0:00

So in the last couple minutes,

0:02

let me summarize just a few other things about this.

0:06

Whether or not you use conservative

0:09

or surgical treatment is controversial.

0:12

Uh, it's dependent, I think, on the patient's age

0:14

and the physical activity, uh,

0:17

whether they're involved in a variety of sports.

0:20

The report is success rate

0:22

of surgical intervention is inconsistent.

0:25

Here is a list taken from the literature of many

0:29

of the reasons for postoperative failure, uh,

0:33

when surgery is used to, uh,

0:36

treat femoral acetabular impingement.

0:40

I wanna call your attention

0:41

to a few articles in the literature for those of you

0:44

who wanna read more about it.

0:46

David Rubin wrote a beautiful article back in 2013,

0:51

in which he looked at the, uh, what had been described

0:56

as assertions in femoral acetabular impingement.

1:00

And he found in fact, that some of these were fact,

1:03

some of these are fiction.

1:05

So I would have you look at that particular article.

1:08

It's a very, very good article.

1:10

And then more recent articles, one

1:13

of which called the Warwick Agreement that suggest we use,

1:17

should be using the term femoral acetabular impingement

1:21

syndrome, FAIS agreement, suggesting that

1:25

that syndrome is composed of a triad of clinical

1:30

symptoms, clinical signs

1:31

and imaging features, that you need all three

1:35

to establish this particular diagnosis.

1:38

And the Lisbon agreement.

1:40

More recent article, again, emphasizing

1:44

that you need not only clinical findings,

1:47

but that you need, in fact, conventional

1:50

and sometimes advanced imaging techniques in order

1:54

to diagnose this particular condition.