Evidence Checklist: Femoroacetabular Impingement (Hip Impingement)

Orthopedic evaluation with hip range of motion measurementsCritical

An examination documenting hip flexion, extension, abduction, adduction, and rotation in degrees, including pain on motion and impingement sign testing.

Nexus opinion linking femoroacetabular impingement to serviceCritical

A medical opinion stating it is "at least as likely as not" that your hip impingement is connected to military service, including high-impact training or occupational activities.

MRI showing impingement morphology (cam or pincer lesion)Critical

MRI or MR arthrogram showing cam-type or pincer-type morphology, labral tears, or cartilage damage consistent with femoroacetabular impingement.

Labral tear documentation (if applicable)

Imaging or surgical records documenting labral tears associated with the impingement, including any arthroscopic findings.

Treatment records (physical therapy, injections, surgery)

Records documenting the course of treatment including physical therapy, intra-articular injections, and any surgical interventions.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Completed DBQ Hip and Thigh ConditionsCritical

Standardized form capturing hip range of motion, pain, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.