Hip Dysplasia

Joshua D. Harris; Brian D. Lewis; Kwan J. Park

doi:10.1016/j.csm.2020.11.004

Hip Dysplasia

Joshua D. Harris, Brian D. Lewis, Kwan J. Park

Research output: Contribution to journal › Review article › peer-review

20 Scopus citations

Abstract

Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and is classified based on the magnitude and location of undercoverage. Borderline dysplasia has been variably defined and leads to management challenges. In symptomatic dysplasia, treatment addresses coverage with periacetabular osteotomy. Concomitant simultaneous or staged hip arthroscopy has significant advantages to address intra-articular pathology. In nonarthritic individuals, there is evidence PAO alters the natural history of dysplasia and decreases the risk of hip arthritis and total hip arthroplasty.

Original language	English (US)
Pages (from-to)	271-288
Number of pages	18
Journal	Clinics in Sports Medicine
Volume	40
Issue number	2
DOIs	https://doi.org/10.1016/j.csm.2020.11.004
State	Published - Apr 2021

Keywords

Acetabulum
Arthroscopy
Borderline
Dysplasia
Hip
Instability
Periacetabular osteotomy
Version
Acetabulum/surgery
Osteotomy
Arthralgia
Hip Dislocation/surgery
Humans
Male
Treatment Outcome
Adult
Female

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine

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10.1016/j.csm.2020.11.004

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title = "Hip Dysplasia",

abstract = "Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and is classified based on the magnitude and location of undercoverage. Borderline dysplasia has been variably defined and leads to management challenges. In symptomatic dysplasia, treatment addresses coverage with periacetabular osteotomy. Concomitant simultaneous or staged hip arthroscopy has significant advantages to address intra-articular pathology. In nonarthritic individuals, there is evidence PAO alters the natural history of dysplasia and decreases the risk of hip arthritis and total hip arthroplasty.",

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author = "Harris, {Joshua D.} and Lewis, {Brian D.} and Park, {Kwan J.}",

note = "Funding Information: J.D. Harris: AAOS: Board or committee member; American Orthopaedic Society for Sports Medicine: Board or committee member; Arthroscopy: Editorial or governing board; Arthroscopy Association of North America: Board or committee member; International Society of Arthroscopy and Knee Orthopedic Surgery (ISAKOS): Board or committee member; PatientPop: Stock or stock options; Arthrex/Medinc of Texas: Research support; DePuy, A Johnson & Johnson Company: Research support; Frontiers In Surgery: Editorial or governing board; NIA Magellan: Paid consultant; SLACK Incorporated: Publishing royalties, financial or material support; Smith and Nephew: Paid presenter or speaker, Paid consultant, Research support; Ossur: Paid speaker. B.D. Lewis: Stryker, Paid consultant; Zimmer, Paid consultant. K.J. Park: Journal of Bone and Joint Surgery, British: Editorial/governing board. Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2021",

month = apr,

doi = "10.1016/j.csm.2020.11.004",

language = "English (US)",

volume = "40",

pages = "271--288",

journal = "Clinics in Sports Medicine",

issn = "0278-5919",

publisher = "W.B. Saunders",

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AU - Lewis, Brian D.

AU - Park, Kwan J.

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PY - 2021/4

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N2 - Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and is classified based on the magnitude and location of undercoverage. Borderline dysplasia has been variably defined and leads to management challenges. In symptomatic dysplasia, treatment addresses coverage with periacetabular osteotomy. Concomitant simultaneous or staged hip arthroscopy has significant advantages to address intra-articular pathology. In nonarthritic individuals, there is evidence PAO alters the natural history of dysplasia and decreases the risk of hip arthritis and total hip arthroplasty.

AB - Acetabular dysplasia represents a structural pathomorphology associated with hip pain, instability, and osteoarthritis. The wide spectrum of dysplasia anatomically refers to a 3-dimensional volumetric- and surface area-based insufficiency in coverage and is classified based on the magnitude and location of undercoverage. Borderline dysplasia has been variably defined and leads to management challenges. In symptomatic dysplasia, treatment addresses coverage with periacetabular osteotomy. Concomitant simultaneous or staged hip arthroscopy has significant advantages to address intra-articular pathology. In nonarthritic individuals, there is evidence PAO alters the natural history of dysplasia and decreases the risk of hip arthritis and total hip arthroplasty.

KW - Acetabulum

KW - Arthroscopy

KW - Borderline

KW - Dysplasia

KW - Hip

KW - Instability

KW - Periacetabular osteotomy

KW - Version

KW - Acetabulum/surgery

KW - Osteotomy

KW - Arthralgia

KW - Hip Dislocation/surgery

KW - Humans

KW - Male

KW - Treatment Outcome

KW - Adult

KW - Female

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SP - 271

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JO - Clinics in Sports Medicine

JF - Clinics in Sports Medicine

IS - 2

ER -

Hip Dysplasia

Abstract

Keywords

ASJC Scopus subject areas

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