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The Approach to the Evaluation and Surgical Treatment of Mechanical Hip Pain in the Young PatientAAOS Exhibit Selection
Jack G. Skendzel, MD1; Alexander E. Weber, MD1; James R. Ross, MD1; Christopher M. Larson, MD2; Michael Leunig, MD3; Bryan T. Kelly, MD4; Asheesh Bedi, MD1
1 Department of Orthopaedic Surgery, University of Michigan, 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106. E-mail address for A. Bedi: abedi@umich.edu
2 Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, 4010 West 65th Street, Edina, MN 55435
3 Department of Orthopedics, Schulthess Clinic, Lengghalde 2, 8008 Zürich, Switzerland
4 Center for Hip Preservation, Hospital for Special Surgery, 525 East 71st Street, New York, NY 10021
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Investigation performed at the University of Michigan, Ann Arbor, Michigan

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Sep 18;95(18):e133 1-16. doi: 10.2106/JBJS.L.01611
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The mechanical causes of hip pain in a young athlete often reflect a complex combination of static and dynamic factors. A comprehensive diagnostic approach is paramount to the development of a rational treatment strategy that will address all underlying pathologic factors. The goals of this paper are to highlight the pertinent biomechanical factors of the hip joint in femoroacetabular impingement and to discuss the clinical history, physical examination, and radiographic findings that are essential to formulating a proper diagnosis and an effective treatment plan. In addition, the current literature and reported outcomes of femoroacetabular impingement surgery in athletic patients are reviewed.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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