In the younger population, hip labral tears or bony prominences surrounding both the ball and the socket of the hip, known as femoroacetabular impingement, can cause pain. It is typically not the bony protuberances that directly cause pain, but it is rather the cartilage changes that arise secondary to the bony changes that cause pain. With femoracetabular impingement, it is common for patients to develop articular cartilage problems, particularly on the acetabulum or socket of the joint. It is often these changes which lead to a patient’s presentation with pain. It is also these changes which cannot be surgically reversed.
Common causes for intraarticular pain include labral tears, early osteoarthritis, and joint inflammation. Common causes for extraarticular pain include snapping hip conditions around the hip and bursitis.
If hip conditions present at a younger age, prior to the development of hip osteoarthritis, the results with surgical intervention in the form of hip arthroscopy are often quite positive. If, however, these conditions are associated with osteoarthritis, the results of surgery are much poorer, and overall prognosis is poorer.
With the correct diagnosis and management of many hip conditions, many patients can return to most or all of their previous activities..
To Learn More …