Related Experiment Video
Updated: May 2, 2026

07:43
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
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[Systematic evaluation of the painful hip]
V H Aguirre-Rodríguez1,2, J P Pinal-Covarrubio3,4
1Alta Especialidad en Cirugía Articular y Lesiones Deportivas, Facultad de Medicina de la Universidad Autónoma del Estado de Morelos. México.
Acta Ortopedica Mexicana
|September 2, 2024
Summary
Understanding hip pain requires a systematic approach, including detailed history, physical exam, and imaging. Early diagnosis and treatment are crucial, especially in young adults, to prevent long-term issues.
Area of Science:
- Orthopedics and Sports Medicine
- Anatomy
- Diagnostic Imaging
Context:
- The painful hip is a complex clinical challenge, often underdiagnosed in young adults.
- Prevalence differs between males (49-55%) and females (25-28%).
- Causes vary based on demographics and patient history.
Purpose:
- To outline a systematic approach for diagnosing and managing hip pain.
- To correlate anatomical layers with clinical presentation and pathology.
- To guide the appropriate use of diagnostic imaging.
Summary:
- A structured approach involving patient history, targeted physical examination, and layered anatomical understanding (osteochondral, inert, contractile, neuro-mechanical) is essential for accurate hip pain diagnosis.
- Physical examination should systematically assess gait, posture, and specific signs related to each anatomical layer.
- Imaging starts with radiographs and progresses to CT or MRI based on clinical suspicion and initial findings.
Impact:
- Improves diagnostic accuracy for hip pain, particularly in young adults.
- Facilitates timely and appropriate treatment by clarifying the source of pain.
- Enhances understanding of hip joint biomechanics and pathology through an anatomical layering system.

