Hip injuries in young athletes: intra-articular hip pathologies and treatments

Abstract

Purpose: There are various pathologies of sports injuries that cause hip and groin pain. Sports-related hip pain is often difficult to diagnose and necessitates long-term suspension of sports activities. The purpose of this review is to provide an overview of sports-related hip pathologies and the results of various treatments in young athletes. Methods: A systematic search was conducted to assess English-language articles indexed in the PubMed database within the past 15 years. The search terminology including sports, young athletes, femoroacetabular impingement (FAI), borderline dysplasia, labrum, and ligamentum teres was used to search for all relevant articles. Results: The search identified 189 articles. After reviewing the articles, 61 articles were included in this literature review. Hip labrum injury, FAI, and ligamentum teres injury were common sports-related hip pathologies. Hip arthroscopic surgery was found to be a successful procedure in treating FAI and labral tears in young athletes. Conclusions: Hip arthroscopic surgery is minimally invasive and serves both for diagnosis and treatment. Athletes undergoing arthroscopic hip surgery in the setting of hip labrum injury, FAI, and ligamentum teres injury exhibit significant functional improvement.

Keywords

• Hip arthroscopy
• Labrum tear
• Femoroacetabular impingement
• Young athletes