Early Intra‐Articular Hip Disease Presenting With Posterior Pelvic and Groin Pain

Prather, Heidi; Hunt, Devyani; A, Fournie; Clohisy, John C.

doi:10.1016/j.pmrj.2009.07.013

Cited by 34 publications

(35 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19 Similarly, 20% of patients with either labral tears or early hip joint degenerative changes experienced posterior hip pain. 20 Most of the patients with posterior hip pain in that study experienced concomitant anterior hip pain. 20 Sakamoto et al investigated regional pain patterns of the hip, both at rest and with motion, in patients with either hip OA or osteonecrosis and found that approximately 19% of these patients experienced posterior hip pain at rest and that 37% had posterior hip pain with motion.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 79%

“…20 Most of the patients with posterior hip pain in that study experienced concomitant anterior hip pain. 20 Sakamoto et al investigated regional pain patterns of the hip, both at rest and with motion, in patients with either hip OA or osteonecrosis and found that approximately 19% of these patients experienced posterior hip pain at rest and that 37% had posterior hip pain with motion. 21 Evaluation of femoroacetabular OA and acetabular labral tears are discussed with anterior hip pain.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 79%

See 1 more Smart Citation

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

show abstract

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 79%

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 79%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

show abstract

“…One study included only female participants,32 while two studies utilised athletic populations of male-only elite sports (United States (NHL), Australian Rules Football) 4 34. The remaining 26 studies had representation from both genders, with the percentage of women ranging from 25%33 to 61% 35. The mean age of individual cohorts ranged from 20 years36 to 47 years,37 while the overall mean age across all studies was 354 years.…”

Section: Resultsmentioning

confidence: 99%

“…The Harris Hip Score (HHS) includes an observer measure of the hip range of motion in addition to the PROs and was used in two studies 32 44. The most frequently used measure was the modified Harris Hip Score (MHHS) (21 studies),4 30 33–35 40 45–56 which was adapted from the HHS (physical range of motion measures removed). While the MHHS has construct validity for hip arthroscopy,42 its reliability has not been tested.…”

Section: Resultsmentioning

confidence: 99%

Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty

et al. 2011

View full text Add to dashboard Cite

Background Arthroscopy is increasingly used to improve pain and function in athletes with hip joint pathology. Surgical techniques have evolved to utilise arthroscopic femoral osteoplasty to address potential morphological contributors to pathology. Purpose Investigate pain and function outcomes following hip arthroscopy with and without femoral osteoplasty in individuals with intra-articular hip pathology. Study design Systematic review. Methods A comprehensive search strategy identifi ed studies that evaluated the outcome over at least 3 months following arthroscopy for intra-articular hip pathology, using patient-reported outcomes of pain and/or function. Methodological quality was evaluated (Downs and Black scale), and effect sizes calculated when suffi cient data were available. Results Twenty-nine studies of moderate methodological quality were included. Of 16 studies investigating arthroscopy alone, two studies showed large effects (3.12-5.46) at 1-2 years. Pain reduction and functional improvement (median 47%) were consistently reported by the remaining 14 studies up to 10 years postsurgery. Of 15 studies investigating arthroscopy with osteoplasty, nine papers showed mostly large effects (0.78-2.93) over 6-28 months. Adverse events were minimal (7% of participants, 12 studies, predominantly transient neuropraxia (83%)). Conclusion Current evidence indicates that hip arthroscopy can signifi cantly reduce pain and improve function in patients with intra-articular hip pathology. While benefi ts of arthroscopy alone can persist up to 10 years postsurgery, effects of osteoplasty beyond 3 years need to be established. Future studies should investigate rehabilitation in this population, and the impact of surgery on development of osteoarthritis. INTRODUCTIONIntra-articular hip pathology is a common cause of hip and/or groin pain, 1 2 and may be associated with considerable morbidity in young active populations. 3 4 In recent years, arthroscopic surgery has contributed to advancements in assessment and management of hip pathology; however, the complex anatomical nature and multifactorial sources of pain within the hip and groin regions continue to make diagnosis and management of such injuries a challenge to clinicians. 5 Hip labral tears have been identifi ed at arthroscopy in patients with moderate to severe groin pain, 3 and professional National Hockey League (NHL) players with long-standing hip and groin pain. 4 Ligamentum teres pathology has also been observed during arthroscopy in athletes presenting with hip and groin pain. 6 The total number of hip arthroscopies performed internationally is growing rapidly, with more than 30 000 procedures performed in 2008, and an expected annual increase of 15%. 7 Moreover, surgical techniques have advanced signifi cantly in recent years. Initial procedures typically involved debridement (eg, of the labrum and/or cartilage). With improvement in surgical techniques and advancement in understanding of hip pathology, the recent focus has been on addressing abnorm...

show abstract

“…In a previous descriptive study, 20% of patients successfully treated with hip arthroscopy for acetabular labral tears in isolation with pain unresponsive to conservative treatment reported posterior pelvic pain as part of the distribution of pain before surgery. 9 In a series of descriptive studies, posterior pelvic pain was reported by patients before surgery in 17.3% of patients with DDH, 29% of patients with FAI, and 38% of patients with isolated acetabular labral tears. [10][11][12] Patients with FAI also reported a 23% incidence of low back pain and 12% incidence of posterior thigh pain.…”

Section: Historymentioning

confidence: 99%

Managing Hip Pain in the Athlete

Prather

Colorado

Hunt

2014

Physical Medicine and Rehabilitation Clinics of North America

Self Cite

View full text Add to dashboard Cite

Early Intra‐Articular Hip Disease Presenting With Posterior Pelvic and Groin Pain

Cited by 34 publications

References 16 publications

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty

Managing Hip Pain in the Athlete

Contact Info

Product

Resources

About