hip, but pain is also reported in the lateral hip, anterior thigh, buttocks, knee, lower back, lateral and back thigh.39 AIS syndrome pain is usually related to movement or position; We realized that this included a wide range of patients, from patients who experience symptoms during or after high activity (e.g.B. football), to those who suffer from pain with supraphysiological movement (e.g.B. dance, gymnastics), 3,39,40 We agreed that mechanical symptoms such as clicking, capturing, locking, sagging, or stiffness are also reported by many patients with FAI syndrome.39 iHOT-12 and iHOT-33, HAGOS, and HOS are valid measures for assessing young adults with joint pain. We recommend these tools for clinical practice and research.33,34,79,80 Particularly for IAD syndrome, iHOT and HAGOS have been derived from patients in patient populations, including those treated for ISA syndrome, and therefore they can be expected to perform well in this group. Both have strong psychometric properties, including test reliability, responsiveness, content validation, and construction validation. The diagnosis of ISA syndrome does not depend on a single clinical sign; Many have been described and are used in clinical practice.
Hip impregnation tests usually reproduce the typical pains of the patient; The most widely used test, the internal rotation of flexion tendons (FADIR), is sensitive, but not specific. There is often a limited area of hip movement, typically limited internal rotation in flexion….