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Updated: May 1, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Hip pain in young adults.
Miguel Fernandez1, Peter Wall, John O'Donnell
1MBBS, MRCS (Eng), PhD, Academic Clinical Fellow in Trauma and Orthopaedic Surgery, University Hospitals Coventry and Warwickshire NHS Trust and Warwick Orthopaedics, University of Warwick, UK.
Young adults with hip pain may have femoroacetabular impingement, a subtle hip shape abnormality. Early identification and treatment of the "at-risk" hip can prevent osteoarthritis (OA).
Area of Science:
- Orthopedics
- Sports Medicine
- Rheumatology
Background:
- Hip pain management is traditionally stratified by age, with distinct approaches for pediatric cases and older adults with osteoarthritis (OA).
- Young adults (16-50 years) with persistent hip pain, lacking OA or childhood disorders, pose diagnostic and management challenges.
- Recent advancements have improved understanding of hip pain causes in this demographic.
Purpose of the Study:
- To provide general practitioners with a guide for identifying young adults with hip pain.
- To outline primary care management strategies and referral criteria for hip pain in young adults.
- To enhance the recognition and management of femoroacetabular impingement (FAI) and its implications.
Main Methods:
- Clinical review synthesizing current knowledge on hip pain in young adults.
- Focus on history taking and physical examination techniques for diagnosis.
- Guidance on conservative management and indications for specialist referral.
Main Results:
- Femoroacetabular impingement (FAI), characterized by subtle hip shape abnormalities, is increasingly recognized as a cause of hip pain in young adults.
- FAI can lead to symptomatic soft tissue damage and potentially initiate the development of OA.
- Identification of the 'at-risk' hip is now possible, allowing for early intervention.
Conclusions:
- Understanding of hip pain etiology in young adults has advanced significantly.
- Femoroacetabular impingement is a key diagnosis to consider in this population.
- Early detection and management of FAI may prevent or delay the onset of osteoarthritis.
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