Table 1

Summary of final recommendations developed from evidence synthesis for voting at consensus meeting and scoring of consensus group

Recommendations for cliniciansMedianIQRModeScoring
C1A negative FADIR test helps to rule out hip disease in young and middle-aged active adults presenting with hip-related pain.98–99Appropriate
C2Diagnostic 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.999Appropriate
C3AP 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.999Appropriate
Recommendations for clinicians and researchers Recommendation
CR1Hip-related pain may be further categorised after imaging into:
  1. FAI syndrome.

  2. Acetabular dysplasia and/or hip instability.

  3. Other conditions causing hip-related pain. This category includes soft-tissue conditions (labrum, cartilage and ligamentum teres) without a specific bony morphology.

Recommendations for Researchers Recommendation
R1Measures 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)999Appropriate
R2Future 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.)999Appropriate
  • AP, anteroposterior; FADIR, flexion adduction internal rotation; FAI, femoroacetabular impingement; MRA, magnetic resonance arthrogram.