Skip to main content
SpringerLink
Log in

Hip Instability

  • Chapter
  • First Online:
Operative Hip Arthroscopy

Abstract

Although the hip depends primarily on its osseous anatomy for stability, its unique soft tissue envelope also plays a role in its stability, particularly when there are variants from normal. The spectrum of hip instability is wide, and therefore a complete history and physical examination combined with the appropriate imaging studies are essential in determining where on this spectrum any given patient fits. It is critical to recognize the patients that have obvious bony findings leading to the instability in order to appropriately manage them without simply resorting to simple arthroscopic repair, which may not suffice for the treatment of the underlying instability.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Philippon MJ. The role of arthroscopic thermal capsulorrhaphy in the hip. Clin Sports Med. 2001;20:817–29.

    PubMed  CAS  Google Scholar 

  2. Bellabarba C, Sheinkop M, Kuo K. Idiopathic hip instability. Clin Orthop. 1998;355:261–71.

    PubMed  Google Scholar 

  3. Takechi H, Nagashima H, Ito S. Intra-articular pressure of the hip joint outside and inside the limbus. J Jpn Orthop Assoc. 1982;56:529–36.

    CAS  Google Scholar 

  4. Kelly BT, Williams RJ, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med. 2003;316:1020–37.

    Google Scholar 

  5. Ferguson SJ, Bryant JT, Ganz R, et al. An in vitro investigation of the acetabular labral seal in hip joint mechanics. J Biomech. 2003;36:171–8.

    PubMed  CAS  Google Scholar 

  6. Ferguson SJ, Bryant JT, Ganz R, et al. The acetabular labrum seal: a pro-elastic finite element model. Clin Biomech. 2000;15:463–8.

    CAS  Google Scholar 

  7. Ferguson SJ, Bryant JT, Ganz R, et al. The influence of the acetabular labrum on hip joint cartilage consolidation: a pro-elastic finite element model. J Biomech. 2000;33:953–60.

    PubMed  CAS  Google Scholar 

  8. Kim YT, Azuma H. The nerve endings of the acetabular labrum. Clin Orthop. 1995;320:176–81.

    PubMed  Google Scholar 

  9. Torry MR, Schenker ML, Martin HD, et al. Neuromuscular hip biomechanics and pathology in the athlete. Clin Sports Med. 2006;25:179–97, vii.

    PubMed  Google Scholar 

  10. Kallas KM, Guanche CA. Physical examination and imaging of hip injuries. Oper Tech Sports Med. 2002;10:176–83.

    Google Scholar 

  11. Scopp JM, Moorman III CT. The assessment of athletic hip injury. Clin Sports Med. 2001;20:647–59.

    PubMed  CAS  Google Scholar 

  12. Paletta Jr GA, Andrish JT. Injuries about the hip and pelvis in the young athlete. Clin Sports Med. 1995;14:591–628.

    PubMed  Google Scholar 

  13. Hoppenfeld S. Physical examination of the hip and pelvis. In: Hoppenfeld S, editor. Physical exam of the spine and extremities. Norwalk: Appleton and Lange; 1976. p. 143.

    Google Scholar 

  14. Erb RE. Current concepts in imaging the adult hip. Clin Sports Med. 2001;20:661–96.

    PubMed  CAS  Google Scholar 

  15. Tonnis D, Heinecke A. Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am. 1999;81(12):1747–70.

    PubMed  CAS  Google Scholar 

  16. Tonnis D, Legal H, Graf R, editors. Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer; 1987.

    Google Scholar 

  17. Delaunay S, Dussault RG, Kaplan PA, et al. Radiographic measurements of dysplastic adult hips. Skeletal Radiol. 1997;26(2):75–81.

    PubMed  CAS  Google Scholar 

  18. Wenger DR, Bomar JD. Human hip dysplasia: evolution of current treatment concepts. J Orthop Sci. 2003;8(2):264–71.

    PubMed  Google Scholar 

  19. Reynolds D, Lucas J, Klaue K. Retroversion of the acetabulum. A cause of hip pain. J Bone Joint Surg Br. 1999;81(2):281–8.

    PubMed  CAS  Google Scholar 

  20. DePaulis F, Cacchio A, Michelini O, et al. Sports injuries in the pelvis and hip: diagnostic imaging. Eur J Radiol. 1998;27 Suppl 1:S49–59.

