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Layered Concept to the Hip and Pelvis

  • Alexander E. Weber
  • James R. Ross
  • Bryan T. Kelly
  • Asheesh Bedi
Living reference work entry

Abstract

Providing appropriate care to young patients and athletes with hip pain is predicated upon a thorough and comprehensive diagnostic evaluation. A comprehensive approach to the evaluation of such a patient is paramount to successfully defining the source of the patient’s symptoms and ultimately rendering appropriate treatment. Compartmentalization of the normal hip anatomy into layers from deep to superficial allows for a comprehensive and systematic evaluation and identification of all potential pain generators in patients with either hip or groin pain. This chapter will discuss a layered approach to the evaluation of the painful groin in a manner that allows the clinician to narrow the differential diagnosis of “hip” pain. The four layers are (1) the osteochondral layer, (2) the inert layer, (3) the contractile layer, and (4) the neurokinetic layer. The normal anatomy of each layer will be reviewed with attention paid to structure and function. The most common pathologic conditions affecting the young patient with hip pain will also be reviewed, with an emphasis on the interaction between the layers.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Alexander E. Weber
    • 1
  • James R. Ross
    • 1
  • Bryan T. Kelly
    • 2
  • Asheesh Bedi
    • 1
  1. 1.Sports Medicine and Shoulder Service, Department of Orthopaedic SurgeryUniversity of MichiganAnn ArborUSA
  2. 2.Center for Hip PreservationHospital for Special SurgeryNew YorkUSA

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