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Published on: July 2, 2021
Impingement and childhood hip disease
Dennis R Wenger1, Shyam Kishan, Maya E Pring
1Children's Hospital-San Diego, University of California-San Diego, San Diego, California, USA.
Insights
Hip impingement, a common cause of hip pain in young adults, often originates in childhood hip conditions. Early detection and treatment of pediatric hip impingement can prevent the development of premature hip arthritis.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Hip Preservation
Background:
- Hip impingement is increasingly identified as a prevalent cause of hip pain in young adults.
- The origins of hip impingement can be traced back to developmental hip abnormalities during childhood.
Purpose of the Study:
- To highlight the early developmental origins of hip impingement.
- To emphasize the potential of early intervention in preventing long-term hip complications.
Main Methods:
- Review of literature on childhood hip disorders and their relation to adult hip impingement.
- Analysis of the natural history of hip development and impingement progression.
Main Results:
- Common childhood hip disorders such as slipped capital femoral epiphysis and Perthes disease contribute to the development of hip impingement.
- Early stages of impingement can manifest during childhood, preceding adult hip pain.
Conclusions:
- Recognizing and managing hip impingement in childhood is crucial.
- Timely treatment of pediatric hip impingement may avert the onset of early hip arthritis in adulthood.
Abstract:
Hip impingement is now recognized as a relatively common cause for hip pain in young adults. The early evolution of impingement begins in childhood in several common hip disorders (slipped capital femoral epiphysis, Perthes, early avascular necrosis due to other causes). Recognition and treatment of childhood impingement may prevent the evolution to early hip arthritis.
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