The Approach to the Evaluation and Surgical Treatment of... : JBJS (original) (raw)

Scientific Articles

The Approach to the Evaluation and Surgical Treatment of Mechanical Hip Pain in the Young Patient

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Skendzel, Jack G. MD1; Weber, Alexander E. MD1; Ross, James R. MD1; Larson, Christopher M. MD2; Leunig, Michael MD3; Kelly, Bryan T. MD4; Bedi, Asheesh MD1

1Department of Orthopaedic Surgery, University of Michigan, 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106. E-mail address for A. Bedi: [email protected]

2Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, 4010 West 65th Street, Edina, MN 55435

3Department of Orthopedics, Schulthess Clinic, Lengghalde 2, 8008 Zürich, Switzerland

4Center for Hip Preservation, Hospital for Special Surgery, 525 East 71st Street, New York, NY 10021

Abstract

The mechanical causes of hip pain in a young athlete often reflect a complex combination of static and dynamic factors. A comprehensive diagnostic approach is paramount to the development of a rational treatment strategy that will address all underlying pathologic factors. The goals of this paper are to highlight the pertinent biomechanical factors of the hip joint in femoroacetabular impingement and to discuss the clinical history, physical examination, and radiographic findings that are essential to formulating a proper diagnosis and an effective treatment plan. In addition, the current literature and reported outcomes of femoroacetabular impingement surgery in athletic patients are reviewed.