Hypermobile Hip Syndrome

Harris, Joshua D.

doi:10.1053/j.otsm.2019.04.002

Cited by 7 publications

(11 citation statements)

References 66 publications

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“…Hypermobility, also termed ligamentous laxity, refers to excessive motion of a joint. This can be seen as supraphysiologic motion and often presents without symptoms ( 3 ). The hip joint capsule acts as a static stabilizer and is comprised of four ligaments: the iliofemoral, pubofemoral, ischiofemoral, and zona orbicularis.…”

Section: Definitionsmentioning

confidence: 99%

“…Evaluation of hip hypermobility should follow the typical sequence of history, physical exam, and imaging workup. Patients presenting with ligamentous laxity may describe mechanical symptoms or apprehension in certain positions ( 3 , 38 ). A thorough assessment of any prior hip surgery with operative data should be performed, as capsular insufficiency is a leading indication for revision hip arthroscopy ( 7 ).…”

Section: Clinical Evaluation and Criteria For Diagnosismentioning

confidence: 99%

“…Patients with hEDS often have a history of joint dislocations and extra-articular manifestations such as widespread pain and skin hyperlaxity ( 39 , 40 ). A thorough physical exam is critical in these patients and should include assessment of the Beighton criteria, posterior impingement with extension, the hip dial test, and the axial distraction test ( 3 , 41 ).…”

Section: Clinical Evaluation and Criteria For Diagnosismentioning

confidence: 99%

“…Hypermobility is becoming an increasingly recognized source of pain and instability of the hip joint (1)(2)(3)(4). The etiology of hypermobility can range from heritable connective tissue disorders to the result of micro-or macrotrauma to the joint.…”

Section: Introductionmentioning

confidence: 99%

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Hypermobile Disorders and Their Effects on the Hip Joint

et al. 2021

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Hypermobility, or joint hyperlaxity, can result from inherited connective tissue disorders or from micro- or macrotrauma to a joint. The supraphysiologic motion of the hip joint results in capsuloligamentous damage, and these patients have a propensity to develop femoroacetabular impingement syndrome (FAIS) and labral injury. In this review, the recent literature evaluating the definitions, history, incidence, genetics, and histology of hypermobile disorders is investigated. We then review the clinical evaluation, natural history, and resulting instability for patients presenting with a hypermobile hip. Lastly, treatment options and outcomes will be highlighted.

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Section: Definitionsmentioning

confidence: 99%

Section: Clinical Evaluation and Criteria For Diagnosismentioning

confidence: 99%

Section: Clinical Evaluation and Criteria For Diagnosismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hypermobile Disorders and Their Effects on the Hip Joint

et al. 2021

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“…Radiographic evidence of a pseudo-pincer impingement has been observed with a pincer groove and hypermobile hip crevasse. 23,24 No matter the degree and/or plane of motion, where normal motion ends and abnormal impingement begins is a source of considerable controversy. Clearly, there is a high degree of heterogeneity and uniqueness to the accurate characterization of impingement (Table 1) in the literature, further reinforcing the dictum "treat the patient, not the MRI."…”

Section: See Related Article On Page 2366mentioning

confidence: 99%

Editorial Commentary: What Exactly Is Impingement—Can Dynamic Magnetic Resonance Imaging “See” Impingement in Femoroacetabular Impingement?

Harris¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The diagnosis of femoroacetabular impingement (FAI) syndrome requires that 3 prerequisites are met. Patient symptoms and physical examination must be combined with imaging to appropriately make the diagnosis. Imaging, including plain radiographs, magnetic resonance imaging (MRI), and computed tomography, should be interpreted in the context of a high prevalence of cam and pincer morphology, in addition to labral injury, in the general population. All images routinely obtained in current clinical practice are 2-dimensional representations of complex 3-dimensional processes. Although computerized modeling can dynamically manipulate femur and pelvis independently in fluoroscopy-, computed tomography-, and/or MRI-based collision detection models, the exact definition of "impingement" eludes the current literature. High-resolution, high magnet strength (minimum 3 Tesla), physiologic and/or biochemical dynamic MRI has the potential to image both soft and osseous tissues, interacting to best define hip impingement.

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