Abstract
In our experience, hip pain in the young adult is most often related to mechanical disorders, typically femoro-acetabular impingement or hip dysplasia. This article gives an overview on the underlying pathomechanical concepts, the diagnostic methods and the treatment options. In addition, the results of the various treatments are shortly presented and commented.
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Pauwels F (1976) Biomechanics of the normal and diseased hip: theoretical foundation, technique and results of treatment, 2nd edn. Springer, Berlin/New York
Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112–120
Tannast M, Siebenrock KA, Anderson SE (2007) Femoroacetabular impingement: radiographic diagnosis – what the radiologist should know. AJR Am J Roentgenol 6:1540–1552
Lequesne M (2002) The false profile view of the hip: role, interest, economic considerations. Joint Bone Spine 2:109–113
Tannast M, Zheng G, Anderegg C, Burckhardt K, Langlotz F, Ganz R, Siebenrock KA (2005) Tilt and rotation correction of acetabular version on pelvic radiographs. Clin Orthop Relat Res 438:182–190
Zheng G, Tannast M, Anderegg C, Siebenrock KA, Langlotz F (2007) Hip2Norm: an object-oriented cross-platform program for 3D analysis of hip joint morphology using 2D pelvic radiographs. Comput Methods Programs Biomed 1:36–45
Leunig M, Werlen S, Ungersbock A, Ito K, Ganz R (1997) Evaluation of the acetabular labrum by MR arthrography. J Bone Joint Surg Br 2:230–234
Hipp JA, Sugano N, Millis MB, Murphy SB (1999) Planning acetabular redirection osteotomies based on joint contact pressures. Clin Orthop Relat Res 364:134–143
Wiberg G (1939) The anatomy and roentgenographic appearance of a normal hip joint. Acta Chir Scand 83(58):7–38
Leunig M, Podeszwa D, Beck M, Werlen S, Ganz R (2004) Magnetic resonance arthrography of labral disorders in hips with dysplasia and impingement. Clin Orthop Relat Res 418:74–80
Li PL, Ganz R (2003) Morphologic features of congenital acetabular dysplasia: one in six is retroverted. Clin Orthop Relat Res 416:245–253
Hartofilakidis G, Karachalios T, Stamos KG (2000) Epidemiology, demographics, and natural history of congenital hip disease in adults. Orthopedics 8:823–827
Murphy SB, Ganz R, Muller ME (1995) The prognosis in untreated dysplasia of the hip. A study of radiographic factors that predict the outcome. J Bone Joint Surg Am 7:985–989
Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36
Myers SR, Eijer H, Ganz R (1999) Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop Relat Res 363:93–99
Clohisy JC, Barrett SE, Gordon JE, Delgado ED, Schoenecker PL (2005) Periacetabular osteotomy for the treatment of severe acetabular dysplasia. J Bone Joint Surg Am 2:254–259
Kralj M, Mavcic B, Antolic V, Iglic A, Kralj-Iglic V (2005) The Bernese periacetabular osteotomy: clinical, radiographic and mechanical 7-15-year follow-up of 26 hips. Acta Orthop 6:833–840
Siebenrock KA, Scholl E, Lottenbach M, Ganz R (1999) Bernese periacetabular osteotomy. Clin Orthop Relat Res 363:9–20
Steppacher SD, Tannast M, Ganz R, Siebenrock KA (2008) Mean 20-year followup of Bernese periacetabular osteotomy. Clin Orthop Relat Res 7:1633–1644
Dagher F, Ghanem I, Abiad R, Haykal G, Kharrat K, Phares A (2003) Bernese periacetabular osteotomy for the treatment of the degenerative dysplasic hip. Rev Chir Orthop Reparatrice Appar Mot 2:125–133
Matheney T, Kim YJ, Zurakowski D, Matero C, Millis M (2009) Intermediate to long-term results following the Bernese periacetabular osteotomy and predictors of clinical outcome. J Bone Joint Surg Am 9:2113–2123
Sambandam SN, Hull J, Jiranek WA (2009) Factors predicting the failure of Bernese periacetabular osteotomy: a meta-regression analysis. Int Orthop 6:1483–1488
Troelsen A, Elmengaard B, Soballe K (2009) Medium-term outcome of periacetabular osteotomy and predictors of conversion to total hip replacement. J Bone Joint Surg Am 9:2169–2179
Siebenrock KA, Wahab KH, Werlen S, Kalhor M, Leunig M, Ganz R (2004) Abnormal extension of the femoral head epiphysis as a cause of cam impingement. Clin Orthop Relat Res 418:54–60
Tannast M, Siebenrock KA (2009) Conventional radiographs to assess femoroacetabular impingement. Instr Course Lect 58:203–212
Ganz R, Huff TW, Leunig M (2009) Extended retinacular soft-tissue flap for intra-articular hip surgery: surgical technique, indications, and results of application. Instr Course Lect 58:241–255
Jamali AA, Mladenov K, Meyer DC, Martinez A, Beck M, Ganz R, Leunig M (2007) Anteroposterior pelvic radiographs to assess acetabular retroversion: high validity of the “cross-over-sign”. J Orthop Res 6:758–765
Leunig M, Huff TW, Ganz R (2009) Femoroacetabular impingement: treatment of the acetabular side. Instr Course Lect 58:223–229
Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U (2001) Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 8:1119–1124
Murphy S, Tannast M, Kim YJ, Buly R, Millis MB (2004) Debridement of the adult hip for femoroacetabular impingement: indications and preliminary clinical results. Clin Orthop Relat Res 429:178–181
Larson CM, Giveans MR (2008) Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy 5:540–546
Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA (2009) Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 1:16–23
Siebenrock KA, Schoeniger R, Ganz R (2003) Anterior femoro-acetabular impingement due to acetabular retroversion. Treatment with periacetabular osteotomy. J Bone Joint Surg Am 2:278–286
Tannast M, Siebenrock KA (2010) Open therapy of femoroacetabular impingement. Oper Orthop Traumatol 1:3–16
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Tannast, M., Albers, C.E., Steppacher, S.D., Siebenrock, K.A. (2011). Hip Pain in the Young Adult. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18321-8_11
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DOI: https://doi.org/10.1007/978-3-642-18321-8_11
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