The 2016 Warwick Agreement on Femoroacet Impinging Syndrome (ISP) was convened to create an international, multidisciplinary consensus on the diagnosis and management of patients with ISP syndrome. On June 29, 2016, 22 panel members and 1 patient from 9 countries and 5 different disciplines participated in a one-day consensus meeting. Prior to the meeting, 6 questions were agreed and systematic reviews and pioneering literature were distributed. Panel members made presentations on the themes of the issues agreed upon at Sports Hip 2016, an open meeting held June 27-29 in the United Kingdom. The presentations were the subject of an open discussion. At the one-day consensus meeting, panel members elaborated explanations on each issue during an open discussion; Members then obtained their agreement with each response on a scale of 0 to 10. Each of the six points of consensus was substantially agreed (domain 9.5-10) and the corresponding terminology was agreed upon. The term “femoroacetabular impingement syndrome” was introduced to reflect the central role of patients` symptoms in the disease. To get a diagnosis, patients must have appropriate symptoms, positive clinical signs and imaging results. Appropriate treatments include conservative care, rehabilitation and arthroscopic or open surgery.
Current understanding of forecasts and themes for future research was discussed. The 2016 Warwick Agreement on ISP Syndrome is an international multidisciplinary agreement on diagnosis, treatment principles and key terminology for ISP syndrome. We invited representatives from different professions and disciplines to a consensus panel. These include sports and movement physicians, physiotherapists, orthopaedic surgeons and radiologists, who are most closely involved in the management of these patients. We invited people who were known to have an interest in research and clinical practice in ISP syndrome, and asked professional organizations with a well-known interest to appoint appropriate individuals (International Society for Hip Arthroscopy, International Federation of Sports Physical Therapy and American Medical Society for Sports Medicine). We wanted to have representations from all over the world, and we deliberately chose people who we knew had different opinions and represented as broad a spectrum of opinion as possible. A total of 22 medical specialists and academics as well as 1 patient from 9 countries and 5 specialties participated in the process and are the authors of this article.