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Consensus recommend...
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
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- Reiman, Michael P. (author)
- Duke University Medical Center
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- Agricola, Rintje (author)
- Erasmus University Medical Center
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- Kemp, Joanne L. (author)
- La Trobe University
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- Heerey, Joshua J. (author)
- La Trobe University
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- Weir, Adam (author)
- Erasmus University Medical Center
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- Van Klij, Pim (author)
- Erasmus University Medical Center
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- Kassarjian, Ara (author)
- Corades, LLC
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- Mosler, Andrea Britt (author)
- La Trobe University
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- Ageberg, Eva (author)
- Lund University,Lunds universitet,Idrottsvetenskap,Forskargrupper vid Lunds universitet,Sport Sciences,Lund University Research Groups
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- Hölmich, Per (author)
- Copenhagen University Hospital
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- Warholm, Kristian Marstrand (author)
- Oslo university hospital
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- Griffin, Damian (author)
- University of Warwick
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- Mayes, Sue (author)
- La Trobe University
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- Khan, Karim M. (author)
- University of British Columbia
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- Crossley, Kay M. (author)
- La Trobe University
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- Bizzini, Mario (author)
- Schulthess Clinic
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- Bloom, Nancy (author)
- Washington University in St. Louis
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- Casartelli, Nicola C. (author)
- ETH Zürich
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- Diamond, Laura E. (author)
- Griffith University
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- Di Stasi, Stephanie (author)
- Ohio State University
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- Drew, Michael (author)
- University of Canberra
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- Friedman, Daniel J. (author)
- Alfred Hospital
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- Freke, Matthew (author)
- University of Queensland
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- Gojanovic, Boris (author)
- Lausanne University Hospital
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- Glyn-Jones, Sion (author)
- University of Oxford
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- Harris-Hayes, Marcie (author)
- Washington University in St. Louis
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- Hunt, Michael A. (author)
- University of British Columbia
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- Impellizzeri, Franco M. (author)
- University of Technology Sydney
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- Ishøi, Lasse (author)
- Copenhagen University Hospital
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- Jones, Denise M. (author)
- La Trobe University
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- King, Matthew G. (author)
- La Trobe University
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- Lawrenson, Peter R. (author)
- University of Queensland
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- Leunig, Michael (author)
- Schulthess Clinic
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- Lewis, Cara L. (author)
- Boston University
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- Mathieu, Nicolas (author)
- University Of Applied Sciences Of Western Switzerland (HES-SO)
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- Moksnes, Håvard (author)
- Norwegian School of Sport Sciences
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- Risberg, May Arna (author)
- Norwegian School of Sport Sciences,Oslo university hospital
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- Scholes, Mark James (author)
- La Trobe University
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- Semciw, Adam I. (author)
- La Trobe University
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- Serner, Andreas (author)
- Aspetar Qatar Orthopaedic and Sports Medicine Hospital
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- Thorborg, Kristian (author)
- Copenhagen University Hospital
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- Wörner, Tobias (author)
- Lund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Human Movement: health and rehabilitation,Lund University Research Groups
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- Dijkstra, Hendrik Paulus (author)
- Weill Cornell Medical College, Qatar,Aspetar Qatar Orthopaedic and Sports Medicine Hospital
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(creator_code:org_t)
- 2020-01-20
- 2020
- English 11 s.
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In: British journal of sports medicine. - : BMJ. - 0306-3674 .- 1473-0480. ; 54:11, s. 631-641
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http://dx.doi.org/10...
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https://bjsm.bmj.com...
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Abstract
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
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- By the author/editor
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Reiman, Michael ...
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Agricola, Rintje
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Kemp, Joanne L.
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Heerey, Joshua J ...
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Weir, Adam
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Van Klij, Pim
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show more...
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Kassarjian, Ara
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Mosler, Andrea B ...
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Ageberg, Eva
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Hölmich, Per
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Warholm, Kristia ...
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Griffin, Damian
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Mayes, Sue
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Khan, Karim M.
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Crossley, Kay M.
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Bizzini, Mario
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Bloom, Nancy
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Casartelli, Nico ...
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Diamond, Laura E ...
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Di Stasi, Stepha ...
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Drew, Michael
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Friedman, Daniel ...
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Freke, Matthew
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Gojanovic, Boris
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Glyn-Jones, Sion
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Harris-Hayes, Ma ...
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Hunt, Michael A.
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Impellizzeri, Fr ...
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Ishøi, Lasse
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Jones, Denise M.
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King, Matthew G.
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Lawrenson, Peter ...
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Leunig, Michael
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Lewis, Cara L.
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Mathieu, Nicolas
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Moksnes, Håvard
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Risberg, May Arn ...
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Scholes, Mark Ja ...
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Semciw, Adam I.
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Serner, Andreas
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Thorborg, Kristi ...
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Wörner, Tobias
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Dijkstra, Hendri ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
- Articles in the publication
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British journal ...
- By the university
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Lund University