title: Conservative management of an elite ice hockey goaltender with femoroacetabular impingement (FAI): a case report.
abstract: OBJECTIVE
  To detail the presentation of an elite male ice hockey goaltender with cam-type femoroacetabular impingement (FAI) and acetabular labral tears. This case will outline the prevalence, clinical presentation, imaging criteria, pathomechanics, and management of FAI, with specific emphasis on the ice hockey goaltender.
  
  
  METHODS
  A 22-year old retired ice hockey goaltender presented to a chiropractor after being diagnosed by an orthopaedic surgeon with MRI confirmed left longitudinal and chondral flap acetabular labral tears and cam-type femoroacetabular impingement (FAI). As the patient was not a candidate for surgical intervention, a multimodal conservative treatment approach including manual therapy, electroacupuncture and rehabilitation exercises were implemented.
  
  
  CONCLUSIONS
  FAI is prevalent in ice hockey players, particularly with goaltenders. Both skating and position-dependent hip joint mechanics involved in ice hockey may exacerbate or contribute to acquired and congenital forms of symptomatic FAI. As such, practitioners managing this population must address sport-specific demands in manual therapy, rehabilitation and physical training, to improve functional outcomes and prevent future injury.
authors.affiliation: Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario.
authors.forename: Kyle
authors.initials: K
authors.lastname: MacIntyre
authors.affiliation: Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario.
authors.forename: Brendan
authors.initials: B
authors.lastname: Gomes
authors.affiliation: Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario.
authors.forename: Steven
authors.initials: S
authors.lastname: MacKenzie
authors.affiliation: Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario; Sports Sciences Resident, Division of Graduate Studies.
authors.forename: Kevin
authors.initials: K
authors.lastname: D'Angelo
keywords: FAI; acetabular labral tear; case report; chiropractic; femoroactebular impingement; goaltenders; ice-hockey; intra-articular hip injuries
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