This masterclass will address the increasingly commonly diagnosed condition of hip pain in young and middle-aged adults. It will provide an overview of common causes of hip pain, including the typical aetiology and presentation. It will then guide the clinician through and evidence-based framework for accurate and appropriate assessment. Finally, it will discuss both surgical and non-surgical treatment options, and describe a challenging, complex case study.
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Hip-related pain in young and middle-aged adults: Femoroacetabular impingement in an AFL footballer
This module will discuss the definition of hip pain in young and middle-aged adult; common causes of hip pain including femoroacetabular impingement syndrome (FAIS), labral pathology, chondral pathology, osteoarthritis; the aetiology of hip pain; the use of imaging in hip pain; signs and symptoms; and using assessment tools as basis for evidence-based diagnosis
Clinical assessment of hip pain in young and middle-aged adults
This module will provide the clinician with a framework to conduct an evidence-based, structured and pragmatic clinical assessment of a patient with hip pain. Topics will include diagnosis and subjective exam (including screening for red flags, excluding lumbar spine and pelvis, differential diagnosis using special tests, and evaluation of imaging, including X-ray, magnetic resonance imaging (MRI).
It will also provide an overview of an objective assessment, that is the evaluation of impairments (planning targeted management), including muscle strength, range of movement and functional performance.
Management of hip pain in young and middle-aged adults
This module will discuss the evidence for surgical and non-surgical management of hip pain in adults, using a case study of an Australian Rules footballer to illustrate the benefits and risks of each treatment approach. It will then provide a structured, tailored framework to guide treatment including return to sport of the athlete.
Case study: hip-related pain?
Femoroacetabular impingement in an elite runner. This module will present a complex case of hip pain in an elite runner, and the clinical reasoning and shared decision making process that was undertaken to provide the runner with the best possible outcomes.