{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:58:09Z","timestamp":1790632689075,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>CASE SCENARIO<\/jats:title><jats:p>A 31\u2010year\u2010old female lawyer presents with right hip pain starting approximately 3\u2009years ago and worsening over the past 2 to 3\u2009months. She is an avid runner, running 20 to 30\u2009miles weekly, and noticed that her pain started after a running program training for the marathon. Her pain is primarily over the lateral aspect of her hip with some radiation into the groin. The pain is made worse with impact exercises such as running and made better with walking and cycling. She has done physical therapy for the past 3\u2009months without any significant improvement. She has not had any injections or taken anti\u2010inflammatories because of a history of gastric ulcer disease.<\/jats:p><jats:p>On physical examination she has mild tenderness over her right greater trochanter and her range of motion tests are full in terms of flexion, internal rotation, and external rotation. She has a positive FADIR (flexion\u2010adduction\u2010internal rotation) impingement that causes both groin and lateral hip pain.<\/jats:p><jats:p>Radiograph of the right hip revealed preservation of the joint space and an anterior cam lesion with reduced offset at the femoral head neck junction. Magnetic resonance imaging (MRI) of the right hip revealed a tear at the anterior superior labrum at the 1 to 2 o'clock position along with subjacent bone marrow edema in the femoral head that is likely reactive. Computed tomography (CT) scan of the right hip confirmed a combined cam and pincer type femoral acetabular impingement of the right hip with overcoverage of the femoral head. There was 15\u00b0 of femoral anteversion and the coronal lateral center of edge angle (LCEA) is 34\u00b0.<\/jats:p><jats:p>Dr. Peter Moley argues that a focused rehabilitation program to restore strength and motor control of the deep hip stabilizers will provide optimal functional recovery. Dr. Jakub Tatka argues that right hip arthroscopy with labral repair and possible osteochondralplasty are indicated in order to prevent early hip arthritis and prevent long\u2010term sequela of femoral acetabular impingement.<\/jats:p>","DOI":"10.1002\/pmrj.12438","type":"journal-article","created":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T15:59:31Z","timestamp":1592150371000},"page":"817-822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Running with Femoral Acetabular Impingement: Operative Vs Nonoperative Treatment"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2922-609X","authenticated-orcid":false,"given":"Peter J","family":"Moley","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery  New York NY 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