Hip Instability in the Athlete

  • Amit Nathani
  • Marc SafranEmail author


Symptomatic hip microinstability is an emerging concept with growing supportive basic science, biomechanical, and clinical literature. Despite the lack of a clear definition or standardized evaluative criteria, it is now well generally recognized as a potential cause of hip pain in young, athletic patients. Pathologic hip instability is a result of underlying bony and soft-tissue abnormalities or dysfunction, but often the exact etiology remains unclear. Non-operative treatment is focused on activity modification and strengthening of the periarticular hip musculature, while surgical intervention is focused on identifying and treating the underlying cause as well as any associated intra-articular pathology. In many cases, patterns of microinstability associated with normal bony anatomy are treated with arthroscopic hip capsular plication. The purpose of this chapter is to review the anatomy and pathomechanics associated with hip microinstability and discuss diagnostic strategies and options for treatment.


Hip Anatomy Instability Athlete Review Diagnosis Treatment 


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Copyright information

© ISAKOS 2019

Authors and Affiliations

  1. 1.Sports Medicine and Shoulder Surgery, Department of Orthopaedic SurgeryStanford UniversityRedwood CityUSA

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