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Background and purpose Earlier studies have suggested that the hip extension angle and the hip flexor moment in walking are affected by hip dysplasia, but to our knowledge there have been no reports on running or evaluations of self-reported health. We evaluated differences in walking, running, and self-reported health between young adults with symptomatic hip dysplasia and healthy controls.Patients and methods Walking and running in 32 patients with hip dysplasia, mean 34 (18–53) years old, was compared with walking and running in 32 controls, mean 33 (18–54) years old. Joint kinematics and kinetics—quantified by the peak hip extension angle and the peak net joint moment of hip flexion during walking and running—were recorded using a motion-capture system, and health was evaluated using the Copenhagen Hip and Groin Outcome Score (HAGOS).Results The peak hip extension angle during walking was less in the patients than in the controls (–10.4 (SD 4.8) degrees vs. –13.2 (SD 4.5) degrees; p = 0.02). Similarly, the peak net joint moment of hip flexion during walking was lower in the patients than in the controls (0.57 (SD 0.13) N*m/kg vs. 0.70 (SD 0.22) N*m/kg; p = 0.008). In all dimensions of HAGOS, the patients scored lower than the controls. Furthermore, the hip extension angle and the net joint moment of hip flexion correlated with the HAGOS subscales pain and physical function in sport and recreation.Interpretation Patients with symptomatic hip dysplasia do modify walking and running, and we therefore suggest that the impairment found in this study should play an important role in the evaluation of later operative and training interventions.

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Background and purpose — Hip dysplasia can be treated with periacetabular osteotomy (PAO). We compared joint angles and joint moments during walking and running in young adults with hip dysplasia prior to and 6 and 12 months after PAO with those in healthy controls.Patients and methods — Joint kinematics and kinetics were recorded using a 3-D motion capture system. The pre- and postoperative gait characteristics quantified as the peak hip extension angle and the peak joint moment of hip flexion were compared in 23 patients with hip dysplasia (18–53 years old). Similarly, the gait patterns of the patients were compared with those of 32 controls (18–54 years old).Results — During walking, the peak hip extension angle and the peak hip flexion moment were significantly smaller at baseline in the patients than in the healthy controls. The peak hip flexion moment increased 6 and 12 months after PAO relative to baseline during walking, and 6 months after PAO relative to baseline during running. For running, the improvement did not reach statistical significance at 12 months. In addition, the peak hip extension angle during walking increased 12 months after PAO, though not statistically significantly. There were no statistically significant differences in peak hip extension angle and peak hip flexion moment between the patients and the healthy controls after 12 months.Interpretation — Walking and running characteristics improved after PAO in patients with symptomatic hip dysplasia, although gait modifications were still present 12 months postoperatively.

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