The Painful Hip in Adolescence

  • Randall T. Loder


Hip pain in an adolescent is a common complaint, with a myriad of possible diagnoses, and can range from straightforward conditions with a good prognosis to severe conditions with a poor prognosis, either for the future of the hip or the life of the patient. Many of the conditions overlap with the school-age child. This chapter will address only those not discussed in that chapter.


Osteoid Osteoma Slip Capital Femoral Epiphysis Ischial Tuberosity Femoroacetabular Impingement Pelvic Ring Fracture 


  1. Bedi A, Kelly BT. Femoroacetabular impingement. J Bone Joint Surg Am. 2013;95-A:82–92.CrossRefGoogle Scholar
  2. Bennett JT, McMurray SW. Stickler syndrome. J Pediatr Orthop. 1990;10:760–3.PubMedCrossRefGoogle Scholar
  3. Chang GH, Paz DA, Dwek JR, et al. Lower extremity overuse injuries in pediatric athletes: clinical presentation, imaging finding, and treatment. Clin Imaging. 2013;37:836–46.PubMedCrossRefGoogle Scholar
  4. Daluga DJ, Millar EA. Idiopathic chondrolysis of the hip. J Pediatr Orthop. 1989;9:405–11.PubMedCrossRefGoogle Scholar
  5. Ford LS, Ellis AM, Allen HW, et al. Osteomyelitis and pyogenic sacroiliitis: a difficult diagnosis. J Paediatr Child Health. 2004;40:317–9.PubMedCrossRefGoogle Scholar
  6. Frank JB, Jarit GJ, Bravman JT, et al. Lower extremity injuries in the skeletally immature athlete. J Am Acad Orthop Surg. 2007;15:356–66.PubMedGoogle Scholar
  7. Frank JS, Gambacorta PL, Eisner EA. Hip pathology in the adolescent athlete. J Am Acad Orthop Surg. 2013;21:665–74.PubMedCrossRefGoogle Scholar
  8. Grippi M, Zionts LE, Ahlmann ER, et al. The early diagnosis of sacroiliac joint infections in children. J Pediatr Orthop. 2006;26:589–93.PubMedCrossRefGoogle Scholar
  9. Gusis SE, Maldonado Cocco JA, Rivero EM, et al. Protrusio acetabuli in juvenile rheumatoid arthritis. Clin Rheumatol. 1993;12:36–40.PubMedCrossRefGoogle Scholar
  10. Hoang QB, Mortazavi M. Pediatric overuse injuries in sports. Adv Pediatr. 2012;59:359–83.PubMedCrossRefGoogle Scholar
  11. Johnson K, Haigh SF, Ehtisham S, et al. Childhood idiopathic chondrolysis of the hip: MRI features. Pediatr Radiol. 2003;33:194–9.PubMedCrossRefGoogle Scholar
  12. Karmazyn B, Kleinman MB, Buckwalter K, et al. Acute pyomyositis of the pelvis: the spectrum of clinical presentations and MR findings. Pediatr Radiol. 2006;36:338–43.PubMedCrossRefGoogle Scholar
  13. Karmazyn B, Loder RT, Kleiman MB, et al. The role of pelvic magnetic resonance in evaluating nonhip sources of infection in children with acute nontraumatic hip pain. J Pediatr Orthop. 2007;27:158–64.PubMedCrossRefGoogle Scholar
  14. Laor T, Crawford AH. Idiopathic chondrolysis of the hip in children: early MRI findings. Am J Roentgenol. 2009;192:526–31.CrossRefGoogle Scholar
  15. Lee CB, Mata-Fink A, Mullis MB, et al. Demographic differences in adolescent-diagnosed and adult-diagnosed acetabular dysplasia compared with infantile developmental dysplasia of the hip. J Pediatr Orthop. 2013;33:107–11.PubMedCrossRefGoogle Scholar
  16. Leunig M, Casillas MM, Hamlet M, et al. Slipped capital femoral epiphysis. Early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand. 2000;71:370–5.PubMedCrossRefGoogle Scholar
  17. Loder RT, Skopelja EN. The epidemiology and demographics of slipped capital femoral epiphysis. ISRN Orthopaedics. 2011;486512: 19 pages.Google Scholar
  18. Loder RT, Richards BS, Shapiro PS, et al. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75-A:1134–40.Google Scholar
  19. Loder RT, Aronsson DD, Dobbs MB, et al. Slipped capital femoral epiphysis. Instructional course lecture. J Bone Joint Surg Am. 2000;82-A:1170–88.Google Scholar
  20. Loder RT, Aronsson DD, Weinstein SL, et al. Slipped capital femoral epiphysis. In: Duwelius PJ, Azar FM, editors. Instructional course lectures, vol. 57. Rosemont: American Academy of Orthopaedic Surgeons; 2008. p. 473–98.Google Scholar
  21. Millis MB, Novais EN. In situ fixation for slipped capital femoral epiphysis. Perspectives in 2011. J Bone Joint Surg Am. 2011;93-A Suppl 2:46–51.Google Scholar
  22. Rab GT. The geometry of slipped capital femoral epiphysis: implications for movement, impingement, and corrective osteotomy. J Pediatr Orthop. 1999;19:419–24.PubMedCrossRefGoogle Scholar
  23. Rowe LJ, Ho EK. Idiopathic chondrolysis of the hip. Skeletal Radiol. 1996;25:178–82.PubMedCrossRefGoogle Scholar
  24. Roy DR, Crawford AH. Idiopathic chondrolysis of the hip: management by subtotal capsulectomy and aggressive rehabilitation. J Pediatr Orthop. 1988;8:203–7.PubMedCrossRefGoogle Scholar
  25. Rubin DA. Femoroacetabular impingement: fact, fiction, or fantasy? Am J Roentgenol. 2013;201:526–34.CrossRefGoogle Scholar
  26. Sankar WN, Matheney TH, Zaltz I. Femoroacetabular impingement. Current concepts and controversies. Orthop Clin North Am. 2013;44:575–89.PubMedCrossRefGoogle Scholar
  27. Sherlock DA. Acute idiopathic chondrolysis and primary acetabular protrusio may be the same disease. J Bone Joint Surg [Br]. 1995;77-B:392–5.Google Scholar
  28. Sink EL, Kim Y-J. Femoroacetabular impingement: current clinical evidence. J Pediatr Orthop. 2012;32:S166–71.PubMedCrossRefGoogle Scholar
  29. Sponseller PD, Jones KB, Ahn NU, et al. Protrusio acetabuli in Marfan syndrome: age-related prevalence and associated hip function. J Bone Joint Surg Am. 2006;88-A:486–95.CrossRefGoogle Scholar
  30. van der Hoeven H, Keessen W, Kuis W. Idiopathic chondrolysis of the hip. A distinct clinical entity? Acta Orthop Scand. 1989;60:661–3.PubMedCrossRefGoogle Scholar
  31. Wada A, Takamura K, Fujii T, et al. Septic sacroiliitis in children. J Pediatr Orthop. 2008;28:488–92.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  • Randall T. Loder
    • 1
  1. 1.James Whitcomb HospitalIndianapolisUSA

Personalised recommendations