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Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018

Reiman, Michael P. (författare)
Duke University Medical Center
Agricola, Rintje (författare)
Erasmus University Medical Center
Kemp, Joanne L. (författare)
La Trobe University
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Heerey, Joshua J. (författare)
La Trobe University
Weir, Adam (författare)
Erasmus University Medical Center
Van Klij, Pim (författare)
Erasmus University Medical Center
Kassarjian, Ara (författare)
Corades, LLC
Mosler, Andrea Britt (författare)
La Trobe University
Ageberg, Eva (författare)
Lund University,Lunds universitet,Idrottsvetenskap,Forskargrupper vid Lunds universitet,Sport Sciences,Lund University Research Groups
Hölmich, Per (författare)
Copenhagen University Hospital
Warholm, Kristian Marstrand (författare)
Oslo university hospital
Griffin, Damian (författare)
University of Warwick
Mayes, Sue (författare)
La Trobe University
Khan, Karim M. (författare)
University of British Columbia
Crossley, Kay M. (författare)
La Trobe University
Bizzini, Mario (författare)
Schulthess Clinic
Bloom, Nancy (författare)
Washington University in St. Louis
Casartelli, Nicola C. (författare)
ETH Zürich
Diamond, Laura E. (författare)
Griffith University
Di Stasi, Stephanie (författare)
The Ohio State University Wexner Medical Center
Drew, Michael (författare)
University of Canberra
Friedman, Daniel J. (författare)
Alfred Hospital
Freke, Matthew (författare)
University of Queensland
Gojanovic, Boris (författare)
Lausanne University Hospital
Glyn-Jones, Sion (författare)
University of Oxford
Harris-Hayes, Marcie (författare)
Washington University in St. Louis
Hunt, Michael A. (författare)
University of British Columbia
Impellizzeri, Franco M. (författare)
University of Technology Sydney
Ishøi, Lasse (författare)
Copenhagen University Hospital
Jones, Denise M. (författare)
La Trobe University
King, Matthew G. (författare)
La Trobe University
Lawrenson, Peter R. (författare)
University of Queensland
Leunig, Michael (författare)
Schulthess Clinic
Lewis, Cara L. (författare)
Boston University
Mathieu, Nicolas (författare)
University Of Applied Sciences Of Western Switzerland (HES-SO)
Moksnes, Håvard (författare)
Norwegian School of Sport Sciences
Risberg, May Arna (författare)
Norwegian School of Sport Sciences,Oslo university hospital
Scholes, Mark James (författare)
La Trobe University
Semciw, Adam I. (författare)
La Trobe University
Serner, Andreas (författare)
Aspetar Qatar Orthopaedic and Sports Medicine Hospital
Thorborg, Kristian (författare)
Copenhagen University Hospital
Wörner, Tobias (författare)
Lund University,Lunds universitet,Fysioterapi,Forskargrupper vid Lunds universitet,Physiotherapy,Lund University Research Groups
Dijkstra, Hendrik Paulus (författare)
Weill Cornell Medical College, Qatar,Aspetar Qatar Orthopaedic and Sports Medicine Hospital
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BMJ Publishing Group, 2020
Ingår i: British journal of sports medicine. - : BMJ Publishing Group. - 0306-3674.
  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
  • There is no agreement on how to classify, define or diagnose hip-related pain-a common cause of hip and groin pain in young and middle-aged active adults. This complicates the work of clinicians and researchers. The International Hip-related Pain Research Network consensus group met in November 2018 in Zurich aiming to make recommendations on how to classify, define and diagnose hip disease in young and middle-aged active adults with hip-related pain as the main symptom. Prior to the meeting we performed a scoping review of electronic databases in June 2018 to determine the definition, epidemiology and diagnosis of hip conditions in young and middle-aged active adults presenting with hip-related pain. We developed and presented evidence-based statements for these to a panel of 37 experts for discussion and consensus agreement. Both non-musculoskeletal and serious hip pathological conditions (eg, tumours, infections, stress fractures, slipped capital femoral epiphysis), as well as competing musculoskeletal conditions (eg, lumbar spine) should be excluded when diagnosing hip-related pain in young and middle-aged active adults. The most common hip conditions in young and middle-aged active adults presenting with hip-related pain are: (1) femoroacetabular impingement (FAI) syndrome, (2) acetabular dysplasia and/or hip instability and (3) other conditions without a distinct osseous morphology (labral, chondral and/or ligamentum teres conditions), and that these terms are used in research and clinical practice. Clinical examination and diagnostic imaging have limited diagnostic utility; a comprehensive approach is therefore essential. A negative flexion-adduction-internal rotation test helps rule out hip-related pain although its clinical utility is limited. Anteroposterior pelvis and lateral femoral head-neck radiographs are the initial diagnostic imaging of choice-advanced imaging should be performed only when requiring additional detail of bony or soft-tissue morphology (eg, for definitive diagnosis, research setting or when planning surgery). We recommend clear, detailed and consistent methodology of bony morphology outcome measures (definition, measurement and statistical reporting) in research. Future research on conditions with hip-related pain as the main symptom should include high-quality prospective studies on aetiology and prognosis. The most common hip conditions in active adults presenting with hip-related pain are: (1) FAI syndrome, (2) acetabular dysplasia and/or hip instability and (3) other conditions without distinct osseous morphology including labral, chondral and/or ligamentum teres conditions. The last category should not be confused with the incidental imaging findings of labral, chondral and/or ligamentum teres pathology in asymptomatic people. Future research should refine our current recommendations by determining the clinical utility of clinical examination and diagnostic imaging in prospective studies.


MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopedics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Physiotherapy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

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