Understanding Painful Hip in Young Adults: A Review Article

Luthra, Jatinder Singh; AL-Habsi, Salim; AL-Ghanami, Suwailim; Ghosh, Soubhik; AL-Muzahemi, Khamis

doi:10.5371/hp.2019.31.3.129

Cited by 12 publications

(9 citation statements)

References 46 publications

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“…2,3 However, the pain in patients with hip OA is distributed in various regions. [4][5][6][7][8][9][10][11] The regions are as follows: the greater trochanter, 27% to 80%; groin, 53% to 89%; buttock, 38% to 71%; thigh, 27% to 70%; knee, 29% to 80%; and leg, 8% to 45%. Our findings of various pain distributions in hip OA are congruent with previous reports, and it was a surprise that the pain localized around the hip joint was found in only 15% of patients.…”

Section: Discussionmentioning

confidence: 99%

Mechanism of Chronic Pain of Symptomatic Hip Osteoarthritis by Association of its Distribution, Nociceptive, Neuropathic, Nociplastic, or Mixed-pain Screening, and the Prevalence of Lumbar Spinal Stenosis

Miyamoto

Iida

Miyashita

et al. 2021

The Clinical Journal of Pain

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Objectives: The pain of hip osteoarthritis (OA) is generally recognized as nociceptive in origin because of the local pathology. However, some patients with OA experience a neuropathic pain component as an essential part of some nociplastic pain subtype. Here, we sought to examine the mechanism of chronic pain of symptomatic hip OA by the association of its distribution, complex pain mechanism screening, and the prevalence of lumbar spinal stenosis. Materials and Methods:We conducted a prospective cross-sectional study of 100 hips in 100 patients with symptomatic hip OA in a chronic state. We examined all baseline clinical characteristics including clinical and functional score, location of pain and numbness, and pain score (PainDETECT questionnaire and the Leeds Assessment of Neuropathic Symptoms and Signs), and magnetic resonance imaging of the hip and lumbar spine. Results:The PainDETECT questionnaire and Leeds Assessment of Neuropathic Symptoms and Signs revealed that 23% of the patients had a neuropathic pain component. There were 24 variations of the pain pattern. By contrast, the pain localized around the hip joint was only 15%. Pain distal to the thigh and any numbness was significantly more frequent in the group with neuropathic pain (P < 0.001). Lumbar spinal stenosis grade was not significantly different between patients with nociceptive pain and those with neuropathic pain. Pain score was significantly correlated with the pain in clinical and functional scores.Discussion: Among patients with symptomatic hip OA, the distribution of pain was various, and about 23% of patients had neuropathic, nociplastic, or mixed pain as a possibility for somatosensory system disturbances.

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Section: Discussionmentioning

confidence: 99%

Mechanism of Chronic Pain of Symptomatic Hip Osteoarthritis by Association of its Distribution, Nociceptive, Neuropathic, Nociplastic, or Mixed-pain Screening, and the Prevalence of Lumbar Spinal Stenosis

Miyamoto

Iida

Miyashita

et al. 2021

The Clinical Journal of Pain

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“…We observed clear improvement in patient-reported outcomes but noticed that their pre-treatment baseline scores were not as low as those of femoroacetabular impingement, dysplastic hip, or severe arthritic hip [ 21 , 22 ]. The patients usually present with pain, especially with extreme external rotation or abduction, so they usually complain of difficulty in crossing the leg or sitting in certain positions such as getting in and out of a car.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided hydrodilatation for adhesive capsulitis of the hip is a safe and effective treatment

Yoon

Shim

Lee

et al. 2021

International Orthopaedics (SICOT)

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Purpose Adhesive capsulitis of the hip (ACH) is likely that this condition had been previously encountered, but easily unrecognised. We investigated the clinical features of patients with ACH, the efficacy of ultrasound-guided intra-articular hydrodilatation, and the patients’ prognosis. Methods We enrolled 84 patients (93 hips) who visited the outpatient clinic from August 2018 to November 2019. ACH was diagnosed by restricted range of motion and sharp pain when turning with the affected leg fixed on the ground. We evaluated patient demographics and associated intra-articular pathologies found on magnetic resonance angiography (MRA) images. Injections were performed twice at two week intervals with a mixture of 0.5% lidocaine (25 mL) and triamcinolone (40 mg; 1 mL) with capsular distension under ultrasound guidance. Patients were assessed before and after treatment using a visual analogue scale (VAS), hip disability and osteoarthritis outcome score (HOOS), hip range of motion (ROM), and distance from floor to knee (DFK) when sitting in the cross-legged position. Results On MRA, 18 patients had abnormal findings (eight labral tears, seven abductor tendinosis, three primary arthrosis). The mean VAS decreased from 7.1 ± 1.1 to 0.8 ± 0.9 after the last injection, and the HOOS improved in all subsets. The mean DFK decreased from 17.9 ± 4.8 to 9.7 ± 2.8 cm, and passive ROM showed improvement, especially in flexion and rotation. In seven patients, symptom recurrence was reported a mean of 4.1 months after the latest injection, but no independent risk factor for recurrence was identified. Conclusion Based on these current observations, patients with ACH may receive relief from hip joint pain and experience improved function with a timely diagnosis and effective treatment.

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“…Hip arthroscopy is known to aid in the diagnosis of hip disease, specifically in relation to intra-articular disease in young patients which can be a challenging area for orthopedic surgeons. [32] This is exemplified in the case of FAI and associated intra-articular pathology. FAI is a condition resulting in abnormal contact between femoral head-neck junction and acetabular rim, which may cause labral and chondral lesions in the anterosuperior region of the acetabulum due to repetitive microtrauma.…”

Section: Diagnosismentioning

confidence: 98%

History of hip arthroscopy

Shukla

Pettit

Kumar

et al. 2020

JASSM

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Hip arthroscopy is a minimally invasive therapeutic and diagnostic procedure appropriate for an evolving list of conditions. It is routinely used for the treatment of intra- and extra-articular pathology of the hip joint. The development of endoscopy paved the way for the development of arthroscopy. Hip arthroscopy was first described in 1931 by Michael Burman, and its widespread adoption was only achieved some 60 years later during the 1990s. Dr. Watanabe, from Japan, has been credited with the development of modern arthroscopy for his work in developing a practical arthroscope and advancement of both explorative arthroscopy and surgical arthroscopic techniques. More recently, the use of distraction proved as a significant step in the utility of hip arthroscopy and paved the way for future innovations in the procedure. The authors provide a brief overview of the history hip arthroscopy, relevant developments which have paved the way for this procedure and the current state of arthroscopy as a diagnostic and therapeutic procedure.

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Understanding Painful Hip in Young Adults: A Review Article

Cited by 12 publications

References 46 publications

Mechanism of Chronic Pain of Symptomatic Hip Osteoarthritis by Association of its Distribution, Nociceptive, Neuropathic, Nociplastic, or Mixed-pain Screening, and the Prevalence of Lumbar Spinal Stenosis

Mechanism of Chronic Pain of Symptomatic Hip Osteoarthritis by Association of its Distribution, Nociceptive, Neuropathic, Nociplastic, or Mixed-pain Screening, and the Prevalence of Lumbar Spinal Stenosis

Ultrasound-guided hydrodilatation for adhesive capsulitis of the hip is a safe and effective treatment

History of hip arthroscopy

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