TY - JOUR
T1 - Hip instability
T2 - A review of hip dysplasia and other contributing factors
AU - Kraeutler, Matthew J.
AU - Garabekyan, Tigran
AU - Pascual-Garrido, Cecilia
AU - Mei-Dan, Omer
N1 - Publisher Copyright:
© 2016, CIC Edizioni Internazionali s.r.l. All rights reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Background: Hip instability has classically been associated with developmental dysplasia of the hip (DDH) in newborns and children. However, numerous factors may contribute to hip instability in children, adolescents, and adults. Purpose: This review aims to concisely present the literature on hip instability in patients of all ages in order to guide health care professionals in the appropriate diagnosis and treatment of the various disorders which may contribute to an unstable hip. Methods: We reviewed the literature on the diagnosis and surgical management of hip dysplasia and other causes of hip instability. Conclusions: Multiple intra-and extra-articular variables may contribute to hip instability, including acetabular bony coverage, femoral torsion, femoroacetabular impingement, and soft tissue laxity. Physical examination and advanced imaging studies are essential to accurately diagnose the pathology contributing to a patient’s unstable hip. Conservative management, including activity modification and physical therapy, may be used as a first-line treatment in patients with intra-articular hip pathology. Patients who continue to experience symptoms of pain or instability should proceed with arthroscopic or open surgical treatment aimed at correcting the underlying pathology. Level of evidence: V.
AB - Background: Hip instability has classically been associated with developmental dysplasia of the hip (DDH) in newborns and children. However, numerous factors may contribute to hip instability in children, adolescents, and adults. Purpose: This review aims to concisely present the literature on hip instability in patients of all ages in order to guide health care professionals in the appropriate diagnosis and treatment of the various disorders which may contribute to an unstable hip. Methods: We reviewed the literature on the diagnosis and surgical management of hip dysplasia and other causes of hip instability. Conclusions: Multiple intra-and extra-articular variables may contribute to hip instability, including acetabular bony coverage, femoral torsion, femoroacetabular impingement, and soft tissue laxity. Physical examination and advanced imaging studies are essential to accurately diagnose the pathology contributing to a patient’s unstable hip. Conservative management, including activity modification and physical therapy, may be used as a first-line treatment in patients with intra-articular hip pathology. Patients who continue to experience symptoms of pain or instability should proceed with arthroscopic or open surgical treatment aimed at correcting the underlying pathology. Level of evidence: V.
KW - Developmental dysplasia of the hip
KW - Femoral anteversion
KW - Femoroacetabular impingement
KW - Hip instability
KW - Periacetabular osteotomy
UR - http://www.scopus.com/inward/record.url?scp=85007227685&partnerID=8YFLogxK
U2 - 10.11138/mltj/2016.6.3.343
DO - 10.11138/mltj/2016.6.3.343
M3 - Review article
C2 - 28066739
AN - SCOPUS:85007227685
SN - 2240-4554
VL - 6
SP - 343
EP - 353
JO - Muscles, Ligaments and Tendons Journal
JF - Muscles, Ligaments and Tendons Journal
IS - 3
ER -