The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement
Damian R. Griffin,Edward J. Dickenson,Edward J. Dickenson,Jude O'donnell,Rintje Agricola,Tariq M Awan,M. Beck,John C. Clohisy,H P Dijkstra,Eanna Falvey,Mo Gimpel,Rana S Hinman,Per Hölmich,Ara Kassarjian,Hal David Martin,RobRoy L. Martin,Richard C. Mather,Marc J. Philippon,Michael P. Reiman,Amir Takla,Kristian Thorborg,Steven Walker,Adam Weir,Kim L Bennell +23 more
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The 2016 Warwick Agreement on femoroacetabular impingement syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome.Abstract:
The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome. 22 panel members and 1 patient from 9 countries and 5 different specialties participated in a 1-day consensus meeting on 29 June 2016. Prior to the meeting, 6 questions were agreed on, and recent relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on the topics of the agreed questions at Sports Hip 2016 , an open meeting held in the UK on 27–29 June. Presentations were followed by open discussion. At the 1-day consensus meeting, panel members developed statements in response to each question through open discussion; members then scored their level of agreement with each response on a scale of 0–10. Substantial agreement (range 9.5–10) was reached for each of the 6 consensus questions, and the associated terminology was agreed on. The term ‘femoroacetabular impingement syndrome’ was introduced to reflect the central role of patients' symptoms in the disorder. To reach a diagnosis, patients should have appropriate symptoms, positive clinical signs and imaging findings. Suitable treatments are conservative care, rehabilitation, and arthroscopic or open surgery. Current understanding of prognosis and topics for future research were discussed. The 2016 Warwick Agreement on FAI syndrome is an international multidisciplinary agreement on the diagnosis, treatment principles and key terminology relating to FAI syndrome.
The Warwick Agreement on femoroacetabular impingement syndrome has been endorsed by the following 25 clinical societies: American Medical Society for Sports Medicine (AMSSM), Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM), Australasian College of Sports and Exercise Physicians (ACSEP), Austian Sports Physiotherapists, British Association of Sports and Exercise Medicine (BASEM), British Association of Sport Rehabilitators and Trainers (BASRaT), Canadian Academy of Sport and Exercise Medicine (CASEM), Danish Society of Sports Physical Therapy (DSSF), European College of Sports and Exercise Physicians (ECOSEP), European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA), Finnish Sports Physiotherapist Association (SUFT), German-Austrian-Swiss Society for Orthopaedic Traumatologic Sports Medicine (GOTS), International Federation of Sports Physical Therapy (IFSPT), International Society for Hip Arthroscopy (ISHA), Groupo di Interesse Specialistico dell’A.I.F.I., Norwegian Association of Sports Medicine and Physical Activity (NIMF), Norwegian Sports Physiotherapy Association (FFI), Society of Sports Therapists (SST), South African Sports Medicine Association (SASMA), Sports Medicine Australia (SMA), Sports Doctors Australia (SDrA), Sports Physiotherapy New Zealand (SPNZ), Swedish Society of Exercise and Sports Medicine (SFAIM), Swiss Society of Sports Medicine (SGMS/SGSM), Swiss Sports Physiotherapy Association (SSPA).read more
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The Stanford Hall consensus statement for post-COVID-19 rehabilitation.
Robert M. Barker-Davies,Oliver O'Sullivan,Kahawalage Pumi Prathima Senaratne,Kahawalage Pumi Prathima Senaratne,Polly Baker,Polly Baker,Mark Cranley,Shreshth Dharm-Datta,Henrietta Ellis,Duncan Goodall,Michael Gough,Sarah Lewis,Jonathan Norman,Theodora Papadopoulou,David Roscoe,David Roscoe,Daniel Sherwood,Philippa Turner,Philippa Turner,Tammy Walker,Alan Mistlin,Rhodri Phillip,Alastair M. Nicol,Alastair M. Nicol,Alexander N. Bennett,Sardar Bahadur +25 more
TL;DR: This consensus statement provides an overarching framework assimilating evidence and likely requirements of multidisciplinary rehabilitation post COVID-19 illness, for a target population of active individuals, including military personnel and athletes.
