Does femoroacetabular impingement syndrome affect range of motion? A systematic review with meta-analysis.

Autor:	Albertoni DB; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health (DINOGMI), University of Genoa, Genoa, Italy., Gianola S; IRCCS Istituto Ortopedico Galeazzi, Unit of Clinical Epidemiology, Milan, Italy., Bargeri S; IRCCS Istituto Ortopedico Galeazzi, Unit of Clinical Epidemiology, Milan, Italy., Hoxhaj I; Sezione di Igiene, Dipartimento Universitario di Scienze della Vita e Sanità Pubblica, Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1, 00168 Rome, Italy., Munari A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health (DINOGMI), University of Genoa, Genoa, Italy., Maffulli N; Department of Orthopaedics, School of Medicine, Surgery and Dentistry, Salerno, Italy.; School of Pharmacy and Bioengineering, Keele University School of Medicine, Stoke on Trent, UK.; Centre for Sports and Exercise Medicine, Queen Mary, University of London, London, UK., Castellini G; IRCCS Istituto Ortopedico Galeazzi, Unit of Clinical Epidemiology, Milan, Italy.
Jazyk:	angličtina
Zdroj:	British medical bulletin [Br Med Bull] 2023 Apr 05; Vol. 145 (1), pp. 45-59.
DOI:	10.1093/bmb/ldac027
Abstrakt:	Background: It is unclear whether femoroacetabular impingement syndrome (FAIS) affect hip range of motion (ROM). Sources of Data: We performed a systematic review with meta-analysis searching six electronic databases from inception to March 21, 2022. We included studies assessing hip ROM in FAIS, FAI morphology without symptoms (FAIm), and healthy controls. Mean differences between groups were measured in ROM degrees with 95% confidence interval (CI). Areas of Agreement: A total of 17 studies (1702 hips) were included. Comparison of FAIS patients versus healthy controls showed that hip ROM was clinically and statistically reduced in FAIS for internal rotation (90° hip flexion, -8.01°, 95% CI: -11.21, -4.90; 0° hip flexion -6.38°, 95% CI: -9.79, -2.97); adduction (90° hip flexion, -4.74°, 95% CI: -8.13, -1.34); flexion (-5.41°, 95% CI: -7.05, -3.49), abduction (0° hip flexion, -5.76°, 95% CI: -8.38, -3.23), and external rotation (90° hip flexion, -3.5°, 95% CI: -5.32, -1.67) ranging from low to high certainty of evidence. Comparison of FAIm versus healthy controls showed no statistically significant differences in any direction of movement, albeit with uncertainty of evidence. Areas of Controversy: The certainty of evidence was unclear, particularly for asymptomatic FAIm. Growing Points: Hip ROM may be reduced in all directions except extension in FAIS compared to controls. Hip ROM may not be restricted in asymptomatic FAIm. Areas Timely for Developing Research: Further studies are needed to resolve the uncertainty of evidence about ROM restrictions in asymptomatic FAIm compared to healthy controls. (© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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