IASR Journal of Medical and Pharmaceutical Science (IJMPS) ; Volume: 1; Issue: 2; Pages: 08-12|| Sep-Oct 2021|| | P age-8
INTRODUCTION
Femoroacetabular impingement (FAI) is a condition which occurs due to abnormal contact between the acetabular
rim and proximal head of the femur ,which produces symptoms like hip and groin pain during mobility and causes intra-
articular damages. Abnormal anatomy at the hip leads to altered mechanics and abnormal loading of the hip joint. The
etiology of FAI is mostly idiopathic, but several factors contribute to the etiology of FAI [1] and some of the causes are
due to repeated sporting activities causes recurrent impingement by the abnormal structure which leads to acetabular
labral tears and damage to particular cartilage, resulting in osteoarthritis of the hip joint. [2] [3] FAI is more common in
sports which involves the end range of movements of hip flexion, adduction, and internal rotation. Other causes such as
Case Report
IASR Journal of Medical and Pharmaceutical Science
Website: https://iasrpublication.com/ijmps
Conservative Management of Femoroacetabular Impingement In Kickboxing Player: A
Case Report
Alagappan Thiyagarajan
1*
Jaya Dharshini Elago
2
Hari Babu.L
3
Mohamed Nainar
4
Senthil P
5
Sugumar .M
6
1
Senior Sports Physiotherapist, Department Of Sports Medicine, Chettinad Academy Of Research And Education,
Kelambakkam, Chennai, Tamilnadu, India
2
Student- Final Year Physiotherapy- Acs College Of Physiotherapy Chennai
3,4
Senior Physiotherapist, Department Of Physical Medicine And Rehablitation, Chettinad Academy Of Research And
Education, Chennai
5
Dean And Principal- Chettinad School Of Physiotherapy, Chettinad Academy Of Research And Education, Chennai
6
Consultant Physiotherapist, Department Of Physical Medicine And Rehablitation, Chettinad Academy Of Research And
Education, Chennai
A B S T R A C T
Femoroacetabular impingement is an unrecognized hip disorder ,if its left untreated, leads to premature hip osteoarthritis
in young adults and decreases performance in sport activities. The purpose of this case report is to present a kickboxing
player with pincer type femoroacetabular impingement (FAI) with acetabular labrum tear followed by repetitive overuse
and its conservative managements.
CLINICAL PRESENTATION
A 22 years old male , recreational kickboxing player complains of onset of sharp pain in the anterior right hip, groin
and gluteal region for the past 2 months, when at rest and also during activities like prolonged sitting ,climbing stairs and
running . Pain gets provoked after sport activities ,and restricted flexion ROM with a click sound .
DIAGNOSIS AND INTERVENTIONS:
After investigation with clinical features ,history and physical examination the patient is diagnosed with pincer type
femoroacetabular impingement in the right hip,and the patient is conservatively treated with manual therapy like
mobilization technique and rehabilitation. Focused on Outcome measure ihot33
OUTCOME
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 and visual analog scale
to measure the intensity of pain.
CONCLUSION
In femoroacetabular impingement altered hip joint mechanics and repeated over use can exacerbate or contribute to
acquired and congenital forms of symptomatic FAI and can be conservatively managed. So, practitioners managing this
population should address sport-specific demands in manual therapy, rehabilitation and physical training, to enhance
practical outcomes and therefore can prevent future injury..
Keywords: Femoroacetabular impingement , sports injuries , hip pain , acetabular labral tear , kickboxing ,Manual
therapy
*Corresponding Author
Alagappan Thiyagarajan
Senior Sports Physiotherapist, Department Of Sports
Medicine, Chettinad Academy Of Research And Education,
Kelambakkam, Chennai, Tamilnadu, India
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