Hip Pathology in the Adolescent Athlete

Abstract

Hip injuries in young athletes are being diagnosed with increasing frequency. Improvements in diagnostic imaging and surgical technologies have helped facilitate the diagnosis of intra- and extra-articular derangements that were previously untreated in this age group. Athletic injuries of the hip in the young athlete encompass both osseous and soft-tissue etiologies, which can be the result of a single traumatic event or repetitive microtrauma or may be associated with an underlying pediatric hip disorder. Without accurate diagnosis and management, these injuries may result in debilitating consequences. This article will review the more common causes of hip and groin pain in the adolescent athlete, as well as advances in diagnostic and therapeutic interventions.

Biomechanical Evaluation of Capsulotomy, Capsulectomy, and Capsular Repair on Hip Rotation

“…The most dramatic form of postoperative instability results in complete hip dislocation, 7-10 but more commonly, capsular defects leading to microinstability may be the source of residual hip pain after surgery. [11][12][13][14] Treatment of the capsule during hip arthroscopy can come in different forms and is not standardized between surgeons. 3,14-18 Capsular management techniques can range from capsulectomy to limited capsulotomy, 15,18 interportal capsulotomy with or without repair, or T-capsulotomy with 3,16 or without repair.…”

Protocol for a multicenter prospective cohort study evaluating sport activity and development of femoroacetabular impingement in the adolescent hip

“…High impact activities in combination with intensity of various kinds have been shown to affect the developing femur [12]. Among children, open physes and growing cartilage make them more susceptible to injury and shear forces that can result in premature physeal arrest, apophyseal avulsion fractures, and chondral injuries [13]. A higher prevalence of cam deformities (> 50%), both symptomatic and asymptomatic, has been shown in adolescent athletes that play ice hockey, basketball, and soccer when compared to controls that did not play sports [7,10,11,[14][15][16][17].…”

Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin

“…The hip and groin are sites of multiple injuries and inflammatory conditions, including intra-articular and extra-articular pathology, giving rise to an extensive differential diagnosis for hip and groin pain [12]. Pain originating from different anatomical areas such as lumbar spine, knee and pelvis can also be referred to the hip and groin.…”