August 2, 2025
Headlines

What Physical Therapists NEED to Know About Hip Dysplasia

DRRA014 mins


What Physical Therapists NEED to Know About Hip Dysplasia

To go along with today’s video I have a nice infographic to share…

Sign up to receive FREE: Hip Dysplasia “Cheat Sheet”

Click HERE to Download FREE

Grab the rest of the Mini Course and Sign up for the Certification Pre-sale list:

In today’s video we go over: What Physical Therapists NEED to Know About Hip Dysplasia – FPF Show Episode 177

  • 0:00 Introduction
  • 2:46 What is the definition and background of hip dysplasia?
  • 4:17 How common is hip dysplasia and in which populations do we see it most?
  • 5:25 Can hip dysplasia be asymptomatic?
  • 5:51 Relevant anatomy for hip dysplasia (Why the labrum is so important)
  • 7:17 What does a hip with dysplasia look like?
  • 8:34 What are relevant risk factors for developing hip dysplasia?
  • 18:54 Pathogenesis and mechanism of injury behind hip dysplasia
  • 24:23 What is the clinical presentation of hip dysplasia?
  • 36:32 What do you expect to see in the physical examination (objective tests) of hip dysplasia?
  • 42:49 What radiographic (X-Ray) findings are present with hip dysplasia? (Lateral center edge and Tonnis angle)
  • 48:53 Are MRIs needed or useful in patients with hip dysplasia?
  • 51:19 Are corticosteroids useful to diagnose hip dysplasia?
  • 52:44 What is the differential diagnosis of hip dysplasia?
  • 1:09:04 What are treatment options for patients with hip dysplasia?
  • 1:09:38 Is physical therapy effective for hip dysplasia?
  • 1:11:20 Are cortisone injections helpful for hip dysplasia?
  • 1:12:03 What surgeries are used to treat hip dysplasia? (PAO, derotation osteotomy)
  • 1:14:06 Which patients are appropriate (and NOT appropriate) for surgery?
  • 1:16:46 What does a peri-acetabular osteotomy surgery look like? (PAO)
  • 1:17:30 Should dysplasia patients get hip labral repair without PAO?
  • 1:19:33 Outcomes and return to sport rates after PAO surgery
  • 1:28:50 What Physical Therapists Need to Know About Femoral Acetabular Impingement Syndrome

My hips are all dysplased…

– Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

Want to earn some CEUs for physical therapists and physical therapy assistants?  Click HERE to sign up for FPF “Insiders Academy” for just a dollar. You’ll gain access to 100+ webinars, e-books and complete guides.  Plus, you’ll get private access to the “Insiders” community where you can have all of your questions answered by me.  

Looking for other ways to support me that are 100% free?

  • Like, comment and share on youtube, facebook and instagram 
  • Leave a 5-star review on apple podcasts

Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Disantis AE, Martin RL, Enseki K, Spaid V, McClincy M. Non-Operative Rehabilitation Principles for Use in Individuals with Acetabular Dysplasia: A North American Based Delphi Study. Int J Sports Phys Ther. 2023 Dec 2;18(6):1331-1345. doi: 10.26603/001c.89265. PMID: 38050551; PMCID: PMC10693488.

  2. Gala L, Clohisy JC, Beaulé PE. Hip Dysplasia in the Young Adult. J Bone Joint Surg Am. 2016 Jan 6;98(1):63-73. doi: 10.2106/JBJS.O.00109. PMID: 26738905.

  3. Enseki K, Harris-Hayes M, White DM, Cibulka MT, Woehrle J, Fagerson TL, Clohisy JC; Orthopaedic Section of the American Physical Therapy Association. Nonarthritic hip joint pain. J Orthop Sports Phys Ther. 2014 Jun;44(6):A1-32. doi: 10.2519/jospt.2014.0302. PMID: 24881906; PMCID: PMC4399382.

  4. The Biomechanical Disadvantage of Dysplastic Hips. Harris MD, Shepherd MC, Song K, et al. Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society. 2022;40(6):1387-1396. doi:10.1002/jor.25165.

  5. Risk Factors of Developmental Dysplasia of the Hip in a Single Clinical Center. Xiao H, Tang Y, Su Y. Scientific Reports. 2022;12(1):19461. doi:10.1038/s41598-022-24025-8.

  6. Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am. 2011 May;93 Suppl 2:17-21. doi: 10.2106/JBJS.J.01735. PMID: 21543683.

  7. Santore RF, Gosey GM, Muldoon MP, Long AA, Healey RM. Hypermobility Assessment in 1,004 Adult Patients Presenting with Hip Pain: Correlation with Diagnoses and Demographics. J Bone Joint Surg Am. 2020 Nov 4;102(Suppl 2):27-33. doi: 10.2106/JBJS.20.00060. PMID: 32890043.

  8. Ayesha Mughal, Danilo Vukanic, Evelyn Patricia Murphy, Geoffery Crozier-Shaw, Anant Mahapatra,Labral tear is associated with increased risk of osteoarthritis – A cross-sectional study,Journal of Orthopaedic Reports,Volume 2, Issue 4,2023,100185,ISSN 2773-157X,https://doi.org/10.1016/j.jorep.2023.100185.(https://www.sciencedirect.com/science/article/pii/S2773157X23000577)

  9. Dancy ME, Oladipo V, Boadi P, Mercurio A, Alexander AS, Hevesi M, Krych AJ, Okoroha KR. Femoroacetabular Impingement: Critical Analysis Review of Current Nonoperative Treatments. JBJS Rev. 2025 Apr 16;13(4):e24.00211. doi: 10.2106/JBJS.RVW.24.00211. PMID: 40238927; PMCID: PMC11939100.

