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 (Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina, USA) ; Agricola, Rintje (Department of Orthopaedic Surgery, Erasmus, MC, University Medical Center, Rotterdam, Netherlands) ; Kemp, Joanne L (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Heerey, Joshua J (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Weir, Adam (Orthopaedics, Erasmus MC Center for Groin Injuries, Rotterdam, The Netherlands ; Sports Groin Pain Centre, Aspetar Hospital, Doha, Qatar) ; Van Klij , Pim (Department of Orthopaedic Surgery, Erasmus, MC, University Medical Center, Rotterdam, Netherlands) ; Kassarjian, Ara (Elite Sports Imaging SL, Madrid, Spain ; Musculoskeletal Radiology, Corades, LLC, Brookline, MA, United States) ; Mosler, Andrea Britt (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Ageberg, Eva (Sport Sciences, Deparment of Health Sciences, Lund University, Lund, Sweden) ; Hölmich, Per (Sports Orthopaedic Research Center–Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark) ; Marstrand Warholm, Kristian (Oslo University Hospital, Oslo, Norway) ; Griffin, Damian (Orthopaedics - Medical School, University of Warwick, Coventry, UK ; Warwick Medical School, University of Warwick, Coventry, UK) ; Mayes, Sue (Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Khan, Karim M (Centre for Hip Health and Mobility, The University of British Columbia, Vancouver, British Columbia, Canada) ; Crossley, Kay M (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Bizzini, Mario (Research, Schulthess Clinic Human Performance Lab, Zurich, Switzerland) ; Bloom, Nancy (Physical Therapy, Washington University, St. Louis, Missouri, USA) ; Casartelli, Nicola C (Human Performance Lab, Schulthess Clinic, Zurich, Switzerland ; Laboratory of Exercise and Health, ETH Zurich, Schwerzenbach, Switzerland) ; Diamond, Laura E (Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland Griffith University, Schoold of Allied Health Sciences, Griffith, Queensland, Australia) ; Di Stasi, Stephanie (School of Health and Rehabilitation Sciences, Ohio State University Wexner Medical Center, Columbus, Ohio, USA) ; Drew, Michael (Athlete Availability, Australian Institute of Sport, Canberra, Australian Capital Territory, Australia ; Research into Sport and Exercise, University of Canberra, Canberra, Bruce, Australian Capital Territory, Australia) ; Friedman, Daniel J (Alfred Health, Melbourne, Victoria, Australia) ; Freke, Matthew (School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia) ; Gojanovic, Boris (Swiss Olympic Medical Center, Hopital de la Tour, Meyrin, Geneva, Switzerland ; Sports Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland) ; Glyn-Jones, Sion (Department of Orthopaedic Surgery, University of Oxford, Institute of Musculoskeletal Sciences, Oxford, United Kingdom) ; Harris-Hayes, Marcie (Physical Therapy, Washington University, St. Louis, Missouri, USA) ; Hunt, Michael A (Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada) ; Impellizzeri, Franco M (Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia) ; Ishøi, Lasse (Sports Orthopaedic Research Center–Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark) ; Jones, Denise M (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; King, Matthew G (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Lawrenson, Peter R (School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia) ; Leunig, Michael (Department of Orthopaedics, Schulthess Klinik, Zurich, Switzerland) ; Lewis, Cara L (Physical Therapy & Athletic Training, Boston University, Boston, Massachusetts, USA) ; Mathieu, Nicolas (Physiotherapy, HES-SO Valais, University of Applied Sciences Western Switzerland, Loeche-les-Bains, Valais, Switzerland) ; Moksnes, Håvard (Oslo Sports Trauma Research Center, Oslo, Norway) ; Risberg, May-Arna (Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway ; Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway) ; Scholes, Mark James (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Semciw, Adam I (La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia) ; Serner, Andreas (Aspetar Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar) ; Thorborg, Kristian (Sports Orthopaedic Research Center–Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark) ; Wörner, Tobias (Department of Health Sciences, Lund University, Lund, Sweden) ; Dijkstra, Hendrik Paulus (Aspetar Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar ; Weill Cornell Medicine, Doha, Qatar)

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.


Type d'article:
scientifique
Faculté:
Santé
Ecole:
HEdS-VS
Institut:
Institut Santé
Date:
2020-01
Pagination:
11 p.
Publié dans:
British Journal of Sports Medicine
Numérotation (vol. no.):
2019, no. 101453, pp. 1-11
DOI:
ISSN:
0306-3674
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Note: The status of this file is: restricted


 Notice créée le 2020-02-06, modifiée le 2020-02-06

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