Hip pain from impingement and dysplasia in patients aged 20–50 years. Workup and role for reconstruction

Langlais, F.; Lambotte, J.-C.; Lannou, Ronan; Gedouin, J E; Belot, N.; Thomazeau, H.; Frieh, J M; Gouin, F.; Hulet, C.; Marin, F.; Migaud, Henri; Sadri, Hassan; Vielpeau, C.; Richter, D.

doi:10.1016/j.jbspin.2006.09.001

Cited by 31 publications

(12 citation statements)

References 8 publications

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“…To date, evidence suggests that age [2], trauma [2][3][4], physical workload [5], sporting activities [6], genetics [7][8][9][10], and high BMI [3,5] are risk factors for hip OA. Another proposed risk factor of interest is the role of abnormal bony morphology in the development of OA [11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Relationship of Acetabular Dysplasia and Femoroacetabular Impingement to Hip Osteoarthritis: A Focused Review

Harris‐Hayes

Royer

2011

PM&R

100

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Hip osteoarthritis (OA) leads to significant functional limitations and economic burden. If modifiable risk factors for hip OA are identified, it may be possible to implement preventative measures. Bony abnormalities associated with acetabular dysplasia (AD) and femoroacetabular impingement (FAI) have been recently implicated as risk factors for hip osteoarthritis (OA). The purpose of this focused review is to summarize the available evidence describing the relationship between bony abnormalities and hip OA. A librarian-assisted database search using PubMed, Embase and Central was performed. Relevant articles were identified and assessed for inclusion criteria. The authors reviewed cohort and case control studies that reported on the association between abnormal hip morphology and hip OA. The available literature suggests that an association exists between bony abnormalities found in AD and FAI and hip OA and preliminary evidence suggests that AD is a risk factor for OA, however these conclusions are based on limited evidence. Prospective, longitudinal studies are needed to confirm the causal relationship between abnormal hip morphology and the future development of hip OA.

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Section: Introductionmentioning

confidence: 99%

Relationship of Acetabular Dysplasia and Femoroacetabular Impingement to Hip Osteoarthritis: A Focused Review

Harris‐Hayes

Royer

2011

PM&R

100

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“…It is considered positive if it reproduces the anterior hip pain. Hip pain with this test is common in dysplastic hips (Langlais et al, 2006; Nunley et al, 2011) despite the test also being positive in patients with femoroacetabular impingement (FAI) (Clohisy et al, 2009). No pain was reported with the posterior impingement test, with FABER (flexion, abduction and external rotation), or with resisted straight leg raise.…”

Section: Case Descriptionmentioning

confidence: 99%

Postural correction reduces hip pain in adult with acetabular dysplasia: A case report

2015

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Developmental dysplasia of the hip is often diagnosed in infancy, but less severe cases of acetabular dysplasia are being detected in young active adults. The purpose of this case report is to present a non-surgical intervention for a 31-year-old female with mild acetabular dysplasia and an anterior acetabular labral tear. The patient presented with right anterior hip and groin pain, and she stood with the trunk swayed posterior to the pelvis (swayback posture). The hip pain was reproduced with the anterior impingement test. During gait, the patient maintained the swayback posture and reported 6/10 hip pain. Following correction of the patient’s posture, the patient’s pain rating was reduced to a 2/10 while walking. The patient was instructed to maintain the improved posture. At the 1 year follow-up, she demonstrated significantly improved posture in standing and walking. She had returned to recreational running and was generally pain-free. The patient demonstrated improvement on self-reported questionnaires for pain, function and activity. These findings suggest that alteration of posture can have an immediate and lasting effect on hip pain in persons with structural abnormality and labral pathology.

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“…In this category, problems arise as a result of abnormalities in either the shape of the acetabulum and/or its orientation within the pelvis. Anterior rotation of the pelvis (pelvic version, inclination) in the coronal plane ( Figure 4) has been recognized as a potential confounding variable in radiological assessment of retroversion 18,19 , and may contribute to FAI syndrome 17,20 . Pincer-type FAI can result as a consequence of a deep acetabular socket with over-coverage of the femoral head.…”

Section: Rheumatologymentioning

confidence: 99%

Femoroacetabular Impingement Syndrome: An Underrecognized Cause of Hip Pain and Premature Osteoarthritis?

Reid¹,

Reid²,

Widmer³

et al. 2010

J Rheumatol

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Acetabular dysplasia is well recognized as a potential predisposing factor to the development of hip osteoarthritis (OA). In the orthopedic literature, other dysmorphic and orientation abnormalities of the femoral head, femoral head-neck junction, and the acetabulum have been reported, with increasing frequency in recent years, under the term femoroacetabular impingement syndrome (FAI). The studies have shown a clear association of these structural anomalies with patients' symptoms and signs, radiographic and pathologic abnormalities, and the development of degenerative hip arthritis. FAI is now believed to be a very important predisposing factor for the development of degenerative hip arthritis, particularly in younger adults. Although the results of longterm studies are awaited, the hope is that early surgical intervention in patients with FAI will change the course or prevent the development of hip OA. It is well documented that early recognition of potential FAI surgical candidates, before OA is advanced, determines the postsurgical outcome. FAI has not been reported in the rheumatology literature, but since patients with FAI likely often initially present to rheumatology clinics for assessment of hip pain, it is important for rheumatologists to be aware of this condition and refer to orthopedics when appropriate. The objective of this review is to provide an outline of the basic concepts of FAI, including clinical presentation and radiographic findings, so that rheumatologists become more familiar with this important emerging entity.

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Hip pain from impingement and dysplasia in patients aged 20–50 years. Workup and role for reconstruction

Cited by 31 publications

References 8 publications

Relationship of Acetabular Dysplasia and Femoroacetabular Impingement to Hip Osteoarthritis: A Focused Review

Relationship of Acetabular Dysplasia and Femoroacetabular Impingement to Hip Osteoarthritis: A Focused Review

Postural correction reduces hip pain in adult with acetabular dysplasia: A case report

Femoroacetabular Impingement Syndrome: An Underrecognized Cause of Hip Pain and Premature Osteoarthritis?

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