    Google Scholar 

  21. Kneeland JB. MR imaging of sports injuries of the hip. Magn Reson Imaging Clin N Am. 1999;7:105–15.

    PubMed  CAS  Google Scholar 

  22. Beltran J, Caudill JL, Herman LA, et al. Rheumatoid arthritis: MR imaging manifestations. Radiology. 1987;165:153–7.

    PubMed  CAS  Google Scholar 

  23. Edwards DJ, Lomas D, Villar RN. Diagnosis of the painful hip by magnetic resonance imaging and arthroscopy. J Bone Joint Surg Br. 1995;77B:374–6.

    Google Scholar 

  24. Hodler J, Trudell D, Pathria MN, et al. Width of the articular cartilage of the hip: quantification by using fat suppression spin echo MRI in cadavers. AJR Am J Roentgenol. 1992;192:351–5.

    Google Scholar 

  25. Potter HG, Montgomery KD, Heise CW, et al. MRI of acetabular fractures: value in detecting femoral head injury, intraarticular fragments, and sciatic nerve injury. AJR Am J Roentgenol. 1994;163:881–6.

    PubMed  CAS  Google Scholar 

  26. Czerny C, Kramer J, Neuhold A, et al. MRI and magnetic resonance arthrography of the acetabular labrum: comparison with surgical findings [in German]. Roto Fortschr Ged Rontgenstr Neuen Bildgeb Verfahr. 2001;173:702–7.

    CAS  Google Scholar 

  27. Allen WC, Cope R. Coxa saltans: the snapping hip revisited. J Am Acad Orthop Surg. 1995;3:303–8.

    PubMed  Google Scholar 

  28. Tietz CC, Garrett WE, Miniaci A, et al. Tendon problems in athletic individuals. J Bone Joint Surg. 1997;79A:138–52.

    Google Scholar 

  29. Jacobsen T, Allen WC. Surgical correction of the snapping iliopsoas tendon. Am J Sports Med. 1990;18:470–4.

    Google Scholar 

  30. Lieberman J, Altchek D, Salvati E. Recurrent dislocation of a hip with a labral lesion. Treatment with a modified bankart repair. J Bone Joint Surg. 1993;75A:1524–7.

    Google Scholar 

  31. Nunziata A, Blumenfeld I. Cadera a resort: a proposito de una variedad. Prensa Med Argent. 1951;38:1997–2001.

    PubMed  CAS  Google Scholar 

  32. Schaberg JE, Harper MC, Allen WC. The snapping hip syndrome. Am J Sports Med. 1984;12:361–5.

    PubMed  CAS  Google Scholar 

  33. Staple TW, Jung D, Mork A. Snapping tendon syndrome: hip tenography with fluoroscopic monitoring. Radiology. 1988;166:873–4.

    PubMed  CAS  Google Scholar 

  34. Binnie JF. The snapping hip. Ann Surg. 1913;58:59–66.

    PubMed  CAS  Google Scholar 

  35. Mayer L. Snapping hip. Surg Gynecol Obstet. 1919;29:425–8.

    Google Scholar 

  36. Zoltan DJ, Clancy Jr WG, Keene JS. A new operative approach to snapping hip and refractory trochanteric bursitis in athletes. Am J Sports Med. 1986;14:201–4.

    PubMed  CAS  Google Scholar 

  37. Altenberg AR. Acetabular labrum tears: a cause of hip pain and degenerative arthritis. South Med J. 1977;70:174–5.

    PubMed  CAS  Google Scholar 

  38. Dorrell JH, Catterall A. The torn acetabular labrum. J Bone Joint Surg. 1986;68B:400–3.

    Google Scholar 

  39. Ikeda T, Awaya G, Suzuki S. Torn acetabular labrum in young patients: arthroscopic diagnosis and management. J Bone Joint Surg. 1988;70B:13–6.

    Google Scholar 

  40. Sullivan CR, Bickel WH, Lipscomb PR. Recurrent dislocation of the hip. J Bone Joint Surg. 1955;37A:1256–70.

    Google Scholar 

  41. Suzuki S, Awaya G, Okada Y. Arthroscopic diagnosis of ruptured acetabular labrum. Acta Orthop Scand. 1986;57:513–5.

    PubMed  CAS  Google Scholar 

  42. Chegini S, Beck M, Ferguson SJ. The effects of impingement and dysplasia on stress distributions in the hip joint during sitting and walking: a finite element analysis. J Orthop Res. 2009;27:195–201.

