Hip Impingement

Hip Impingement

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At Children’s Andrews Institute, our experienced, multidisciplinary team offers comprehensive care for children with hip impingement, from diagnosis to advanced, effective treatments.

Hip impingement is a condition caused by abnormally shaped bones in the hip joint that can damage the cartilage, leading to pain, inflammation and limited range of motion.

Our physicians are leaders in both non-invasive therapies and minimally invasive treatments for hip impingement. They can also provide top care for related injuries, such as:

  • Acetabular labral (hip) tears
  • Development dysplasia of the hip (DDH)
  • Hip dysplasia in teens and young adults
  • Slipped capital femoral epiphysis (SCFE)

Our goal is to diagnose hip impingement as early as possible, providing the best chance for a successful recovery and full return to activity, including sports.

Symptoms

Hip Impingement Symptoms

Children with hip impingement may not show signs or symptoms of the condition initially. When these worsen, they may include:

  • Pain in the groin or hip after the hip has been flexed in sports or sitting
  • Stiffness
  • Limited range of motion, particularly the inability to flex the hip beyond a right angle
Tests and Diagnosis

Diagnosing Hip Impingement

At the Andrews Institute, we have extensive experience diagnosing the full range of pediatric hip conditions, including hip impingement.

Diagnostic testing may include:

  • Physical exam: Tests for pain, discomfort or limited range of motion in the hip
  • X-ray: Uses invisible electromagnetic energy beams to take detailed images of the bones of the injured hip joint, checking for any problems
  • CT (computed tomography) scan: Uses X-rays to make detailed images of the hip joint
  • MRI (magnetic resonance imaging) scan: Uses magnetic fields and radiowaves to take detailed pictures of the hip joint, checking for tears in the ligaments, tendons or cartilage
Treatments

Treating Hip Impingement

Our physicians offer treatment tailored to your child’s individual needs. We specialize in both non-surgical treatments for hip impingement and in minimally invasive surgery. If surgery is needed, we use a minimally invasive approach whenever possible.

Non-surgical treatments include:

  • Medication for pain and inflammation
  • Activity modification
  • Physical therapy

If symptoms continue to worsen, we may recommend minimally invasive arthroscopic surgery.  (Learn more about arthroscopy.)

Resources

Hip Impingement Resources

Learn more about hip impingement in children:

FAQs

Hip Impingement FAQs

What is the long-term outlook for children with hip impingement?

For many children, early diagnosis and treatment offer the best outcome. Treating the impingement can prevent future damage to the hip joint. When treatment is delayed, children may experience worsening symptoms and eventually require surgery. 

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