The Dancer’s Hip: The Hyperflexible Athlete: Anatomy and Mean 3-Year Arthroscopic Clinical Outcomes

Larson, Christopher M.; Ross, James R.; Giveans, M. Russell; McGaver, Rebecca Stone; Weed, Katelyn N.; Bedi, Asheesh

doi:10.1016/j.arthro.2019.09.023

Cited by 26 publications

(66 citation statements)

References 15 publications

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“…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%

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: Introductionmentioning

confidence: 99%

Hypermobile Disorders and Their Effects on the Hip Joint

et al. 2021

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“…7,8 Athletes with a high range of motion, such as dancers, have also been identified as a group with a high incidence of SSI. 9 In other words, patients with high range of motion and low femoral version can have SSI with type I or II deformities. The purpose of this article is to detail our technique using a proximal pericapsular window to visualize and resect a protruding subspine.…”

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confidence: 99%

Capsule-Preserving Approach to Arthroscopic Decompression of the Anterior Inferior Iliac Spine

Westermann

Schaver

Larson

2021

Arthroscopy Techniques

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Hip arthroscopy techniques have evolved to treat a wide range of extra-articular pathologies. Subspine impingement commonly occurs in femoroacetabular impingement, particularly in athletes with a high range of motion, patients with low degrees of femoral version, and those with large subspine deformities. A reliable technique that preserves the hip capsule would be helpful for hip arthroscopy surgeons. This note details our technique using pericapsular windows proximal to the interportal capsulotomy to access and decompress a subspine deformity in the setting of hip femoroacetabular impingement.

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“…We want to applaud Larson et al 5 for their excellent work and for bringing mindfulness of the unique scenario we face when treating these athletes. The challenge of treating the dancer's hip is to recognize atypical impingement and to manage the soft-tissue laxity.…”

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confidence: 99%

“…included in the cohort of Larson et al 5 presented with dysplasia. PAO for the treatment of hip dysplasia has shown successful results.…”

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confidence: 99%

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Editorial Commentary: The Competitive Dancer’s Hip—An Acquired Flexible Attitude to a High-Performance Hip

Pascual‐Garrido¹

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Competitive dancers have a high prevalence of hip injuries. The dancer's hip is a unique scenario in which hip impingement is associated with compensatory soft-tissue laxity. Particularly in these athletes, normal osseous hip morphology with symptomatic femoroacetabular impingement may be observed. The repetitive training, including extreme daily hip range of motion, results in compensatory soft-tissue laxity and secondary impingement-induced subluxation. Peculiarly, hip impingement in dancers occurs in the posterosuperior aspect of the hip and extra-articularly between the anterior inferior iliac spine and the distal femoral neck (subspinous impingement). Normal or even dysplastic hips might impinge during extreme range of motion. An atypical osteochondroplasty, including a subtle distalbased femoral resection, anterior inferior iliac spine decompression, and excellent management of the capsule, should be considered in this population for a successful outcome. Hip dysplasia should always be ruled out in these athletes, and if present, a periacetabular osteotomy should be indicated.

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The Dancer’s Hip: The Hyperflexible Athlete: Anatomy and Mean 3-Year Arthroscopic Clinical Outcomes

Cited by 26 publications

References 15 publications

Hypermobile Disorders and Their Effects on the Hip Joint

Hypermobile Disorders and Their Effects on the Hip Joint

Capsule-Preserving Approach to Arthroscopic Decompression of the Anterior Inferior Iliac Spine

Editorial Commentary: The Competitive Dancer’s Hip—An Acquired Flexible Attitude to a High-Performance Hip

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