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Consult Request Guidelines
for Femoro Acetabular Impingement
Femoro Acetabular Impingement
Suggested Pre-Referral Evaluation and Management Guidelines
Activity Modification for 6 months
No Physical Therapy
Suggested Additional Test/Management Prior to Specialty Visit
MRA of affected hip with 5cc of lidocaine added to gadolinium
Patient Education/Information (includes preps)
Appointment Timeframe
First Available
How to Get Results to Consultant
UMHS Patients: See Careweb
External Patients: Patients must obtain and hand carry hardcopy or CD of radiographic studies (MRI/CT/X-rays)
Clinic Contact Information
Physician: 800-962-3555
Patient: 734-936-6636
Clinic Location Sites
Brighton Health Care Center
South Main - Ann Arbor
UM Consulting Physician
Brian R. Hallstrom, M.D.
Karl F. Schultz, M.D.
Revised on:
11/04/2009