Brief Report

Clinical Rheumatology

, Volume 32, Issue 4, pp 511-514

First online:

Total hip replacement in dancers

  • Inge R. A. E. BuylsAffiliated withMedical Centre for Dancers and Musicians, Medical Centre of The Hague (MCH) Email author 
  • , A. B. M. (Boni) RietveldAffiliated withMedical Centre for Dancers and Musicians, Medical Centre of The Hague (MCH)
  • , Tiia OurilaAffiliated withNorthern School for Contemporary Dance
  • , Mark E. EmertonAffiliated withChapel Allerton Orthopaedic Centre, Chapeltown Road
  • , H. A. BirdAffiliated withInstitute of Sport, Exercise and Health, University College London

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A case report of a professional contemporary dancer who successfully returned to the stage after bilateral total hip replacements (THR) for osteoarthritis is presented, together with her own commentary and a retrospective cohort study of total hip replacements in dancers. In the presented cohort, there were no post-operative dislocations or infections, the original pain had been relieved, rehabilitation was objectively normal and all resumed their dance (teaching) activities. Nevertheless, they were disappointed about the prolonged rehabilitation. Due to their high demands as professional dancers, post-operative expectations were too optimistic in view of the usual quick and favourable results of THR in the older and less physically active, general population. In all dancers with unilateral osteoarthritis, the left hip was involved, which may reflect the tendency to use the left leg as standing leg and be suggestive that strenuous physical activity may lead to osteoarthritis. Better rehabilitation guidelines are needed for dancer patients undergoing THR, especially drawing their attention to realistic post-operative expectations.


Dancing Osteoarthritis of the hips / coxarthrosis Performing arts medicine Total hip replacement / THR