Prevalence of Abnormal Hip Findings in Asymptomatic Participants

Register, Brad; Pennock, Andrew T.; Ho, Charles P.; Strickland, C.; Lawand, Ashur; Philippon, Marc J.

doi:10.1177/0363546512462124

Cited by 177 publications

(110 citation statements)

References 29 publications

(39 reference statements)

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“…85 It is important to note that in 1 study, acetabular labral tears were present in 31 (69%) of 45 asymptomatic volunteers undergoing hip MRI. 86 The findings of this study underscore the importance of reconciling the clinical features of the patient with the imaging findings. In patients who cannot obtain an MRI examination, computed tomography arthrography is a suitable alternative for detection of labral tears, with sensitivity and specificity values comparable with those of MR arthrography.…”

Section: Anterior Hip Painmentioning

confidence: 61%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

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Section: Anterior Hip Painmentioning

confidence: 61%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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“…In 88 asymptomatic youth athletes, 65% had an alpha angle of greater than 55°and 70% had labral tears [21]. In a study of asymptomatic adults, we found that 95% of participants with FAI bony abnormalities (osseous bumps, fibrocystic changes of the femoral head/neck junction, and/or acetabular rim edema), had a labral tear [22]. The relationship between FAI and labral tears continues to be described.…”

mentioning

confidence: 78%

The Myths of Femoroacetabular Impingement

Bernstein

2014

Clin Orthop Relat Res

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“…This view is supported by research showing that acetabular labral tears are present in a significant percentage of the asymptomatic population across a wide range of ages. 1,24,26 Patients with a labral tear observed on magnetic resonance arthrogram commonly have posterior-lateral hip pain that may originate from extra-articular structures. If treatment is directed at these extra-articular structures, the patient's symptoms could improve.…”

mentioning

confidence: 99%