  10. Fortier LM, Popovsky D, Durci MM, Norwood H, Sherman WF, Kaye AD. An Updated Review of Femoroacetabular Impingement Syndrome. Orthop Rev (Pavia). 2022 Aug 25;14(3):37513. doi: 10.52965/001c.37513. PMID: 36034731; PMCID: PMC9404268.

  11. Gómez-Verdejo F, Alvarado-Solorio E, Suarez-Ahedo C. Review of femoroacetabular impingement syndrome. J Hip Preserv Surg. 2024 Oct 15;11(4):315-322. doi: 10.1093/jhps/hnae034. PMID: 39839560; PMCID: PMC11744475.

  12. O’Rourke RJ, El Bitar Y. Femoroacetabular Impingement. [Updated 2023 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. 

  13. Jacobsen JS, Thorborg K, Nielsen RØ, Jakobsen SS, Foldager C, Sørensen D, Oestergaard LG, van Tulder MW, Mechlenburg I. Comparing exercise and patient education with usual care in the treatment of hip dysplasia: a protocol for a randomised controlled trial with 6-month follow-up (MovetheHip trial). BMJ Open. 2022 Sep 20;12(9):e064242. doi: 10.1136/bmjopen-2022-064242. PMID: 36127096; PMCID: PMC9490612.

  14. Periacetabular Osteotomy for Symptomatic Acetabular Dysplasia in Patients ≥40 Years Old: Intermediate and Long-Term Outcomes and Predictors of Failure. Novais EN, Ferraro SL, Miller P, et al. The Journal of Bone and Joint Surgery. American Volume. 2023;105(15):1175-1181. doi:10.2106/JBJS.23.00001.

  15. The Scientific Evolution of Periacetabular Osteotomy: A Global Review. Ahmad SS, Haertlé M, Konrads C, et al. Journal of Clinical Medicine. 2022;11(20):6099. doi:10.3390/jcm11206099.

  16. Kraeutler MJ. Editorial Commentary: Most Patients With Borderline Hip Dysplasia Do Well After Hip Arthroscopy: Could Instability Be the Problem for Those Who Do Poorly? Arthroscopy. 2023 Feb;39(2):283-284. doi: 10.1016/j.arthro.2022.10.005. PMID: 36603997.

  17. Leopold VJ, Szarek A, Hipfl C, Bärtl S, Perka C, Hardt S. Outcomes and Return-to-Sports Rates in Patients With Borderline Hip Dysplasia After Periacetabular Osteotomy: A Case Series With 5-Year Follow-up. Am J Sports Med. 2024 Feb;52(2):383-389. doi: 10.1177/03635465231217736. Epub 2024 Jan 17. PMID: 38230876; PMCID: PMC10838470.

  18. Heyworth BE, Novais EN, Murray K, Cvetanovich G, Zurakowski D, Millis MB, Kim YJ. Return to Play After Periacetabular Osteotomy for Treatment of Acetabular Dysplasia in Adolescent and Young Adult Athletes. Am J Sports Med. 2016 Jun;44(6):1573-81. doi: 10.1177/0363546516632743. Epub 2016 Mar 11. PMID: 26969123.

Image References:

  1. Hip Labrum: Image Source, License, Attribution: OpenStax College – Edited by Fitness Pain Free LLC

  2. Lateral center edge angle: Source: https://upload.wikimedia.org/wikipedia/commons/b/bf/Center-edge_angle_of_Wiberg.jpg  attribution: Article authors: Ruiz Santiago, Fernando; Santiago Chinchilla, Alicia; Ansari, Afshin; Guzmán Álvarez, Luis; Castellano García, Maria del Mar; Martínez Martínez, Alberto; Tercedor Sánchez, Juan, CC BY 4.0 <https://creativecommons.org/licenses/by/4.0>, via Wikimedia Commons

  3. Tonnis Angle: Source: https://upload.wikimedia.org/wikipedia/commons/d/d9/T%C3%B6nnis_angle_of_the_hip.jpg   attribution: Article authors: Article authors: Ruiz Santiago, Fernando; Santiago Chinchilla, Alicia; Ansari, Afshin; Guzmán Álvarez, Luis; Castellano García, Maria del Mar; Martínez Martínez, Alberto; Tercedor Sánchez, Juan, CC BY 4.0 <https://creativecommons.org/licenses/by/4.0>, via Wikimedia Commons

  4. Normal Hip Image source: https://upload.wikimedia.org/wikipedia/commons/e/e3/Biomechanik-H%C3%BCftdysplasie-Normalstellung.svg  Attribution: Original: Redlinux Vector:  Anka Friedrich, CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons

  5. Dysplasia Hip Image source: https://upload.wikimedia.org/wikipedia/commons/6/65/Biomechanik-H%C3%BCftdysplasie-dysplastisch.svg Attribution: Original: Redlinux Vector:  Anka Friedrich, CC BY 3.0 <https://creativecommons.org/licenses/by/3.0>, via Wikimedia Commons 

  6. PAO Source: https://upload.wikimedia.org/wikipedia/commons/b/bd/PAO_after.jpg  attribution: Hip2PAOFO, Public domain, via Wikimedia Commons

  7. PAO picture: Source: https://upload.wikimedia.org/wikipedia/commons/1/16/Acetabuloplastik-Schritt2.svg attribution: Hk kng nach Vorlage von de:Benutzer:OrthoPat, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons

  8. Coxa Valga: Image source: https://upload.wikimedia.org/wikipedia/commons/6/62/Coxa-valga-norma-vara-000.png  Attribution: Addingrefs, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons

The post What Physical Therapists NEED to Know About Hip Dysplasia appeared first on Fitness Pain Free.



Source link

Leave a Reply

Your email address will not be published. Required fields are marked *

Related News