Journal ArticleDOI
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial
Damian R. Griffin,Damian R. Griffin,Edward J. Dickenson,Edward J. Dickenson,Peter Wall,Peter Wall,Felix A. Achana,Jenny L Donovan,Jim E. Griffin,Rachel Hobson,Charles E. Hutchinson,Charles E. Hutchinson,Marcus Jepson,Nicholas R. Parsons,Stavros Petrou,Alba Realpe,Alba Realpe,Joanna Smith,Nadine E. Foster,Siobhan Stevens,Elke Gemperle-Mannion,Jaclyn Brown,Marc J. Philippon,Martin Beck,John O'Donnell,David A. Robinson,Ivor Hughes,David J. Hunter,Kim L Bennell,Christopher Edward Bache,C. W. McBryde,Angelos Politis,Marcus J K Bankes,Marc George,Gavin Bartlett,Mark Norton,Tim N. Board,Aslam Mohammed,Asim Rajpura,Michael Cronin,Wael Dandachli,J. D. Witt,Stephen Eastaugh-Waring,Max Fehily,Darren Fern,Richard E. Field,Giles H. Stafford,Aresh Hashemi-Nejad,Tahir Mehmood Khan,Venu Kavathapu,Nigel Kiely,John Paul Whitaker,Paul Latimer,Sanjeev Madan,Ajay Malviya,Sanjeev Patil,Manoj Ramachandran,Seb Sturridge,Phillip Thomas,Craig White,Matthew Wilson,Mark A. Williams,Emma L. Jones,Simon Baker,Joanna Stanton,Charlotte Nicholls,Alison Smeatham,Lucie Gosling,Katte MacFarlane,Fraser Pressdee,Gareth Dickinson,Karen Boulton,Jill Goss,Rina Venter,Jamila Kassam,Rachel Simmons,Kathryn Poll,Thomas Bergmann,Margaret Pilkington,Jo Armstrong,Daniel B. Wright,Philippa Dolphin,Kelly Bainbridge,Miles Callum,Anthony Lewis,Evonne Smith,Veronica Cornes,Joanna Benfield,Katie Monnington,Emma Stewart,Steven Borrill,Megan Pinches,Sam Dawson,Noel Harding,Matthew Willis,Dani Moore,Andrew MacCauley,David Cooke,Rebecca Fleck,Julliet Ball,Peter Morrison,Michael Kennedy,Sylvia Turner,Charlotte Bryant,Kirsten Harris,Rebecca McKeown,Louise Clarkson,Alison Lewis,Rebecca Rowland-Axe,Anna Grice,Gayle Githens-Mazer,Helen Aughwan,Faye Moore,Eleanor Keeling,Justine Amero,Stephanie Atkinson,Lynne Graves,Anna Fouracres,Fiona Hammonds,Jas Curtis,Lisa Brackenridge,Tracey Taylor,Christine Dobb,Joanna Whitworth,Thelma Commey,Vasanti Limbani,Heather Maclintock,Alanna Milne,Claire Cleary,Helen Murray,Maria Dubia,Abdulkerim Gokturk,Rachel Bray +132 more
TL;DR: Hip arthroscopy and personalised hip therapy both improved hip-related quality of life for patients with femoroacetabular impingement syndrome, and both led to a greater improvement than did personalising hip therapy.
Journal ArticleDOI
Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
Antony Palmer,Vandana Ayyar Gupta,Scott Fernquest,Ines Rombach,Susan J Dutton,Ramy Mansour,Simon M. Wood,Vikas Khanduja,T. C. B. Pollard,Andrew McCaskie,Karen Barker,Tony Andrade,Andrew Carr,David J Beard,David J Beard,Sion Glyn-Jones +15 more
TL;DR: Patients with symptomatic FAI referred to secondary or tertiary care achieve superior outcomes with arthroscopic hip surgery than with physiotherapy and activity modification, according to the primary outcome measure.
Journal ArticleDOI
Systematic Review of Hip Arthroscopy for Femoroacetabular Impingement: The Importance of Labral Repair and Capsular Closure.
Andrew J. Riff,Kyle N. Kunze,Kamran Movassaghi,Fady Y Hijji,Edward C. Beck,Joshua D. Harris,Shane J. Nho +6 more
TL;DR: Labral repair (compared with labral debridement) and capsular closure (comparing with unrepaired capsulotomy) were associated with a lower risk of conversion to arthroplasty, and shifts in surgical technique favoring labral repair over debridements and Capsular repair over unrepairs capsulotom were observed.
Journal ArticleDOI
Femoroacetabular Impingement Patients With Decreased Femoral Version Have Different Impingement Locations and Intra- and Extraarticular Anterior Subspine FAI on 3D-CT-Based Impingement Simulation: Implications for Hip Arthroscopy.
Till D. Lerch,Adam Boschung,Inga Almut Senta Todorski,Simon D. Steppacher,Florian Schmaranzer,Guoyan Zheng,Michael K. Ryan,Klaus A. Siebenrock,Moritz Tannast,Moritz Tannast +9 more
TL;DR: Hips with FAI and decreased FV had less flexion and internal rotation in 90° of flexion compared with the asymptomatic control group and anterior extra- and intra-articular hip impingement can be present in patients who have FAI with decreases FV.
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