A thorough history and physical examination for patients presenting with hip joint-related complaints can help to verify the underlying pathomechanics at work. The typical history for a patient presenting with symptomatic cam-type FAI is the insidious onset of groin or deep lateral hip pain. Less commonly a traumatic episode, such as a hip subluxation, dislocation, or torsional event sustained during sporting activities, is the presenting complaint. The classic patient with cam-type FAI is a young male who develops pain with athletic activity and in particular cutting and pivoting sports. Patients are generally in their second, third, and sometimes fourth decades when they initially present with hip-related complaints. This can be variable, however, depending on the activity level and degree of cam-type FAI and associated acetabular pathomorphology. These episodes are often initially misdiagnosed as recurrent “hip flexor” injuries. Patients who present later in life with cam-type FAI typically have more advanced degenerative changes. Initially there may be complaints of nonlimiting, sharp, intermittent activity-related pain, which progresses to limiting pain during and after activity. Torsional activities, such as sports involving directional changes or getting in and out of a car, are generally more problematic than frontal plain activities. There may be complaints of aching pain with prolonged sitting or flexion/abduction-based activity. A history of hip “inflexibility” or inability of the patient to sit with their legs crossed or in a figure of four positions may also be elicited. When symptoms progress to aching pain at rest and in particular while sleeping more advanced degenerative changes may be present. In some cases there may be a history of surgery for a femoral neck fracture, SCFE, or LCP. If a history of significant hip or knee pain as a child or adolescent without treatment is elicited, this may be consistent with previously undiagnosed LCP or SCFE, respectively.