Skip to main content

Clinical Diagnosis in Hip Disease

  • Chapter
  • First Online:
The Young Adult Hip in Sport

Abstract

Hip disease in the sporting young adult patient has traditionally been difficult to accurately diagnose. It is not uncommon for patients to have been given more than one diagnosis and several modalities of treatment before the true pathology is found. A systematic approach including history, examination and specialist investigations will give the highest possible chance of accurate diagnosis. However, our knowledge of hip pathology and its causative factors is still evolving and therefore the standard hip examination learnt during early medical training should now be replaced with a more thorough set of questions and clinical tests suited for active young adults.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. McGuire CM, Macmahon P, Byrne DP, Kavanagh E, Mulhall KJ. Diagnostic accuracy of magnetic resonance imaging and magnetic resonance arthrography of the hip is dependent on specialist training of the radiologist. Skeletal Radiol. 2012;41(6):659–65.

    Article  PubMed  Google Scholar 

  2. Byrd JW. Physical examination. In: Byrd JW, editor. Operative hip arthroscopy. 2nd ed. New York: Springer; 2005. p. 36–50.

    Chapter  Google Scholar 

  3. Clohisy JC, Knaus ER, Hunt DM, Lesher JM, Harris-Hayes M, Prather H. Clinical presentation of patients with symptomatic anterior hip impingement. Clin Orthop Relat Res. 2009;467:638–44.

    Article  PubMed  Google Scholar 

  4. George M, Bankes MJK. The hip joint. In: Hakim AJ, Keer R, Grahame R, editors. Hypermobility, fibromyalgia and chronic pain. Chapter 12.3. Edinburgh: Churchill Livingstone; 2010. p. 217–23.

    Google Scholar 

  5. Yoon RS, Hwang JS, Beebe KS. Long-term bisphosphonate usage and subtrochanteric insufficiency fractures: a cause for concern? J Bone Joint Surg Br. 2011;93(10):1289–95.

    PubMed  CAS  Google Scholar 

  6. Martin HD, Kelly BT, Leunig M, et al. The pattern and technique in the clinical evaluation of the adult hip: the common physical examination tests of hip specialists. Arthroscopy. 2010;26:161–72.

    Article  PubMed  Google Scholar 

  7. Martin HD, Shears SA, Palmer IJ. Evaluation of the hip. Sports Med Arthrosc. 2010;8:63–75.

    Article  Google Scholar 

  8. Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis. 1973;32(5):413–8.

    Article  PubMed  CAS  Google Scholar 

  9. Bankes M. The hip and pelvis. In: Burnand KG, Young AE, Lucas J, editors. The new Aird’s companion in surgical studies. 3rd ed. Amsterdam: Elsevier; 2005. p. 1030–43, Chapter 49.

    Google Scholar 

  10. Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;73:423–9.

    PubMed  CAS  Google Scholar 

  11. Leunig M, Beaule PE, Ganz R. The concept of femoroacetabular impingement. Current status and future perspectives. Clin Orthop Relat Res. 2009;467:616–22.

    Article  PubMed  Google Scholar 

  12. Philippon MJ. The role of arthroscopic thermal capsulorrhaphy in the hip. Clin Sports Med. 2001;20:817–29.

    Article  PubMed  CAS  Google Scholar 

  13. McCarthy JC, Busconi BD, Owens BD. Assessment of the painful hip. In: McCarthy JC, editor. Early hip disorders. New York: Springer; 2003. p. 3–6.

    Chapter  Google Scholar 

  14. Fitzgerald Jr RH. Acetabular labrum tears. Diagnosis and treatment. Clin Orthop Relat Res. 1995;311:60–8.

    PubMed  Google Scholar 

  15. Leunig M, Siebenrock KA, Ganz R. Rationale of periacetabular osteotomy and background work. J Bone Joint Surg Am. 2001;83:438.

    Google Scholar 

  16. Byrd JW. Evaluation and management of the snapping iliopsoas tendon. Instr Course Lect. 2006;55:347–55.

    PubMed  Google Scholar 

  17. Domb BG, Brooks AG, Byrd JW. Clinical examination of the hip joint in athletes. J Sport Rehabil. 2009;18:3–23.

    PubMed  Google Scholar 

  18. Philippon MJ. Hip instability in the athlete. Oper Tech Sports Med. 2007;15(4):189–94.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael D. J. Cronin .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Cronin, M.D.J., Bankes, M.J.K. (2014). Clinical Diagnosis in Hip Disease. In: Haddad, F. (eds) The Young Adult Hip in Sport. Springer, London. https://doi.org/10.1007/978-1-4471-5412-9_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5412-9_3

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5411-2

  • Online ISBN: 978-1-4471-5412-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics