Classification and Origin of Hip Pain in Young and Middle Age Adults

Abstract

The prevalence of coxarthrosis has increased significantly in recent years, therefore, we consider the continuous evaluation of different surgical techniques and the most prevalent pathologies in our society to be important. The diagnosis of hip pain is based on three pillars: the medical history, the physical examination, and complementary tests. The medical history should help us determine the anatomical origin of the symptoms, their clinical characteristics, the degree of functional limitation, and the activity that triggers the symptoms. Degenerative hip disorders in young patients are not usually associated with a clear traumatic history, although sports activities, minor injuries, or awkward postures can trigger or exacerbate them. It is important to determine the limitation in quality of life that the problem causes for the patient; when this limitation is significant, the deterioration of the joint may be advanced. This article presents a specific clinical-surgical case and reviews the current literature on hip replacement surgeries in young patients. In our setting, the number of young patients undergoing total hip replacement (THR) is steadily increasing, making it necessary to establish algorithms and management guidelines for the diagnosis and treatment of coxarthrosis in young patients, adapting international guidelines to our sociodemographic context.