The Warwick Agreement On Femoroacetabular Impingement Syndrome

Many measurements of the morphology of cams and pliers have been described, including the angle α (cam), the cross sign and the median angle (Pincer).58-60 Some clinical studies (z.B. UK FASHIoN) treatments for ISP syndrome includes patients with a α >55 degree angle at each position of the node of the head neck for dicammorphology and a positive cross-point or a median angle > >55-14 However, despite changes in the threshold, α angles cannot make a precise distinction between patients with ISP-type cam syndrome and asymptomatic subjects.20 June 2016, the panel met at the University of Warwick to formulate the declaration of the agreement. The meeting was chaired by the AEJ, which did not speak during the discussion. How should ISP syndrome be diagnosed?8,11,18-21 It is not known which people develop symptoms with cams or tong morphologies and therefore ISP syndrome. Preventive measures may play a role in higher-risk populations, but it is rarely appropriate to offer surgery to these individuals. The surgery aims to correct the morphology of the hip to obtain a movement without impingement. The morphology of the cam can be redesigned and the twisting of the thigh or the angle of the neck can be adapted; acetabulum can be reoriented or its rim is rectified. If the labrum or joint cartilage is damaged, it can be reset, repaired or reconstructed. Often, these procedures can be performed either by arthroscopic or open surgery.2,4 A arthroscopic approach may be preferable in many patients to allow for rapid recovery, but some of these procedures require an open approach. Post-operative physiotherapy protocols have been described, but their value is uncertain.66-68 To be clear, Whether symptoms should be present, the committee proposed the new term „femoroacetabular impinging syndrome“ or „FII syndrome“38 We considered other terms, such as hip opulation syndrome, but preferred fai syndrome, as this did not involve the implementation of the extraarticular hip, such as ischio-micular or greater ischio-meridity. We wondered if the „syndrome“ could apply a negative label to patients, but the expert patient on the panel did not think it would be.

A morphological assessment of the hip is necessary to diagnose fai syndrome and identify the morphology of the cam or tweezers. The morphology of the cam refers to flattening or convexity at the femoral intersection of the cervix of the head.3 Pinch Morphology refers to either a global or focal coverage of the femoral head by acebulum.3 The panel emphasized that their presence does not constitute a diagnosis of ISP syndrome, in the absence of appropriate symptoms and clinical symptoms. It is thought that a significant proportion of the population has a cam- or pincer morphology.19,49 7. Thorborg, K., Kraemer, O., Madsen, AD. , Holmich, P. (2018). The results of the patients were reported in the first year after derh-ftarthroscopy and rehabilitation in case of impinging and/or femoroacrobous labralular lesions: the difference between better and return to normal. American Journal of Sports Medicine, 46 (11), 2607-2614. The Warwick Agreement on Femoroacet Impingion Syndrome (FAI syndrome): a declaration of international consensus.

We also realized that abnormal movement patterns around the hips and pelvises are present in patients with FAI47,48 These patterns of movement, In addition, the muscles around the hip are often weak in patients with ISP syndrome.16 2.