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Rehabilitation of Non-Operative Hip Conditions

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Book cover Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

In recent years, the recognition of intra- and extra-articular sources of hip pain and the understanding of the interaction between these conditions have led to improved diagnosis of these pathologies. This improved understanding has created a need for rehabilitation guidelines to appropriately manage these conditions and prevent reoccurring symptoms. Extra-articular hip pathologies include tendon injuries, greater trochanteric pain syndrome, internal and external snapping hip syndromes, hamstring injuries, athletic pubalgia, osteitis pubis, and adductor muscle strains. Intra-articular pathologies include femoroacetabular impingement, labral tears, chondral lesions, and osteoarthritis. The purpose of this chapter is to present guiding principles for conservative rehabilitation of hip pathologies. The rehabilitation guidelines discussed take into account structural, biomechanical, and physiologic factors that affect injury and healing.

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References

  1. Nho SJ, Magennis EM, Singh CK, et al. Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes. Am J Sports Med. 2011;39:14S–919.

    Article  PubMed  Google Scholar 

  2. Philippon MJ, Briggs KK, Yen YM, et al. Outcomes following hip arthroscopy for femoroacetabular impingement and associated chondrolabral dysfunction: a minimum two year follow-up. J Bone Joint Surg (Br). 2009;91:16–23.

    Article  CAS  Google Scholar 

  3. Yazbek PM, Ovanessian V, Martin R, et al. Nonsurgical treatment of acetabular labrum tears: a case series. J Orthop Sports Phys Ther. 2011;41:346–53.

    Article  PubMed  Google Scholar 

  4. Wahoff MS, Ryan M. Rehabilitation after hip femoroacetabular impingement arthroscopy. Cin Sports Med. 2011;30:463–82.

    Article  Google Scholar 

  5. Edelstein J, Ranawat A, Enseki KR, et al. Post-operative guidelines following hip arthroscopy. Curr Rev Musculoskelet Med. 2012;5:15–23.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Malloy P, Malloy M, Draovitch P. Guidelines and pitfalls for the rehabilitation following hip arthroscopy. Curr Rev Musculoskeletal Med. 2013;6(3):235–41.

    Article  Google Scholar 

  7. Emara K, Samir W, Motasem EH, Ghafar KAE. Conservative treatment for mild femoroacetabular impingement. J Orthop Surg (Hong Kong). 2011;19(1):41–5.

    Google Scholar 

  8. Hunt D, et al. Clinical outcomes analysis of conservative and surgical treatment of patients with clinical indications of pre-arthritic, intra-articular hip disorders. Am Acad Phys Med Rehab. 2012;l4:479–87.

    Google Scholar 

  9. Dwek MR. Imaging of the hip abductors: normal anatomy and commonly encountered pathology at the greater trochanter. Magn Reson Imaging Clin N Am. 2005;13:691–704.

    Article  PubMed  Google Scholar 

  10. Bunker T, Esler C, Leach W, et al. Rotator-cuff tears of the hip. Bone Joint J. 1997;79:618–20.

    Article  CAS  Google Scholar 

  11. Kagan A. Rotator cuff tears of the hip. Clin Orthop Relat Res. 1999;368:135–40.

    Article  PubMed  Google Scholar 

  12. Robertson W, Gardner M, Barker J, et al. Anatomy and dimensions of the gluteus medius tendon insertion. J Arthroscopic Relat Surg. 2008;24:130–6.

    Article  Google Scholar 

  13. Maganaris CN, Narici MV, Almekinders LC, Maffulli N. Biomechanics and pathophysiology of overuse tendon injuries: ideas on insertional tendinopathy. Sports Med. 2004;34:1005–17.

    Article  PubMed  Google Scholar 

  14. Kannus P. Etiology and pathophysiology of chronic tendon disorders in sports. Scand J Med Sci Sports. 1997;7:78–85.

    Article  CAS  PubMed  Google Scholar 

  15. Reynolds N, Worrell T. Chronic Achilles peritendinitis: etiology, pathophysiology, and treatment. J Ortho Sports Phys Ther. 1991;13:171–6.

    Article  CAS  Google Scholar 

  16. Kennedy MJ, Lamontagne M, Beaule PE. Femoroacetabular impingement alters hip and pelvic biomechanics during gait: walking biomechanics of FAI. Gait Posture. 2009;30:41–4.

    Article  PubMed  Google Scholar 

  17. Edelstein J, Ranawat A, Ensenki K, et al. Post-operative guidelines following hip arthroscopy. Curr Rev Musculoskeletal Med. 2012;5:15–23.

    Article  Google Scholar 

  18. Arbanas J, Klason G, Nikolic M, et al. Fibre type composition of the human psoas major muscle with regard to the level of its origin. J Anat. 2009;215:636–41.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Rydell N. Biomechanics of the hip joint. Clin Orthop. 1973;92:6–15.

    Article  PubMed  Google Scholar 

  20. Crowninsheild RD, Johnston RC, Andrews JG, et al. A biomechanical investigation of the human hip. J Biomech. 1978;11:75–85.

    Article  Google Scholar 

  21. Voos JE, Rudzki JR, Shindle MK, et al. Arthroscopic anatomy and surgical techniques for peritrochanteric space disorders in the hip. Arthroscopy. 2007;23:124el–6e5.

    Article  Google Scholar 

  22. Neumann DA. Biomechanical analysis of selected principles of hip joint protection. Arthr Care Res. 1989;2:146–55.

    Article  CAS  Google Scholar 

  23. Ilizaliturri VM, Camacho- Galindo J, Ramirez A, Ibarra Y, McMillan S, Busconi BD. Soft tissue pathology around the hip. Clin Sport Med. 2011;30:391–415.

    Article  Google Scholar 

  24. Weber MA, Rehnitz C, Ott H, et al. Groin pain in athletes. Fortschr Röntgenstr. 2013;185:1139–48. doi:10.1055/s-0033-1335304.

    Article  Google Scholar 

  25. Leblanc KE, Leblanc KA. Groin pain in athletes. Hernia. 2003;7:68–71.

    Article  PubMed  Google Scholar 

  26. Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986;213:20–33.

    PubMed  Google Scholar 

  27. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    PubMed  Google Scholar 

  28. Ganz R, et al. The etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 2008;466:264–72.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Wenger DE, Kendell KR, Miner MR, Trousdale RT. Acetabular labral tears rarely occur in the absence of bony abnormalities. Clin Orthop Relat Res. 2004;426:145–50.

    Article  PubMed  Google Scholar 

  30. Ito K, Leunig M, Ganz R. Histopathologic features of the acetabular labrum in femoroacetabular impingement. Clin Orthop Relat Res. 2004;429:262–71.

    Article  PubMed  Google Scholar 

  31. Loureiro A, Mills PM, Barrett RS. Muscle weakness in hip osteoarthritis: a systematic review. Arth Care Res. 2013;65:340–52.

    Article  Google Scholar 

  32. Charbonnier C, Kolo FC, Duthon VB, Magnenat-Thalmann N, Becker CD, Hoffmeyer P, Menetrey J. Assessment of congruence and impingement of the hip joint in professional ballet dancers- a motion capture study. Am J Sports Med. 2011;39:557–66.

    Article  PubMed  Google Scholar 

  33. Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause for early osteoarthritis. J Bone J Surg [Br]. 2005;87:1012–8.

    Article  CAS  Google Scholar 

  34. Guevara CJ, Pietrobon R, Carothers J, et al. Comprehensive morphologic evaluation of the hip in patients with symptomatic labral tear. Clin Orthop Relat Res. 2006;453:277–85.

    Article  PubMed  Google Scholar 

  35. Martin RL, Enseki KR, Draovitch P, Trappuzzano T, Philippon MJ. Acetabular labral tears of the hip: examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006;36:503–15.

    Article  PubMed  Google Scholar 

  36. Philippon MJ, Zehms CT, Briggs KK, Manchester DJ, Kuppersmith DA. Hip instability in the athlete. Oper Tech Sports Med. 2007;15:189–94.

    Article  Google Scholar 

  37. De Paulis F, Cacchio A, Michelini O, Damiani A, Saggini R. Sports injuries in the pelvis and hip: diagnostic imaging. Eur J Radiol. 1998;27 suppl 1:S49–59.

    Article  PubMed  Google Scholar 

  38. Mason JB. Acetabular labral tears in the athlete. Clin Sports Med. 2001;20:779–90.

    Article  CAS  PubMed  Google Scholar 

  39. Lewis CL, Sahrmann SA. Acetabular labral tears. J Orthop Sport Phys Ther. 2006;86:110–21.

    Google Scholar 

  40. Burnett RS, Della Rocca GJ, Prather H, Curry M, Maloney WJ, Clohisy JC. Clinical presentation of patients with tears of the acetabular labrum. J Bone Joint Surg Am. 2006;88:1448–57.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. The University of Chicago Medical Center, MC 1081,W109, 5841 South Maryland Ave, Chicago, IL, 60637-1470, USA

    Molly A. Malloy & Ryan H. Wood

  2. Program in Exercise Science, Department of Physical Therapy Graduate Research Assistant, Marquette University, Cramer Hall 215, 1881, Milwaukee, WI, 53201-1881, USA

    Philip J. Malloy

Authors
  1. Molly A. Malloy
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  2. Ryan H. Wood
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  3. Philip J. Malloy
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Corresponding author

Correspondence to Molly A. Malloy .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane J. Nho

  2. Department of Orthopaedic Surgery, Schulthess Klinik, Zurich, Switzerland

    Michael Leunig

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher M. Larson

  4. Department of Orthopaedics, University of Michigan, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Sports Medicine and Shoulder Service and Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, New York, USA

    Bryan T. Kelly

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Malloy, M.A., Wood, R.H., Malloy, P.J. (2015). Rehabilitation of Non-Operative Hip Conditions. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_12

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  • DOI: https://doi.org/10.1007/978-1-4614-6965-0_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6964-3

  • Online ISBN: 978-1-4614-6965-0

  • eBook Packages: MedicineReference Module Medicine

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