Hip disease in the young, active patient: Evaluation and nonarthroplasty surgical options

Rafael J. Sierra, Robert T. Trousdale, Reinhold Ganz, Michael Leunig

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

As a distinct entity, femoroacetabular impingement has been suggested to be a preosteoarthritic mechanism. The condition occurs when the proximal femur repeatedly comes into contact with the native acetabular rim during normal hip range of motion. Early diagnosis and surgical management are imperative to delay degenerative changes associated with these conditions. Femoroacetabular impingement is most prevalent in young, active patients. Physical examination should include evaluation of gait and foot progression angle, as well as leg length measurement, hip range of motion, and abductor strength. Imaging studies, including plain radiographs and magnetic resonance arthrography, aid in accurate diagnosis. Surgical treatment options include surgical hip dislocation, periacetabular osteotomy, and hip arthroscopy.

Original languageEnglish (US)
Pages (from-to)689-703
Number of pages15
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume16
Issue number12
StatePublished - Dec 2008

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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