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Posterior Hip Disorders pp 29–40Cite as

Hip-Spine Effect: Hip Pathology Contributing to Lower Back, Posterior Hip, and Pelvic Pain

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Abstract

Lumbar back pain symptoms affect nearly 80% of the global population. Current methods for diagnosis and treatment consider the lower back pain as a localized pathology based on patient complaints. A “kinematic chain” approach integrates a global sequence of how abnormal pathology is directly related to primary pain generation. The hip joint is the center axis for body movement. Any deviations in normal anatomy or function can directly influence body movement.

Ischiofemoral impingement, femoroacetabular impingement, and femoral version are hip diseases commonly diagnosed in orthopedic practice. Current treatment methods have been developed without a comprehensive knowledge of the inherent biomechanics associated with each pathology. To study these biomechanical changes, cadaveric models have been developed to simulate the abnormal anatomic discrepancies. The cadaveric model, as opposed to a computer simulation, was chosen based on the intricate relationship of the musculotendinous and ligamentous constraints associated with the lumbopelvic complex. The cadaveric model also allows for a direct translational approach of the measurement techniques as it accounts for deviations in the normal population.

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Author information

Authors and Affiliations

  1. Hip Preservation Center, Baylor University Medical Center, Baylor Scott and White Health, Dallas, TX, USA

    Anthony Nicholas Khoury MS

  2. Bioengineering Department, University of Texas at Arlington, Arlington, TX, USA

    Anthony Nicholas Khoury MS

  3. International Consultant, Hip Preservation Center / Baylor Scott and White Research Institute, Baylor University Medical Center, Dallas, TX, USA

    Juan Gómez-Hoyos MD

  4. Department of Orthopaedic Surgery - Health Provider, Clínica Las Américas / Clínica del Campestre, Medellin, Antioquia, Colombia

    Juan Gómez-Hoyos MD

  5. Professor - School of Medicine - Sports Medicine Program, Universidad de Antioquia, Medellín, Antioquia, Colombia

    Juan Gómez-Hoyos MD

  6. Medical and Research Director, Hip Preservation Center, Baylor University Medical Center, Dallas, TX, USA

    Hal D. Martin DO

Authors
  1. Anthony Nicholas Khoury MS
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  2. Juan Gómez-Hoyos MD
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  3. Hal D. Martin DO
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Correspondence to Anthony Nicholas Khoury MS .

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Editors and Affiliations

  1. Medical and Research Director, Hip Preservation Center, Baylor University Medical Center, Dallas, TX, USA

    Hal D. Martin

  2. International Consultant, Hip Preservation Center / Baylor Scott and White Research Institute, Baylor University Medical Center, Dallas, TX, USA

    Juan Gómez-Hoyos

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Khoury, A.N., Gómez-Hoyos, J., Martin, H.D. (2019). Hip-Spine Effect: Hip Pathology Contributing to Lower Back, Posterior Hip, and Pelvic Pain. In: Martin, H., Gómez-Hoyos, J. (eds) Posterior Hip Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-78040-5_2

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  • DOI: https://doi.org/10.1007/978-3-319-78040-5_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78038-2

  • Online ISBN: 978-3-319-78040-5

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