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Anatomy and Pathophysiology of Hip Injuries

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Orthopedic Sports Medicine
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Abstract

The diagnosis and management of hip injuries in the athlete has gained significant clinical interest due to the improved ability to diagnose and manage these problems. The clinical evaluation of hip pathology can be difficult due to the complex local anatomy and frequently vague symptoms. A greater understanding of the clinically relevant anatomy and pathophysiology of intra-articular causes of hip pain can help the treating physician to successfully manage these injuries. These causes include skeletal deficiency, femoroacetabular impingement (FAI), labral tear, capsular laxity, hip instability, and articular cartilage injuries. The clinical goal of treatment is to alleviate symptoms of pain and prevent the development or progression of degenerative changes in the hip.

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References

  1. Konrath GA, Hamel AJ, Olson SA et al (1998) The role of the acetabular labrum and the transverse acetabular ligament in load transmission in the hip. J Bone Joint Surg Am 80:1781–1788

    PubMed  CAS  Google Scholar 

  2. Simon SR AH, An K, Cosgarea A, Fischer R et al (2000) Kinesiology. In: Buckwalter JA, Einhorn TA, Simon SR (ed) Orthopaedic basic science: biology and biomechanics of the musculoskeletal system. Vol 7, 2nd edn. American Academy of Orthopaedic Surgeons, Rosemont, IL

    Google Scholar 

  3. Crawford MJ, Dy CJ, Alexander JW et al (2007) The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res 465:16–22

    PubMed  Google Scholar 

  4. Fuss FK, Bacher A (1991) New aspects of the morphology and function of the human hip joint ligaments. Am J Anat 192:1–13

    Article  PubMed  CAS  Google Scholar 

  5. Martin RL, Sekiya JK (2008) The interrater reliability of 4 clinical tests used to assess individuals with musculoskeletal hip pain. J Orthop Sports Phys Ther 38:71–77

    PubMed  Google Scholar 

  6. Armiger RS, Armand M, Tallroth K et al (2009) Three-dimensional mechanical evaluation of joint contact pressure in 12 periacetabular osteotomy patients with 10-year follow-up. Acta Orthop 80–2:155–61

    Article  Google Scholar 

  7. Tibor LM, Sekiya JK (2008) Differential diagnosis of pain around the hip joint. Arthroscopy 24:1407–1421

    Article  PubMed  Google Scholar 

  8. Harris WH, Bourne RB, Oh I (1979) Intra-articular acetabular labrum: a possible etiological factor in certain cases of osteoarthritis of the hip. J Bone Joint Surg Am 61:510–514

    PubMed  CAS  Google Scholar 

  9. Ferguson SJ, Bryant JT, Ganz R et al (2000) The influence of the acetabular labrum on hip joint cartilage consolidation: a poroelastic finite element model. J Biomech 33:953–960

    Article  PubMed  CAS  Google Scholar 

  10. McCarthy JC, Noble PC, Schuck MR et al (2001) The Otto E. Aufranc Award: The role of labral lesions to development of early degenerative hip disease. Clin Orthop Relat Res 393:25–37

    Google Scholar 

  11. Kelly BT, Weiland DE, Schenker ML et al (2005) Arthroscopic labral repair in the hip: surgical technique and review of the literature. Arthroscopy 21:1496–504

    Article  PubMed  Google Scholar 

  12. Philippon MJ, Briggs KK, Yen YM et al (2009) Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 91:16–23

    Article  PubMed  CAS  Google Scholar 

  13. Shindle MK, Ranawat AS, Kelly BT (2006) Diagnosis and management of traumatic and atraumatic hip instability in the athletic patient. Clin Sports Med 25:309–326, pp ix–x

    Article  PubMed  Google Scholar 

  14. Buckwalter JA (1998) Articular cartilage: injuries and potential for healing. J Orthop Sports Phys Ther 28:192–202

    PubMed  CAS  Google Scholar 

  15. Byrd JW (2001) Lateral impact injury. A source of occult hip pathology. Clin Sports Med 20:801–815

    Article  PubMed  CAS  Google Scholar 

  16. Sekiya JK, Martin RL, Lesniak BP (2009) Arthroscopic repair of delaminated acetabular articular cartilage in femoroacetabular impingement. Orthopedics 32:692

    Article  Google Scholar 

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© 2011 Springer-Verlag Italia

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Bowman, K.F., Sekiya, J.K. (2011). Anatomy and Pathophysiology of Hip Injuries. In: Margheritini, F., Rossi, R. (eds) Orthopedic Sports Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-1702-3_22

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  • DOI: https://doi.org/10.1007/978-88-470-1702-3_22

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1701-6

  • Online ISBN: 978-88-470-1702-3

  • eBook Packages: MedicineMedicine (R0)

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