The Journal of Bone and Joint Surgery (American). 2006;88:20-26.
doi:10.2106/JBJS.F.00631
© 2006 The Journal of Bone and Joint Surgery, Inc.
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The Etiology and Treatment of Hip Pain in the Young Adult

Christopher L. Peters, MD and Jill Erickson, PA-C

Corresponding author:
Christopher L. Peters, MD
590 Wakara Way, Salt Lake City, UT 84108. E-mail address:
chris.peters@hsc.utah.edu

The first 150 words of the full text of this article appear below.


   Introduction
 
Interest in the etiology, diagnosis, and treatment of hip pain in young adults has recently heightened. Improved diagnostic techniques with use of physical examination, magnetic resonance arthrography1,2, and three-dimensional computed tomographic imaging better define the diagnoses of femoroacetabular impingement3 and acetabular and/or proximal femoral dysplasia4-6. Newer treatment methods, such as surgical dislocation and débridement7-10 and periacetabular osteotomy11-30, show promise as nonarthroplasty alternatives in young patients6,8,10,11,31.

In our experience, femoroacetabular impingement and dysplasia are the main reasons why young adults present with hip pain. Labral pathology may frequently coexist, but it is usually secondary to morphological abnormalities of the hip resulting in abnormal loading and impingement. In our opinion, abnormal morphology of the hip, although sometimes subtle, is the predominant underlying abnormality leading to the development of hip pain in the young adult. We believe that, in most patients, optimum treatment should be directed at normalizing morphology.


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