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The Hip and Pelvis in Sports Medicine and Primary Care pp 303–331Cite as

Surgical Interventions in Hip and Pelvis Injuries

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Abstract

The diagnosis of hip and pelvic pathology can be difficult, and a complete understanding of anatomy and pathology combined with a thorough history and physical examination is essential. Differentiation between primary hip and pelvic pathology and secondary compensatory dysfunction is crucial to designing an appropriate treatment strategy. The treating clinician should be aware of all available imaging modalities, including radiographs, MRI, and CT, which are essential to formulating an accurate diagnosis. There is a high rate of asymptomatic hip and pelvic pathology in athletic individuals. Imaging findings should be correlated with clinical symptoms and examination findings.

Most hip and pelvic pathologies respond favorably to an initial trial of non-operative treatment. Femoral neck fractures, joint sepsis, and traumatic hip dislocations in an athlete require emergent treatment. Surgical treatment options for injuries that do not respond to conservative measures are evolving. The increased utilization of hip arthroscopy has expanded the surgical indications for hip and pelvic pathology with promising results. Femoroacetabular impingement is an increasingly recognized pathology that can contribute to symptomatic impingement, instability, and other painful conditions.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, 44195, USA

    Matthew C. Bessette MD

  2. Department of Orthopedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY, 14642, USA

    Brian D. Giordano MD

Authors
  1. Matthew C. Bessette MD
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  2. Brian D. Giordano MD
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Correspondence to Brian D. Giordano MD .

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Editors and Affiliations

  1. Penn State University, State College, Pennsylvania, USA

    Peter H. Seidenberg MD, FAAFP, FACSM, RMSK

  2. Southeast Missouri State University, Cape Girardeau, Missouri, USA

    Jimmy D. Bowen MD, FAAPMR, CAQSM, RMSK, CSCS

  3. Team Orthopedic Surgeon for the St. Louis Cardinals in affiliation with Mercy, St. Louis, Missouri, USA

    David J. King MD

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Bessette, M.C., Giordano, B.D. (2017). Surgical Interventions in Hip and Pelvis Injuries. In: Seidenberg MD, FAAFP, FACSM, RMSK, P., Bowen MD, FAAPMR, CAQSM, RMSK, CSCS, J., King MD, D. (eds) The Hip and Pelvis in Sports Medicine and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-42788-1_15

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  • DOI: https://doi.org/10.1007/978-3-319-42788-1_15

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