    PubMed  Google Scholar 

  43. Arvidsson I. The hip joint: forces needed for distraction and appearance of the vacuum phenomenon. Scand J Rehabil Med. 1990;22:157–61.

    PubMed  CAS  Google Scholar 

  44. Bombelli R, editor. Structure and function in normal and abnormal hips. 3rd ed. New York: Springer; 1993.

    Google Scholar 

  45. Santori N, Villar R. Acetabular labral tears: result of arthroscopic partial limbectomy. Arthroscopy. 2000;16(1):11–5.

    PubMed  CAS  Google Scholar 

  46. Shindle MK, Ranawat AS, Kelly BT. Diagnosis and management of traumatic and atraumatic hip instability in the athletic patient. Clin Sports Med. 2006;25:309–26.

    PubMed  Google Scholar 

  47. Flory PJ, Garrett RR. Phase transition in collagen and gelatin systems. J Am Chem Soc. 1958;80:4836–45.

    CAS  Google Scholar 

  48. Flory PJ, Weaver ES. Helix coil transition in dilute aqueous collagen solutions. J Am Chem Soc. 1959;82:4518–25.

    Google Scholar 

  49. Hayashi K, Hecht P, Thabit III G, et al. The biologic response to laser thermal modification in an in vivo sheep model. Clin Orthop Relat Res. 2000;373:265–76.

    PubMed  Google Scholar 

  50. Hecht P, Hayashi K, Cooley AJ, et al. The thermal effect of monopolar radiofrequency energy on the properties of joint capsule: an in vivo histologic study using a sheep model. Am J Sports Med. 1998;26:808–14.

    PubMed  CAS  Google Scholar 

  51. Liao WL, Hedman TP, Vangsness Jr CT. Thermal profile of radiofrequency energy in the inferior glenohumeral ligament. Arthroscopy. 2004;20:603–8.

    PubMed  Google Scholar 

  52. Medvecky MJ, Ong BC, Rokito AS, Sherman OH. Thermal capsular shrinkage: basic science and clinical applications [review]. Arthroscopy. 2001;17:624–35.

    PubMed  CAS  Google Scholar 

  53. Hecht P, Hayashi K, Lu Y, et al. Monopolar radiofrequency energy effects on joint capsular tissue: potential treatment for joint instability. An in vivo mechanical and biomechanical, morphological and biochemical study using an ovine model. Am J Sports Med. 1999;27:761–71.

    PubMed  CAS  Google Scholar 

  54. Miniaci A, Codsi MJ. Thermal capsulorrhaphy for the treatment of shoulder instability. Am J Sports Med. 2006;34(8):1356–63.

    PubMed  Google Scholar 

  55. Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of bidirectional glenohumeral instability: 2–5 year follow-up. J Shoulder Elbow Surg. 2001;10:28–36.

    PubMed  CAS  Google Scholar 

  56. Mishra DK, Fanton GS. Two-year outcome of arthroscopic bankart repair and electrothermal-assisted capsulorrhaphy for recurrent anterior shoulder instability. Arthroscopy. 2001;17:844–9.

    PubMed  CAS  Google Scholar 

  57. Noonan TJ, Tokish JM, Briggs KK, Hawkins RJ. Laser assisted thermal capsulorraphy [review]. Arthroscopy. 2003;19:815–9.

    PubMed  Google Scholar 

  58. D’Alessandro DF, Bradley JP, Fleischli JE, Connor PM. Prospective evaluation of thermal capsulorraphy for shoulder instability: indications and results, 2–5 year follow-up. Am J Sports Med. 2004;32:21–33.

    PubMed  Google Scholar 

  59. Miniaci A, McBirnie J. Thermal capsular shrinkage for treatment of multidirectional instability of the shoulder. J Bone Joint Surg Am. 2003;85:2283–7.

    PubMed  Google Scholar 

  60. Levine WN, Clark Jr AM, D’Alessandro DF, Yamaguchi K. Chondrolysis following arthroscopic thermal capsulorrhaphy to treat shoulder instability: a report of 2 cases. J Bone Joint Surg Am. 2005;87:616–21.

