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Updated: Jun 1, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

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Published on: July 2, 2021

Human hip impingement morphology: an evolutionary explanation.

T Hogervorst¹, H Bouma, S F de Boer

¹Haga Hospital, Sportlaan 600, 2566MJ The Hague, The Netherlands. thogervorst@gmail.com

The Journal of Bone and Joint Surgery. British Volume

|May 19, 2011

Summary

This summary is machine-generated.

Evolutionary biology explains human hip morphology related to impingement. Two hip types, coxa recta and coxa rotunda, are linked to specific activities and evolutionary pressures, particularly in females and males.

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Area of Science:

Evolutionary biology
Human anatomy
Morphology

Background:

Human hip morphology exhibits variations potentially linked to evolutionary adaptations.
Understanding these variations may explain conditions like hip impingement.

Purpose of the Study:

To investigate if evolutionary processes can explain the morphology of human hip impingement.
To describe distinct mammalian hip morphologies and their evolutionary significance.

Main Methods:

Descriptive analysis of two stereotypical mammalian hip morphologies: coxa recta and coxa rotunda.
Examination of evolutionary pressures, including bipedalism and fetal brain size, on hip structure.

Main Results:

Coxa recta (straight femoral head/neck) is associated with running/jumping; coxa rotunda (round femoral head) with climbing/swimming.
Evolutionary conflict between upright gait and large fetal brain size explains female hip morphology and pincer impingement (coxa profunda).
Male coxa recta morphology is explained as an evolutionary adaptation for running, causing cam impingement.

Conclusions:

Hominid evolution provides a framework for understanding hip morphology variations and impingement.
Specific hip morphologies are evolutionary adaptations linked to locomotion and reproductive strategies.