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Hip Instability: Current Concepts and Treatment Options.

Guillaume D Dumont1

  • 1Department of Orthopaedic Surgery, University of South Carolina School of Medicine, 2 Medical Park Road, Suite 404, Columbia, SC 29203, USA.

Clinics in Sports Medicine
|June 26, 2016
PubMed
Summary
This summary is machine-generated.

Hip instability presents with varied symptoms and causes, including injury, laxity, or bony abnormalities. Treatment ranges from physical therapy to surgery for soft tissue repair and bony correction.

Keywords:
Acetabular dysplasiaCapsular plicationHip instabilityHip joint capsulePeriacetabular osteotomy

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Hip instability encompasses a spectrum of presentations, from mild discomfort to full dislocation.
  • Causes include traumatic injury, capsular laxity, acetabular dysplasia, and iatrogenic factors.
  • Effective management requires understanding the diverse etiologies.

Purpose of the Study:

  • To summarize the clinical presentation and management strategies for hip instability.
  • To differentiate between conservative and surgical treatment approaches.
  • To highlight the importance of addressing both soft tissue and bony abnormalities.

Main Methods:

  • Literature review of hip instability etiologies and treatments.
  • Analysis of conservative management including physical therapy.
  • Evaluation of surgical interventions for soft tissue and bony defects.

Main Results:

  • Conservative treatment focuses on strengthening dynamic stabilizers and symptom resolution.
  • Surgical options address static stabilizers and structural bony deficiencies.
  • A multimodal approach is often necessary for optimal outcomes.

Conclusions:

  • Hip instability management is tailored to the underlying cause.
  • Physical therapy is the initial approach for reduced joints.
  • Surgical intervention is reserved for cases requiring structural repair.