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- W1941429955 abstract "The hip is a ball and socket joint in which the femoral head (the ball) articulates with theacetabulum (the socket). In a condition called femoroacetabular impingement (FAI) the hiphas a shape abnormality and is no longer perfectly spherical. The hip shape abnormality FAIprovokes premature impingement between the femoral head and rim of the acetabulumleading to pain and in the longer term osteoarthritis. Slipped capital femoral epiphysis(SCFE), an adolescent hip disease, is thought to be one cause of FAI. However, a cohortstudy of patients with SCFE presented in this thesis found no evidence of an associationbetween worsening hip shape, function and pain. Factors other than abnormal hip shapemay therefore have an important role in the development of hip symptoms in both SCFE andFAI.Systematic reviews presented in this thesis highlight that surgery or physical therapy can beused to treat FAI but the true clinical effectiveness of either treatment is not known. At least100 surgeons undertook 2399 surgical procedures in the year 2011/12 in the UK NationalHealth Service for FAI of which 80% were done arthroscopically. A qualitative interview studyamongst 14 of these surgeons showed that many would like to engage in a RCT measuringthe clinical effectiveness of their surgery. To test recruitment to such a RCT a pilot RCTcomparing hip arthroscopy versus nonoperative care for FAI was undertaken. Forty-two outof 60 (recruitment 70%) eligible patients were recruited. Twenty one patients were allocatedto nonoperative care, and 81% received per protocol treatment, with no evidence of seriousadverse events. The work in this thesis should now facilitate a RCT to be undertaken in anarea (treatment for FAI) where no RCTs have previously been conducted." @default.
- W1941429955 created "2016-06-24" @default.
- W1941429955 creator A5029940119 @default.
- W1941429955 date "2013-09-01" @default.
- W1941429955 modified "2023-09-26" @default.
- W1941429955 title "Treatments for femoroacetabular impingement" @default.
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