Clinical examination is one of the main skill that clinicians acquire through training and experience, and its contribution to diagnosis is a key addition to history taking. Mike Reiman is a physical therapist, author of the excellent textbook «Orthopedic clinical examination», who just conpleted his PhD (congrats!) under the supervision of Kristian Thorborg (Denmark), looking at the validity of the most frequently used clinical examination tests around the hip area. We tend to think that “specialized” tests have great significance for the examination of a particular structure of pathology, yet as we have already learned from multiple studies on this very question around the shoulder examination tests, this is deceptive.
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Femoroacetabular impingement (FAI) is a pathomechanical process of the hip, which can occur in every individual but has a higher prevalence in physically active subjects such as athletes. It is mainly due to bony deformities at the proximal femur and/or acetabulum in conjunction with rigorous or supraphysiological hip ranges of motion. FAI may lead to chondrolabral lesions, hip pain and development of early hip osteoarthritis. Symptomatic FAI patients may present functional limitations during daily activities and sports, reduced hip muscle strength as well as hip joint kinematic and kinetic alterations during weight-bearing activities.
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