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Screening

Episode
2 of 3
Published
Nov 20th, 2019
Run Time
10m 11s
Topic
Hip Exam
Your Instructor

Episode Summary

Learn why hip and groin screening isn’t as straightforward as it seems, especially when imaging and clinical tests often flag “abnormalities” in people without pain. You’ll see how false positives can lead to overdiagnosis—and why knowing what to do with screening results matters just as much as finding them.

Screening for hip and groin problems is presented as a possible way to identify risk before symptoms become significant, especially after previous injury. The main focus is whether clinical measures such as hip range of motion or tests like FADIR can reliably detect intra-articular issues such as femoroacetabular impingement (FAI), cam morphology, or pincer morphology. A key point is that screening has important limitations. Studies are reviewed showing mixed relationships between hip morphology and restricted motion, along with differences between males and females in common structural patterns. At the same time, imaging research shows that many athletes and non-athletes without pain still have cam changes, pincer changes, or even labral abnormalities. This creates a high risk of false positives and overdiagnosis. The discussion emphasizes that imaging findings alone should not drive decisions. Symptoms, clinical examination, and imaging must align before concluding that pathology is present. Learners can expect a cautious, evidence-based perspective: screening may be useful, but the real challenge is deciding what to do with abnormal findings in people who do not have pain.
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