Clinical Presentation of Symptomatic Acetabular Dysplasia in Skeletally Mature Patients

Abstract

Background: Acetabular dysplasia is recognized as a cause of early degenerative hip osteoarthritis. The purpose of this

Coxa Profunda Is Not a Useful Radiographic Parameter for Diagnosing Pincer-Type Femoroacetabular Impingement

“…The other patient cohorts were established by searching our hip preservation surgery database (February 2008 to February 2011). Diagnoses were established on the basis of clinical history, physical examination, and radiographic findings by one of the senior authors, with extensive experience treating prearthritic hip disease, including dysplasia, femoroacetabular impingement, and residual Legg-Calvé-Perthes deformities 3,10 . The subtype of femoroacetabular impingement (cam, pincer, or combined) was determined by one of the senior authors.…”

“…Additionally, the patient cohorts were established according to the diagnoses assigned by one of the senior authors. While misdiagnoses may have occurred, this author has extensive experience in the evaluation of prearthritic hip disease [3][4][5]10 . Radiographic review was part of this clinical evaluation and is an additional potential source of bias.…”

Persistent Structural Disease Is the Most Common Cause of Repeat Hip Preservation Surgery

“…These patients had an average age of 25.7 years and an average time since previous arthroscopy of 1.7 years. Collectively, these data raise concern regarding the efficacy of isolated hip arthroscopy in the treatment of patients with a predominance of dysplastic features and clinical signs and symptoms consistent with symptomatic dysplasia [15]. The procedure profile of secondary hip preservation surgeries in our cohort favored open surgical approaches and most commonly included deformity correction with a femoral osteochondroplasty and/or a PAO.…”

Hip Dysplasia in the Young Adult

“…Nunley et al 36 documented the onset of symptoms as insidious in 97% of patients, and 77% of the patients walked with a demonstrable limp, in which the pelvis dropped toward the unaffected side when weight-bearing on the affected limb (the Trendelenburg gait pattern). In other patients, the trunk lurched toward the affected side (abductor lurch) when the affected limb was in the stance phase of gait.…”