Femoroacetabular impingement (FAI) and developmental dysplasia of the hip (DDH) are fundamentally and structurally different hip abnormalities yet their clinical presentation can often be very similar. We asked whether adult patients surgically treated for DDH when compared with FAI patients achieve (i) better outcome as reflected by the WOMAC Osteoarthritis Index, (ii) higher physical activity...

Objective: To review internal impingement of the shoulder. Design: Review article. Anatomic & Biomechanical Factors: Internal impingement is typically understood to be the impingement of the cuff on the posterior-superior labrum, with shoulder abduction and external rotation, a position seen in overhead athletes. While pinching of the cuff on the posterior labrum can be seen in normal subjects,...

Purpose: Sub-acromial impingement syndrome [SIS] is one of the most common causes of shoulder pain, which affects shoulder joint proprioception. Closed kinetic chain [CKC] exercises with a Sling are more effective and safer than open kinetic chain [OKC] exercises. This study aimed to compare the efficiency of OKC and Sling exercises [TRX] on shoulder sense position joints in overhead athletes w...

J Bone Joint Surg [Br] 2008;90-B:411-21. Treatment strategies for osteoarthritis most commonly involve the removal or replacement of damaged joint tissue. Relatively few treatments attempt to arrest, slow down or reverse the disease process. Such options include peri-articular osteotomy around the hip or knee, and treatment of femoro-acetabular impingement, where early intervention may potentia...

BACKGROUND Tasks chosen to evaluate motor performance should reflect the movement deficits characteristic of the target population and present an appropriate challenge for the patients who would be evaluated. A reaching task that evaluates impairment characteristics of people with shoulder impingement syndrome (SIS) was developed to evaluate the motor performance of this population. The objecti...

The purpose of this randomized prospective comparative controlled pilot study was to determine whether specific patient exercises done pre-hip arthroscopy surgery for femoro-acetabular impingement affected post-operative recovery. Between October 2013 and June 2014, 6 males and twelve females over the age of eighteen, who were listed for hip arthroscopy for femoro-acetabular impingement, were r...

PURPOSE This article seeks to improve treatment outcomes in slipped capital femoral epiphysis (SCFE) by outlining advances in diagnosis, understanding of pathomechanics, and mechanically-based classification. METHODS Review of clinical experience with SCFE at our high-volume centre, interaction with other clinical experts, and literature review has allowed a current perspective to be articula...