APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Approach to Young Adult Hip Patient_ Physical Examination & Patient Selection

Approach to Young Adult Hip Patient_ Physical Examination & Patient Selection

Video Transcription

Video Summary

T. Sean Lynch from Columbia University presents five key pearls for evaluating athletes with hip pain. He emphasizes not getting overwhelmed by the broad differential diagnosis and focusing on pain location to guide diagnosis. Listening closely to athletes' symptom descriptions can identify issues like osteitis pubis, adductor strains, labral tears, or lumbar spine problems. A structured exam including specific tests helps differentiate causes. Imaging is crucial, with X-rays often more revealing than MRIs, which can show abnormalities even in asymptomatic individuals. Lastly, femoral acetabular impingement frequently coexists with other hip issues, and addressing both improves return-to-play outcomes. Staying calm and correlating findings with symptoms is vital.

Asset Caption

T.Sean Lynch, M.D.

Keywords

hip pain evaluation

athlete diagnosis

femoral acetabular impingement

imaging in hip injuries

structured physical exam