Table 1

Summary of included cross-sectional studies

Author, yearFAIS groupControlsComparabilityTaskReported differences in hip and pelvic kinematics and joint torques: FAIS compared with controls
FAIS typeInclusion criteriaSampleCriteriaSample
Bagwell et al, 201630 Unilateral Cam only FAIS
  • ≤45 years older

  • Skeletally mature

  • Unilateral hip pain with no OA

  • α>50.5° (axial oblique MRI)

n=15
6 men
Age 31.9 (7.6)
  • Negative log roll

  • <5 cm asymmetry FABER

  • Nil pain passive hip internal rotation

  • No hip or back pain

  • No lower limb/back surgery

  • α<50.5° (axial oblique MRI)

  • CEA between 20° and 40°

n=15
6 men
Age 32.7 (7.8)
Age
Sex
Mass
SquatFAIS group squatted to a lesser depth with:
  • Less mean hip flexor torque

  • Greater anterior pelvic tilt at peak hip flexion and smaller peak femur flexion

  • Smaller peak hip internal rotation angle

Diamond et al, 201625 Cam or combined FAIS
  • Positive impingement tests

  • 3 months of hip/groin pain

  • No history of hip surgery

  • Kellgren-Lawrence grade <3

  • α>55° (oblique sagittal plane, MRI) AND/OR

  • CEA>39° (coronal plane MRI)

n=15
11 men
Age 24.7 (4.9)
  • No history of hip or groin pain

  • No previous hip surgery

  • No morphological FAIS

  • α<50°* (oblique sagittal plane MRI)

  • CEA<40°* (coronal plane MRI)

n=14
10 men
Age 27.1 (4.5)
Age
Sex
BMI
Dominant leg
WalkingFAIS group walked with:
  • Less total sagittal plane ROM in cycle

Hammond et al, 201733 Cam, pincer or combined FAIS
  • <40 years old

  • Preoperative FAIS

  • No previous lower limb surgery or radiographic OA

  • Radiographic confirmation (angles/view NR)

n=20
15 men
Age 27.6 (5.8)
  • No hip or back pain (self-reported)

  • No history of lower body injuries

  • No history of hip OA

n=20
15 men
Age 27.1 (5.0)
Age
Sex
Height
BMI
StairsFAIS group completed stairs:
  • With greater peak hip flexion moment

Hetsroni et al, 201526 Cam or combined FAIS
  • Men aged 18 years or older

  • Insidious onset of hip pain

  • Positive impingement sign and relieved after intra-articular injection

  • Absence of lower limb injuries

  • α>60° (view NR MRI)

  • CEA between 25° and 40° (view NR, MRI)

n=15
15 men
Age 33 (6)
  • Men only aged 18 years or older

  • Absent lower limb abnormalities on assessment

  • Negative hip impingement test

  • No lower limb injuries

n=15 (30 hips)
15 men
Age 28 (6)
Sex
BMI
WalkingFAIS group walked with:
  • Greater sagittal plane pelvic ROM

  • Smaller pelvic internal rotation angle at heel strike

  • Smaller hip abduction angle at heel strike

Hunt et al, 201327 Cam, pincer or combined FAIS
  • Anterior groin pain

  • Presentation consistent with FAIS

  • Positive impingement sign

  • No history of hip surgery

  • No signs of OA

  • MR arthrogram confirmation (angles/view NR)

n=30
25 men
Age 28.4 (6.9)
  • No lower limb extremity pain or dysfunction

  • No previous hip surgery

  • Negative impingement signs

n=30
20 men
Age 27.5 (5)
Age
Sex
WalkingFAIS group walked with:
  • Smaller peak hip extension angle

  • Smaller peak hip adduction angle

  • Smaller peak hip internal rotation

  • Smaller peak hip flexion and external rotation joint torque

Kennedy et al, 200924 Unilateral cam only FAIS
  • Positive impingement test

  • No hip OA on X-ray

  • α>50.5° (AP and Dunne X-ray)

n=17
10 men
Age 35.5 (10.6)
  • No history of serious lower limb injury or surgery

  • No hip pain or stiffness

  • No functional problems according to the WOMAC

  • No hip OA on X-ray

  • α NR (AP X-ray)

n=14
8 men
Age 34.2 (9.5)
Age
Sex
BMI
WalkingFAIS group walked with:
  • Less total sagittal plane hip ROM

  • Less total frontal plane hip and pelvic ROM

  • Smaller peak hip abduction angle

Kumar et al, 201428 Unilateral cam only
  • Positive impingement test

  • No neurological disorders

  • Able to undergo MRI

  • α>55° (oblique axial MRI, AP and frog leg X-ray)

n=7
5 men
Age 36.6 (9.7)
  • No lower limb pain

  • A history of no lower limb surgery or serious injury

  • No neurological disorders

  • Able to undergo MRI

  • α and CEA NR (view NR, MRI)

n=8
8 men
Age 27.3 (7.7)
Age
Sex
BMI
Walking
Squat
Drop landing
FAIS group squatted with:
  • Greater peak hip adduction angle

  • Greater peak hip external rotation torque

Lamontagne et al, 200931 Unilateral cam only FAIS
  • Positive impingement test

  • No OA or joint space narrowing on X-rays

  • α>50.5° (AP and Dunne X-ray)

n=15
9 men
Age 35.3 (9.1)
  • No history of lower limb injury

  • No lower limb surgery

  • No OA or joint space narrowing on radiographs

  • α NR (AP X-ray)

n=11
6 men
Age 34.5 (10.1)
Age
Sex
BMI
SquatFAIS group squatted with
  • Less total sagittal pelvic ROM

Ng et al, 201532 Cam only FAIS
  • Positive impingement test

  • Plan to undergo orthopaedic surgery

  • Hip pain

  • No neurological/musculoskeletal injury

  • BMI<30 kg/m2

  • Radial α>60° (oblique axial CT) OR

  • Axial α>50.5° (oblique axial CT)

n=12
12 men
Age 38 (9)
  • No clinical signs or symptoms

  • No neurological or musculoskeletal or major lower limb injury/disorder

  • BMI<30 kg/m2

  • Radial α<60° (oblique axial CT)

  • Axial α<50.5° (oblique axial CT)

n=14
14 men
Age 32 (6)
Age
Sex
BMI
SquatNo reported differences
Samaan et al, 201734 Cam, pincer or combined FAIS
  • Positive FADIR test

  • No joint replacements

  • No previous lower limb surgery on test limb

  • No hip OA

  • BMI<35 kg/m2

  • α>55° (oblique axial MRI and AP X-ray) OR

  • CEA>35° (oblique axial MRI and AP X-ray)

n=17
13 men
Age 40.1 (7.2)
  • No joint replacements

  • No previous lower limb surgery on test limb

  • No hip OA

  • BMI<35 kg/m2

  • α NR (oblique axial MRI and AP X-ray)

  • CEA NR (oblique axial MRI and AP X-ray)

n=31
17 men
Age 41.4 (12.6)
Age
Sex
BMI
Sit-to-standNo reported differences
Samaan et al 201729 Cam, pincer or combined FAIS
  • Positive FADIR test

  • No joint replacements

  • No previous lower limb surgery on test limb

  • No hip OA

  • α>55° (oblique axial MRI and AP X-ray) OR

  • CEA>35° (oblique axial MRI and AP X-ray)

n=15
11 men
Age 40.1 (7.5)
  • No joint replacements

  • No lower limb pain

  • No hip OA

  • Negative FADIR test

  • Previous hip trauma

  • α NR (oblique axial MRI and AP X-ray)

  • CEA NR (oblique axial MRI and AP X-ray)

n=34
19 men
Age 43.2 (12.4)
Age
Sex
BMI
WalkingFAIS group walked with:
  • Larger hip flexion torque impulse

  • Age reported as means (SD); all joint torques listed as external.

  • *Control inclusion reported as alpha angles >50° and centre edge angles >40°. This was considered an error.

  • AP, anterior-posterior; BMI, body mass index; CEA, centre edge angle; FABER, flexion abduction and internal rotation; FADIR, flexion adduction and internal rotation; FAIS, femoroacetabular impingement syndrome; NR, not reported; OA osteoarthritis; ROM, range of motion; WOMAC, Western Ontario and McMaster Universities Osteoarthritis Index; α, alpha angle.