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Related Experiment Video

Updated: Sep 24, 2025

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Diagnosing Hip Microinstability: an international consensus study using the Delphi methodology.

Vikas Khanduja1, Nicholas Darby2, John O'Donnell3

  • 1Young Adult Hip Service, Addenbrooke's, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK. vk279@cam.ac.uk.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|May 2, 2022
PubMed
Summary
This summary is machine-generated.

Diagnosing hip microinstability lacks clear guidelines. This Delphi study established expert consensus criteria for hip microinstability, involving patient history, examination, and imaging, to aid clinical diagnosis.

Keywords:
ConsensusDelphiDysplasiaHip painMicroinstability

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Diagnostic Imaging

Background:

  • Hip microinstability, characterized by symptomatic excessive hip motion, is an emerging diagnosis without established diagnostic criteria.
  • Current literature lacks clear guidelines, posing challenges for accurate clinical diagnosis.

Approach:

  • A Delphi methodology was employed, involving a panel of 27 international experts (orthopaedic surgeons and physiotherapists).
  • Four rounds of online questionnaires were used to gather and refine diagnostic criteria based on literature review and expert input.
  • Criteria were categorized into patient history, examination, and imaging, with consensus reached on major and minor factors.

Key Points:

  • The study identified 32 initial diagnostic criteria, with experts suggesting amendments and new criteria.
  • Consensus was reached on 14 "Major Factors" and 20 "Minor Factors" for diagnosing hip microinstability.
  • The final diagnostic tool requires a minimum of four criteria per subcategory (history, examination, imaging), including at least six "Major Factors".

Conclusions:

  • This study presents the first expert consensus on diagnostic criteria for hip microinstability.
  • The developed criteria aim to provide a structured approach for clinicians facing this complex diagnosis.
  • The complexity of the final tool reflects the challenges inherent in diagnosing hip microinstability.