title: Microinstability of the hip: a previously unrecognized pathology.
abstract: BACKGROUND
  Hip microinstability is an established diagnosis; however, its occurrence is still debated by many physicians. Diagnosis of hip microinstability is often challenging, due to a lack of specific signs or symptoms, and patients may remain undiagnosed for long periods. This may lead to early manifestation of degenerative joint disease. Consequently, careful patient and family history must be obtained and diagnostic imaging should follow. After a thorough clinical evaluation of the patient with suspected hip microinstability, the physician should focus on how to improve symptoms and functionality in daily and sports activities.
  
  
  OBJECTIVE
  The purpose of this review article was to give a current update regarding this diagnosis and to provide a complete diagnostic approach in order to effectively treat hip microinstability.
  
  
  METHODS
  We reviewed the literature on the diagnosis, the non-operative and operative indications for the treatment of this complex and often misdiagnosed pathology.
  
  
  CONCLUSIONS
  Conservative treatment is considered the best initial approach, though, surgical intervention should be considered if symptoms persist or other hip pathology exists. Successful surgical intervention, such as hip arthroscopy, should focus on restoring the normal anatomy of the hip joint in order to regain its functionality. The role of the hip joint capsule has gained particular research interest during the last years, and its repair or reconstruction during hip arthroscopy is considered necessary in order to avoid iatrogenic hip microinstability. Various capsular closure/plication techniques have been developed towards this direction with encouraging results.
  
  
  METHODS
  V.
authors.affiliation: Steadman Philippon Research Institute, Colorado, USA.
authors.forename: Ioanna
authors.initials: I
authors.lastname: Bolia
authors.affiliation: Steadman Philippon Research Institute, Colorado, USA.
authors.forename: Jorge
authors.initials: J
authors.lastname: Chahla
authors.affiliation: Steadman Philippon Research Institute, Colorado, USA.
authors.forename: Renato
authors.initials: R
authors.lastname: Locks
authors.affiliation: Steadman Philippon Research Institute, Colorado, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Briggs
authors.affiliation: Steadman Philippon Research Institute, Colorado, USA; The Steadman Clinic, Colorado, USA.
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Philippon
keywords: hip arthroscopy; hip dysplasia; hip microinstability