    PubMed  Google Scholar 

  61. Petty DH, Jazraxi LM, Estrada LS, Andrews JR. Glenohumeral chondrolysis after shoulder arthroscopy: case reports and review of the literature. Am J Sports Med. 2004;32:509–15.

    PubMed  Google Scholar 

  62. Rath E, Richmond JC. Capsular disruption as a complication of thermal alteration of the glenohumeral capsule. Arthroscopy. 2001;17:E10.

    PubMed  Google Scholar 

  63. Wong KL, Williams GR. Complications of thermal capsulorrhaphy of the shoulder. J Bone Joint Surg Am. 2001;83(Suppl 2 Pt 2):151–5.

    PubMed  Google Scholar 

  64. Good C, Shindle MK, Kelly BT, Wanich T, Warren RF. Glenohumeral chondrolysis after shoulder arthroscopy with thermal capsulorrhaphy. Arthroscopy. 2007;23(7):797.e1–e5.

    Google Scholar 

  65. Lequesne M, de Seze. False profile of the pelvis. A new radiographic incidence for the study of the hip. Its use in dysplasias and different coxopathies. Rev Rhum Mal Osteoartic. 1961;28:643–52. French.

    PubMed  CAS  Google Scholar 

  66. Wiberg G. Studies on dysplastic acetabular and congenital subluxation of the hip joint. With special reference to the complication of osteoarthritis. Parts HV. Acta Chir Scand Suppl. 1939;58:7–38.

    Google Scholar 

  67. Matsui M, Masuhara K, Nakata K, Nishii T, Sugano N, Ochi T. Early deterioration after modified rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg Br. 1997;79:220–4.

    PubMed  CAS  Google Scholar 

  68. Massie WK, Howorth MB. Congenital dislocation of the hip. Part 1. Methods of grading results. J Bone Joint Surg Am. 1950;32:519–31.

    PubMed  Google Scholar 

  69. Sanchez-Sotelo J, Trousdale RT, Berry DJ, Cabanela ME. Surgical treatment of developmental dysplasia of the hip in adults: 1. Non-arthroplasty options. J Am Acad Orthop Surg. 2002;10:321–33.

    PubMed  Google Scholar 

  70. Ganz R, Klaue K, Vinh TH, Mast JW. A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. Clin Orthop. 1988;232:26–36.

    PubMed  Google Scholar 

  71. Siebenrock KA, Scholl E, Lottenbach M, Ganz R. Bernese periacetabular osteotomy. Clin Orthop. 1999;363:9–20.

    PubMed  Google Scholar 

  72. Crockarell Jr J, Trousdale RT, Cabanela ME, Berry DJ. Early experience and results with the periacetabular osteotomy: the mayo clinic experience. Clin Orthop. 1999;363:64–72.

    Google Scholar 

  73. Trousdale RT, Ekkernkamp A, Ganz R, Wallrichs SL. Periacetabular and intertrochanteric osteotomy for the treatment of osteoarthrosis in dysplastic hips. J Bone Joint Surg Am. 1995;77:73–85.

    PubMed  CAS  Google Scholar 

  74. Matta JM, Stover MD, Siebenrock K. Periacetabular osteotomy through the Smith-Petersen approach. Clin Orthop. 1999;363:21–32.

    PubMed  Google Scholar 

  75. Trumble SJ, Mayo KA, Mast JW. The periacetabular osteotomy: minimum 2 year follow-up in more than 100 hips. Clin Orthop. 1999;363:54–63.

    PubMed  Google Scholar 

  76. Hussel JG, Mast JW, Mayo KA, Howie DW, Ganz R. A comparison of different surgical approaches for the peri-acetabular osteotomy. Clin Orthop. 1999;363:64–72.

    Google Scholar 

  77. Hussel JG, Rodriguez JA, Ganz R. Technical complications of the Bernese periacetabular osteotomy. Clin Orthop. 1999;363:81–92.

    Google Scholar 

  78. Ping ME, Trousdale RT, Cabanela ME, Harper CM. Intraoperative electromyographic monitoring during periacetabular osteotomy. Clin Orthop. 2002;400:158–64.

    Google Scholar 

  79. Myers SR, Eijer H, Ganz R. Anterior femoroacetabular impingement after periacetabular osteotomy. Clin Orthop. 1999;363:93–9.

    PubMed  Google Scholar 

  80. Wong-Chung J, Ryan M, O’Brien TM. Movement of the femoral head after Salter osteotomy for acetabular dysplasia. J Bone Joint Surg Br. 1990;72:563–7.

    PubMed  CAS  Google Scholar 

  81. Sutherland DH, Greenfield R. Double innominate osteotomy. J Bone Joint Surg Am. 1977;59:1082–91.

    PubMed  CAS  Google Scholar 

  82. Le Coeur P. Corrections des defauts d’orientation de l’articulation coxofemorale par oteotomie de l’os iliaque. Rev de Chir Orthop. 1965;51:211–2.

    Google Scholar 

  83. Hopf A. Hip acetabular displacement by double pelvic osteotomy in the treatment of hip joint dysplasia and subluxation in young people and adults [German]. Z Orthop Ihre Grenzgeb. 1966;101:559–86.

    PubMed  CAS  Google Scholar 

  84. Steel HH. Triple osteotomy of the innominate bone. J Bone Joint Surg Am. 1973;55:343–50.

    PubMed  CAS  Google Scholar 

  85. Carlioz H, Khouri N, Hulin P. Osteotomie pelvienne triple juxtacotyloidienne. Rev de Chir Orthop. 1982;68:497–501.

    CAS  Google Scholar 

  86. Tonnis D, Behrens K, Tsharani F. A modified technique of triple pelvic osteotomy. J Pediatr Orthop. 1981;1:241–9.

    PubMed  CAS  Google Scholar 

  87. Eppright RH. Abstract: dial osteotomy of the acetabulum in the treatment of dysplasia of the hip. J Bone Joint Surg Am. 1975;57:1172.

    Google Scholar 

  88. Wagner H, editor. Experiences with spherical acetabular osteotomy for the correction of the dysplastic acetabulum. Acetabular dysplasia: skeletal dysplasias in childhood. Berlin: Springer; 1978. p. 131–45.

    Google Scholar 

  89. Sanchez-Sotelo J, Berry DJ, Trousdale RT, Cabanela ME. Surgical treatment of developmental dysplasia of the hip in adults: II. Arthroplasty options. J Am Acad Orthop Surg. 2002;10:334–44.

    PubMed  Google Scholar 

  90. Chudik S, Lopez V. Hip dislocations in athletes. Sports Med Arthrosc. 2002;10:123–33.

    Google Scholar 

  91. Giza E, Mithofer K, Matthews H, et al. Hip fracture-dislocation in football: a report of two cases and review of the literature. Br J Sports Med. 2004;38:E17.

    PubMed  CAS  Google Scholar 

  92. Lamke LO. Traumatic dislocations of the hip. Follow-up on cases from the Stockholm area. Acta Orthop Scand. 1970;41:188–98.

    PubMed  CAS  Google Scholar 

  93. Mitchell JC, Giannoudis PV, Millner PA, et al. A rare fracture-dislocation of the hip in a gymnast and review of the literature. Br J Sports Med. 1999;33:283–4.

    PubMed  CAS  Google Scholar 

  94. Stiris MG. Magnetic resonance arthrography of the hip joint in patients with suspected rupture of the labrum acetabulare. Tidsskr Nor Laegeforen. 2001;121:698–700.

    PubMed  CAS  Google Scholar 

  95. Dameron Jr T. Bucket-handle tear of the acetabular labrum accompanying posterior dislocation of the hip. J Bone Joint Surg Am. 1959;41:131–4.

    PubMed  Google Scholar 

  96. Nelson C. Traumatic recurrent dislocation of the hip. Report of a case. J Bone Joint Surg Am. 1970;52:128–30.

    PubMed  CAS  Google Scholar 

  97. Rasleigh-Belcher H, Cannon S. Recurrent dislocation of the hip with a bankart-type lesion. J Bone Joint Surg Br. 1966;68:398–9.

    Google Scholar 

  98. Simmons R, Elder J. Recurrent post-traumatic dislocations of the hip in children. South Med J. 1972;65:1463–6.

    PubMed  CAS  Google Scholar 

  99. Slavic M, Dungl P, Spindrick J, et al. Recurrent traumatic dislocation of the hip in a child. Significance of early arthrography. Arch Orthop Trauma Surg. 1986;104:385–8.

    Google Scholar 

  100. Hunter GA. Posterior dislocation and fracture-dislocation of the hip: a review of fifty-seven patients. J Bone Joint Surg Br. 1969;51:38–44.

    PubMed  CAS  Google Scholar 

  101. Liebenberg F, Dommisse G. Recurrent posttraumatic dislocation of the hip. J Bone Joint Surg Br. 1969;51:632–7.

    PubMed  CAS  Google Scholar 

  102. Dall D, MacNab I, Gross A. Recurrent anterior dislocation of the hip. J Bone Joint Surg Am. 1970;52:574–6.

    PubMed  CAS  Google Scholar 

  103. Heinzelmann P, Nelson C. Recurrent traumatic dislocation of the hip. Report of a case. J Bone Joint Surg Am. 1976;58:895–6.

    PubMed  CAS  Google Scholar 

  104. Yamamoto Y, Takatoshi I, Ono T, Hamada Y. Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy. 2003;19:269–73.

    PubMed  Google Scholar 

  105. Mullis BH, Dahners LE. Hip Arthroscopy to remove loose bodies after traumatic dislocation. J Orthop Trauma. 2006;20:22–6.

    PubMed  Google Scholar 

  106. Svoboda S, Williams DM, Murphy KP. Hip arthroscopy for osteochondral loose body removal after a posterior hip dislocation. Arthroscopy. 2003;19:777–81.

    PubMed  Google Scholar 

  107. Philippon MJ, Kuppersmith DA, Wolf AB, et al. Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy. 2009;25:169–74.

    PubMed  Google Scholar 

  108. DeLee JC. Fractures and dislocations of the hip. In: Rockwood CA, Green DP, editors. Fractures in adults. 2nd ed. Philadelphia: J. B. Lippincott; 1984. p. 1211–356.

    Google Scholar 

  109. Letournel E. Acetabular fractures. Clin Orthop. 1980;151:81–106.

    PubMed  Google Scholar 

  110. Matta JM, Anderson LM, Epstein HC. Fracture of the acetabulum. Clin Orthop. 1986;205:230–50.

    PubMed  Google Scholar 

  111. Rowe CR, Lowell JD. Prognosis of fractures of the acetabulum. J Bone Joint Surg Am. 1961;43:30–59.

    Google Scholar 

  112. Thompson VP, Epstein HC. Traumatic dislocation of the hip. J Bone Joint Surg Am. 1951;33:746–78.

    PubMed  Google Scholar 

  113. Armstrong JR. Traumatic dislocation of the hip: review of 101 dislocations. J Bone Joint Surg Br. 1948;30:430–45.

    Google Scholar 

  114. Stewart MJ, McCarroll HR, Mulhollan JS. Fracture dislocation of the hip. Acta Orthop Scand. 1975;46:507–25.

    PubMed  CAS  Google Scholar 

  115. Brav CEA. Traumatic dislocation of the hip. J Bone Joint Surg Am. 1962;44:1115–34.

    Google Scholar 

  116. Upadhyay SS, Moulton A, Srikrishnamurthy K. An Analysis of the late effects of traumatic posterior dislocation of the hip without fracture. J Bone Joint Surg Br. 1983;65:150–2.

    PubMed  CAS  Google Scholar 

  117. Epstein HC. Posterior fracture-dislocations of the hip: long term follow-up. J Bone Joint Surg Am. 1974;56:1103–27.

    PubMed  CAS  Google Scholar 

  118. Epstein HC. Traumatic dislocations of the hip. Clin Orthop. 1973;92:116–42.

    PubMed  Google Scholar 

  119. Evans CH, Mazzocchi RA, Nelson DD, et al. Experimental arthritis induced by intra-articular injection of allogenic cartilaginous particles into rabbit knees. Arthritis Rheum. 1984;27:200–7.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Southern California Orthopedic Institute, 6815 Noble Avenue, Van Nuys, Los Angeles, CA, 91405, USA

    Carlos A. Guanche M.D.

Authors
  1. Carlos A. Guanche M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Carlos A. Guanche M.D. .

Editor information

Editors and Affiliations

  1. Orthopaedic Center, Baptist Medical Plaza I, Nashville Sports Medicine and, Church Street 2011, Nashville, 37203, Tennessee, USA

    J.W. Thomas Byrd

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Guanche, C.A. (2013). Hip Instability. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_26

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-7925-4_26

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-7924-7

  • Online ISBN: 978-1-4419-7925-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation