Summary of final recommendations developed from evidence synthesis for voting at consensus meeting and scoring of consensus group
Recommendations for clinicians | Median | IQR | Mode | Scoring | |
C1 | A negative FADIR test helps to rule out hip disease in young and middle-aged active adults presenting with hip-related pain. | 9 | 8–9 | 9 | Appropriate |
C2 | Diagnostic utility of imaging for hip disease in people with hip-related pain is limited; we suggest that imaging always be combined with the patient’s symptoms and clinical signs and should not be used in isolation. | 9 | 9 | 9 | Appropriate |
C3 | AP pelvis and lateral femoral head–neck radiographs are recommended to assist the diagnoses of hip conditions associated with hip-related pain. MRI/MRA or CT scan are recommended where three-dimensional morphological assessment is indicated or to evaluate intra-articular structures, such as the labrum, cartilage and ligamentum teres. | 9 | 9 | 9 | Appropriate |
Recommendations for clinicians and researchers | Recommendation | ||||
CR1 | Hip-related pain may be further categorised after imaging into:
| 9 | 8–9 | 9 | Appropriate |
Recommendations for Researchers | Recommendation | ||||
R1 | Measures of bony morphology should be reported in detail. We recommend that bony morphology outcome measures (such as the alpha angle or centre-edge angle) should be clearly defined, measured and reported (eg, detailed methodological description, blinding, per hip/per person reporting with statistical correction as appropriate, reliability measures) | 9 | 9 | 9 | Appropriate |
R2 | Future research recommendations: We recommend large-scale, interdisciplinary research on aetiology and prognosis for each of the listed hip-related pain conditions. (For example: (1) The relationship between bony morphology and other factors related to these conditions or (2) Movement-related factors relative to each hip-related pain condition.) | 9 | 9 | 9 | Appropriate |
AP, anteroposterior; FADIR, flexion adduction internal rotation; FAI, femoroacetabular impingement; MRA, magnetic resonance arthrogram.