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CTRI Number  CTRI/2024/12/078774 [Registered on: 30/12/2024] Trial Registered Prospectively
Last Modified On: 27/12/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   A study among participants that includes patients with hip pain by using anthropometry, biomechanics and radiography as an intervention to assess its prevalence in the Indian population  
Scientific Title of Study   Prevalence of Femoro-Acetabular impingement amongst patients presenting with hip pain: An arthro-kinetic and radiography-based study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Garvit Gupta 
Designation  1st year MBBS student  
Affiliation  AIIMS Rajkot 
Address  AIIMS Rajkot, Gujarat

Rajkot
GUJARAT
360110
India 
Phone  8619445818  
Fax    
Email  garvitgupta823@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sundip Charmode 
Designation  Associate Professor 
Affiliation  AIIMS Rajkot 
Address  Department of Anatomy, Academic block, AIIMS Rajkot, KHANDHERI, RAJKOT-360110

Rajkot
GUJARAT
360110
India 
Phone  09633239685  
Fax    
Email  sundip.charmode@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sundip Charmode 
Designation  Associate Professor 
Affiliation  AIIMS Rajkot 
Address  Department of Anatomy, Academic block, AIIMS Rajkot, KHANDHERI, RAJKOT-360110

Rajkot
GUJARAT
360110
India 
Phone  09633239685  
Fax    
Email  sundip.charmode@yahoo.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences (AIIMS) Rajkot, Gujarat-360110 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences (AIIMS) Rajkot 
Address  AIIMS Rajkot, KHANDHERI, RAJKOT, GUJARAT-360110 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
Dr Sundip Charmode  Department of Anatomy, Academic block, AIIMS Rajkot, KHANDHERI, RAJKOT, GUJARAT-360110 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sundip Charmode  Anthropometry lab, AIIMS Rajkot  Department of Anatomy, Academic block, AIIMS Rajkot, KHANDHERI, RAJKOT-360110
Rajkot
GUJARAT 
9633239685

sundip.charmode@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical committee, AIIMS Rajkot  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Those who will give written consent for the study
Those whose age is more than or equal to 16 years and less than 75 years.
Those who have symptoms of hip pain with or without clicking, catching or giving way
sensation.
Those who have X ray evidence of pincer and/ or cam-type FAI, defined as
a. Cam morphology that is alpha angle more than or equal to 60°
b. Pincer morphology that is lateral centre edge angle of more than 40°  
 
ExclusionCriteria 
Details  Those who did not give written consent for the study,
Those whose age is less than 16 years,
Those who have previous history of significant hip pathology such as Perthes’ disease, slipped upper femoral epiphysis or avascular necrosis.
Those having previous history of hip injury such as acetabular fracture, hip dislocation or femoral neck fracture.
Those who have previous h/o any procedure either open or arthroscopic in the hip. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To determine the prevalence of Femoro-acetabular impingement (FAI) in patients
presenting with hip pain through radiographic analysis.
2. To elucidate the correlation between radiographic manifestations of FAI and the
biomechanics of the hip joint.
3. To identify variations in hip morphology contributing to the development of
Femoro-acetabular impingement syndrome.
4. To enhance awareness among FAI patients about the significance of physical
therapy, lifestyle adjustments, and modifications in gait and posture.  
In the month of May and June 2024: Conceptualize, develop & submission (online) of research concept note.
In between 2nd & 3rd professional year i.e. in the month of May and June 2025: Collection of data.
In between 3rd & 4th professional year i.e. in the month of May and June 2026: Analysis of data, preparation & submission (online) of report.
 
 
Secondary Outcome  
Outcome  TimePoints 
1. This study shall facilitate the student to learn radiographic analytical skills of
femoro-acetabular impingement.
2. This study shall enable the student to learn how to conduct anthropometric and
biomechanical assessment of hip joint.
3. The study observations will help to determine the prevalence of femoro-acetabular
impingement in different age groups, occupation wise groups, and its sexual
dimorphism.
4. This study seek to correlate symptoms of femoro-acetabular impingement (FAI)
with radiographic findings and biomechanical measurements, aiming to delineate
whether management strategies should be dictated by functional demands or
clinical assessments.  
In the month of May and June 2024: Conceptualize, develop & submission (online) of research concept note.
In between 2nd & 3rd professional year i.e. in the month of May and June 2025: Collection of data.
In between 3rd & 4th professional year i.e. in the month of May and June 2026: Analysis of data, preparation & submission (online) of report.
 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response (Others) -  The observations of this study which will be the qualitative and quantitative data arising from the study patients will be shared in an unidentified form in the publication arising out of this study. This shall be done only after taking the informed consent from the participants/patients. The host institute AIIMS Rajkot shall be intimated about it and all the study participants will also be informed about their research findings at the end of the study.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response (Others) -  Those authors who wish to conduct a systematic review and meta-analysis shall get the access of the above-mentioned data provided they follow all the journal rules, regulations and ethical considerations. In this regard, permission will also have to be taken from ICMR, AIIMS Rajkot and the principal investigator and his guide.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sundip.charmode@yahoo.com].

  6. For how long will this data be available start date provided 26-12-2027 and end date provided 26-12-2032?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   This cross-sectional observational study focuses on the prevalence of Femoro-acetabular impingement (FAI) among patients presenting with hip pain in an orthopedic outpatient setting in AIIMS Rajkot. FAI is caused by abnormal bone shapes at the femoral head-neck junction (cam-type) or acetabulum (pincer-type), leading to joint damage during extreme or repetitive hip motions. despite its clinical significance, FAI is often overlooked in India, where primary hip osteoarthritis is rare. The study aims to determine the prevalence of FAI using radiographic analysis, correlate radiographic manifestations with hip biomechanics, and identify morphological variations contributing to FAI syndrome. Additionally, it seeks to raise awareness about the role of physical therapy, lifestyle changes and gait/posture modifications in preventing FAI progression to osteoarthritis. 
This cross-sectional observational study will involve 60 participants aged 16 years and above, randomly selected from patients with hip pain. Data collection will include demographic details, lifestyle factors, clinical symptoms, and radiographic findings, with the latter evaluated through alpha angles and lateral center-edge angles for cam and pincer morphologies. This data collection shall be done using a specially designed questionnaire/patient record form. Biomechanical assessments will measure hip joint range of motion and correlate these with radiographic findings. The radiographic findings (X ray scans) will be assessed by inserting the X ray scan copies into RADIANT DICOM VIEWER software. This entire data collection and its analysis shall be done by the principal investigator who is a MBBS student. He shall be thoroughly guided by a GUIDE who is a medical faculty, in the Department of Anatomy in the same institute. Data will be analyzed using SPSS, with statistical significance set at p<0.05. The findings will provide insights into FAI prevalence across different age groups, genders, and occupational categories, while contributing to improved diagnostic and management strategies. Furthermore, the study aims to educate healthcare providers and patients on preventive measures to mitigate long term complications like hip osteoarthritis.     
 
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