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Tools to diagnose
- History & Physical examination
- Hip impingement and abductor dysfunction are diagnosed clinically
- Xrays, MRI, CT scan
- Hip dysplasia and cartilage problems are diagnosed radiographically
- Local anesthetic injections
- Injections can block pain receptors and help localize the source of pain
Steps to diagnose
- Confirm hip as the source of pain
- Rule out non mechanical causes like primary tissue pathology
- Potential causes of mechanical pain
- Symptomatic with activity modification, medicines, therapy
- Surgical correction
- Treat the most likely cause
- Comprehensive normalization of all elements of hip function
Value to the patient (Risk-benefit analysis)
- Patient factors
- Symptoms & expectations
- Prognosis – activity, biology
- Surgeon factors – training & experience
- Facility factors – safety, equipment, back up support
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