Hip Instability: Current Concepts and Treatment Options

Instability of the hip can manifest in a wide range of settings, with presenting symptoms including subtle discomfort at end range of motion or more dramatic dislocation of the joint. It can result from traumatic injury with dislocation or subluxation; atraumatic capsular laxity; structural bony abn...

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Bibliographic Details
Published inClinics in sports medicine Vol. 35; no. 3; p. 435
Main Author Dumont, Guillaume D
Format Journal Article
LanguageEnglish
Published United States 01.07.2016
Subjects
Arthroscopy
Femoracetabular Impingement - physiopathology
Hip Joint - physiopathology
Humans
Joint Dislocations - physiopathology
Joint Instability - diagnosis
Joint Instability - surgery
Wounds and Injuries - physiopathology
Capsular plication
Hip joint capsule
Hip instability
Periacetabular osteotomy
Acetabular dysplasia
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Summary:Instability of the hip can manifest in a wide range of settings, with presenting symptoms including subtle discomfort at end range of motion or more dramatic dislocation of the joint. It can result from traumatic injury with dislocation or subluxation; atraumatic capsular laxity; structural bony abnormality, such as acetabular dysplasia; and iatrogenic injury. Initial treatment of the concentrically reduced joint often begins with physical therapy to strengthen dynamic stabilizers and to allow time for resolution of acute symptoms. Surgical treatment is aimed at repairing injured soft tissue structures, including static stabilizers, and addressing underlying bony structural deficiencies.
ISSN:1556-228X
DOI:10.1016/j.csm.2016.02.008