Reasonable Hypothesis SOP [1] | 42 of 2017 |
Balance of Probabilities SOP [2] | 43 of 2017 |
Bulletin 197 [3]
This is a disorder of the hip in young and middle-aged adults, in which there is abnormal contact between the ball and the socket of the hip joint, leading to damage to the joint. The main clinical features are pain, which may be felt in the groin, around the hip, or in the lower back, and loss of range of motion of the hip.
Diagnosis is based on the clinical history, findings on examination of the hip, and radiological imaging showing cam morphology of the femoral head/neck or pincer morphology of the acetabulum.
The relevant medical specialist is an orthopaedic surgeon.
* another SOP applies - the SOP has the same name unless otherwise specified
Clinical onset will be when symptoms (chiefly pain) attributable to femoroacetabular impingement syndrome first developed.
Symptoms may improve with a decrease in activities that involve using the hip at the limits of its range of motion, but are likely to recur if such activities are resumed. Clinical worsening may be evidenced by an increase in the level of symptoms. Development of osteoarthritis of the affected hip represents a new onset of osteoarthritis, not a worsening of femoroacetabular impingement syndrome. Appropriate treatment involves an initially conservative approach, with e.g. physiotherapy. Surgery may be warranted in some cases.
Links
[1] http://www.rma.gov.au/assets/SOP/2017/042.pdf
[2] http://www.rma.gov.au/assets/SOP/2017/043.pdf
[3] https://clik.dva.gov.au/system/files/media/Bulletin%20197.pdf