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Evidence checklist

Femoroacetabular Impingement (Hip Impingement)

DC 525238 CFR § 4.71aMusculoskeletal

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
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.

Private provider · independent opinion
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.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
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.

VA or private records · written request
Labral tear documentation (if applicable)

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

VA or private records · written request
Treatment records (physical therapy, injections, surgery)

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

VA or private records · written request
03

Lay statements

0 of 1 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Hip and Thigh ConditionsCritical

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

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180

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