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Hip-Spine Effect: Hip Pathology Contributing to Lower Back, Posterior Hip, and Pelvic Pain

  • Anthony Nicholas Khoury
  • Juan Gómez-Hoyos
  • Hal D. Martin
Chapter

Abstract

Lumbar back pain symptoms affect nearly 80% of the global population. Current methods for diagnosis and treatment consider the lower back pain as a localized pathology based on patient complaints. A “kinematic chain” approach integrates a global sequence of how abnormal pathology is directly related to primary pain generation. The hip joint is the center axis for body movement. Any deviations in normal anatomy or function can directly influence body movement.

Ischiofemoral impingement, femoroacetabular impingement, and femoral version are hip diseases commonly diagnosed in orthopedic practice. Current treatment methods have been developed without a comprehensive knowledge of the inherent biomechanics associated with each pathology. To study these biomechanical changes, cadaveric models have been developed to simulate the abnormal anatomic discrepancies. The cadaveric model, as opposed to a computer simulation, was chosen based on the intricate relationship of the musculotendinous and ligamentous constraints associated with the lumbopelvic complex. The cadaveric model also allows for a direct translational approach of the measurement techniques as it accounts for deviations in the normal population.

Keywords

Hip-spine Lower back pain Posterior hip and pelvic pain Limited hip extension Ischiofemoral impingement Femoral version Femoroacetabular impingement 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Anthony Nicholas Khoury
    • 1
    • 2
  • Juan Gómez-Hoyos
    • 3
    • 4
    • 5
  • Hal D. Martin
    • 6
  1. 1.Hip Preservation CenterBaylor University Medical Center, Baylor Scott and White HealthDallasUSA
  2. 2.Bioengineering DepartmentUniversity of Texas at ArlingtonArlingtonUSA
  3. 3.International ConsultantHip Preservation Center / Baylor Scott and White Research Institute, Baylor University Medical CenterDallasUSA
  4. 4.Department of Orthopaedic Surgery - Health ProviderClínica Las Américas / Clínica del CampestreMedellinColombia
  5. 5.Professor - School of Medicine - Sports Medicine ProgramUniversidad de AntioquiaMedellínColombia
  6. 6.Medical and Research DirectorHip Preservation Center, Baylor University Medical CenterDallasUSA

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