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CONSERVATIVE TREATMENT CONTINUUM FOR MANAGING FEMOROACETABULAR IMPINGEMENT SYNDROME AND ACETABULAR LABRAL TEARS IN SURGICAL CANDIDATES: A CASE SERIES.

Publication ,  Journal Article
Narveson, JR; Haberl, MD; Nathan Vannatta, C; Rhon, DI
Published in: Int J Sports Phys Ther
December 2018

BACKGROUND/PURPOSE: Femoroacetabular impingement Syndrome (FAIS) and the often-associated acetabular labral tears (ALTs) are challenging to treat and consensus to guide effective management is lacking. Recent guidelines suggest physical therapy is beneficial, yet the guidance for specific interventions is unclear. The purpose of highlighting these cases was to describe the outcomes and the clinical reasoning process driving conservative management of subjects with FAIS and ALTs that were deemed surgical candidates. STUDY DESIGN: Case Series. CASE DESCRIPTIONS: Six subjects (20 - 65 years old) with confirmed FAIS and/or ALTs were included. Subjects were assigned to different treatment pathways based on their individual presentation. Three subjects were categorized as having primary mobility impairments and three were categorized with primary neuromuscular control impairments. Treatment intensity was adjusted according to the individual nature of symptoms, and on average lasted 81 days. OUTCOMES: Clinically important improvements were seen on all self-reported outcome measures (International Hip Outcome Tool - 33, Numeric Pain Rating Scale, Patient Specific Functional Scale, and Global Rating of Change). At two years, none of the subjects had elected surgical management. DISCUSSION: These cases illustrate the clinical reasoning process utilized to prioritize subjects' treatment along a continuum of neuromuscular control and mobility. The treatment approach also illustrates successful management of potential surgical candidates that elected to forego surgery after satisfactory completion of conservative management. LEVEL OF EVIDENCE: Level 4.

Duke Scholars

Published In

Int J Sports Phys Ther

ISSN

2159-2896

Publication Date

December 2018

Volume

13

Issue

6

Start / End Page

1032 / 1048

Location

United States

Related Subject Headings

  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
 

Citation

APA
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ICMJE
MLA
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Narveson, J. R., Haberl, M. D., Nathan Vannatta, C., & Rhon, D. I. (2018). CONSERVATIVE TREATMENT CONTINUUM FOR MANAGING FEMOROACETABULAR IMPINGEMENT SYNDROME AND ACETABULAR LABRAL TEARS IN SURGICAL CANDIDATES: A CASE SERIES. Int J Sports Phys Ther, 13(6), 1032–1048.
Narveson, Joel R., Matthew D. Haberl, C. Nathan Vannatta, and Daniel I. Rhon. “CONSERVATIVE TREATMENT CONTINUUM FOR MANAGING FEMOROACETABULAR IMPINGEMENT SYNDROME AND ACETABULAR LABRAL TEARS IN SURGICAL CANDIDATES: A CASE SERIES.Int J Sports Phys Ther 13, no. 6 (December 2018): 1032–48.
Narveson JR, Haberl MD, Nathan Vannatta C, Rhon DI. CONSERVATIVE TREATMENT CONTINUUM FOR MANAGING FEMOROACETABULAR IMPINGEMENT SYNDROME AND ACETABULAR LABRAL TEARS IN SURGICAL CANDIDATES: A CASE SERIES. Int J Sports Phys Ther. 2018 Dec;13(6):1032–48.
Narveson JR, Haberl MD, Nathan Vannatta C, Rhon DI. CONSERVATIVE TREATMENT CONTINUUM FOR MANAGING FEMOROACETABULAR IMPINGEMENT SYNDROME AND ACETABULAR LABRAL TEARS IN SURGICAL CANDIDATES: A CASE SERIES. Int J Sports Phys Ther. 2018 Dec;13(6):1032–1048.

Published In

Int J Sports Phys Ther

ISSN

2159-2896

Publication Date

December 2018

Volume

13

Issue

6

Start / End Page

1032 / 1048

Location

United States

Related Subject Headings

  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science