The Journal of Bone and Joint Surgery (American). 2008;90:47-66.
doi:10.2106/JBJS.H.00756
© 2008 The Journal of Bone and Joint Surgery, Inc.
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A Systematic Approach to the Plain Radiographic Evaluation of the Young Adult Hip

John C. Clohisy, MD1, John C. Carlisle, MD1, Paul E. Beaulé, MD2, Young-Jo Kim, MD3, Robert T. Trousdale, MD4, Rafael J. Sierra, MD4, Michael Leunig, MD5, Perry L. Schoenecker, MD1 and Michael B. Millis, MD3

1 Department of Orthopedic Surgery, Washington University School of Medicine, 11300 West Pavilion, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63110. E-mail address for J.C. Clohisy: jclohisy@wustl.edu
2 Division of Orthopedic Surgery, Adult Reconstruction Service, Ottawa General Hospital, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada
3 Department of Orthopaedic Surgery, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115
4 Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905
5 Schulthess Clinic, University of Berne, Lengghalde 2, CH-8008 Zurich, Switzerland

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


   Introduction
 
Orthopaedic evaluation of hip pain in the young adult population has undergone a rapid evolution over the past decade1,2. This is in large part due to enhanced awareness of structural hip disorders, including developmental dysplasia of the hip and femoroacetabular impingement1-5. Surgical treatment for these disorders continues to be refined6-9, and our ability to identify patients along the spectrum of disease continues to improve10-15. Yet, despite our advances, obtaining an accurate diagnosis can remain challenging, especially in the setting of mild structural abnormalities. Therefore, radiographic examination is a critical component of the diagnostic evaluation and treatment decision-making process. It is essential that physicians have common and reliable radiographic views as well as parameters for plain radiographic assessment that can serve as a foundation for accurate diagnosis, disease classification, and surgical decision-making.

Many different radiographic measurements have been described as indicators of structural disease. In particular, measurements . . . [Full Text of this Article]


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