AANA Hip Arthroscopy - September 2024-Approach to Young Adult Hip Patient_ Physical Examination & Patient Selection

Approach to Young Adult Hip Patient_ Physical Examination & Patient Selection

Video Transcription

Video Summary

Dr. T. Sean Lynch from Columbia University discusses five key tips for evaluating athletes with hip pain. He emphasizes staying calm amid complex diagnoses and listening closely to the athlete’s pain location, which guides diagnosis. Common causes include interarticular hip issues, muscle strains, and referred pain from the spine or organs. Lynch outlines specific physical exam maneuvers to differentiate conditions like osteitis pubis, core injuries, and femoroacetabular impingement (FAI). Imaging, especially X-rays, is crucial, though MRI abnormalities may not always indicate symptoms. Finally, Lynch highlights the interconnectedness of hip and core structures, noting that treating both intra- and extra-articular issues improves return-to-play outcomes.

Keywords

hip pain evaluation

athlete diagnosis

femoroacetabular impingement

physical exam maneuvers

hip and core treatment