Femoroacetabular impingement and labral tears in the   adolescent hip: diagnosis and surgical advances.
OBJECTIVE
To identify several of the major trends and advancements in the diagnosis and care of the adolescent hip that have recently been responsible for reshaping the standard of care for this group of patients.


RESULTS
Recent research has provided an expanded understanding of hip mechanics and anatomy, improved imaging techniques and, in particular, produced a better appreciation of factors that predispose the hip to degenerative changes. It has led to the development and expansion of several treatment options, including hip arthroscopy, safe surgical dislocation of the hip and periacetabular rotational osteotomy.


CONCLUSIONS
An appreciation of emerging trends in the diagnosis and treatment of adolescent hip problems is important, as prompt recognition of and intervention for certain hip disorders may prevent ongoing injury and avoid or ameliorate chronic conditions associated with the development of degenerative joint changes and osteoarthritis.
Friend
L
L
Children's Hospital & Research Center Oakland, Oakland, California 94609, USA. lfriend@mail.cho.org
Kelly
Bryan T
BT
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D000293:Adolescent; D001182:Arthroscopy / Q000379:methods; D002358:Cartilage, Articular / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery*; D025981:Hip Injuries / Q000175:diagnosis / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis* / Q000601:surgery*; D008349:Manipulation, Orthopedic / Q000379:methods; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome