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.

Review written by Dr Michael Reiman info

Key Points

  • Three primary categories of hip-related pain are suggested: FAI syndrome, acetabular dysplasia and/or hip instability, and other conditions without bony morphology.
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BACKGROUND & OBJECTIVE

Young and middle-aged active adults with hip and groin pain often present with a confusing overlap of signs and symptoms. There is no agreement on how to classify, define or diagnose hip-related pain – a common cause of pain in young and middle-aged active adults. This complicates the work of clinicians and researchers.

The International Hip-related Pain Research Network (IHiPRN) leadership group was established to address hip-related pain in young and middle-aged active adults. A group of experts was established based on their work in this area. A scoping review framework (2,3) was utilized in this study to establish the current level of evidence with respect to the classification, definition and diagnosis of hip-related pain.

Patients with hip and groin pain often present with a confusing overlap of signs and symptoms.
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Imaging should always be combined with the patient’s symptoms and clinical signs and should not be used in isolation.

METHODS

The expert group of 27 physiotherapists, 7 orthopaedic surgeons, 4 sport and exercise medicine physicians, 4 exercise scientists, one radiologist and one general medical doctor included 12 women and 32 men. Participants had a mean (SD) age of 41 (11)

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