Layered Concept of the Hip and Pelvis

  • Alexander E. Weber
  • James R. Ross
  • Bryan T. Kelly
  • Asheesh Bedi
Reference work entry


Providing appropriate care to young patients and athletes with hip pain is predicated upon a thorough and comprehensive diagnostic evaluation. A comprehensive approach to the evaluation of such a patient is paramount to successfully defining the source of the patient’s symptoms and ultimately rendering appropriate treatment. Compartmentalization of the normal hip anatomy into layers from deep to superficial allows for a comprehensive and systematic evaluation and identification of all potential pain generators in patients with either hip or groin pain. This chapter will discuss a layered approach to the evaluation of the painful groin in a manner that allows the clinician to narrow the differential diagnosis of “hip” pain. The four layers are (1) the osteochondral layer, (2) the inert layer, (3) the contractile layer, and (4) the neurokinetic layer. The normal anatomy of each layer will be reviewed with attention paid to structure and function. The most common pathologic conditions affecting the young patient with hip pain will also be reviewed, with an emphasis on the interaction between the layers.


Femoral Head Gluteus Medius Ligamentum Teres Femoral Head Coverage Inferior Gluteal Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Alexander E. Weber
    • 1
  • James R. Ross
    • 1
  • Bryan T. Kelly
    • 2
  • Asheesh Bedi
    • 3
  1. 1.Sports Medicine and Shoulder Service, Department of Orthopaedic SurgeryUniversity of MichiganAnn ArborUSA
  2. 2.Department of Orthopaedic SurgeryCenter for Hip Preservation Surgery, Hospital for Special SurgeryNew YorkUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of MichiganAnn ArborUSA

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