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Mental health and wellness influence patients with hip pain and dysfunction secondary to Femoroacetabular Impingement Syndrome, acetabular dysplasia, and labral injury. Disorders of mental wellness may impact hip preservation surgery patients both before and after surgery. Major depression and generalized anxiety are the two most common diagnoses that affect hip preservation surgery patients.

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Iliotibial Band Origin Tendinopathy Is an Underrecognized Cause of Anterolateral Hip Pain: A Narrative Review and Clinical Commentary.

Curr Sports Med Rep

June 2024

Departments of Physical Medicine and Rehabilitation and Orthopedic Surgery, Division of Sports Medicine, Mayo Clinic, Rochester, MN.

Article Synopsis
  • - Hip pain is a frequent issue for athletes, with common causes like gluteal tendinopathy, femoroacetabular impingement, and osteoarthritis often overshadowing rarer conditions like iliotibial band origin tendinopathy (ITBOT).
  • - Identifying the cause of hip pain can be challenging due to the complex pelvic anatomy and varied pain referral patterns, making a systematic evaluation approach crucial for accurate diagnosis.
  • - This review focuses on detailing the anatomy of the iliotibial band's origin, discussing how to diagnose ITBOT through imaging, and summarizing current treatment options, highlighting a need for more awareness and research on this condition.
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Abstract: There is a growing trend in the world of orthopedics and sports medicine revolving around the nonarthritic hip. The incidence of hip arthroscopy has exponentially grown in the past decade and despite the importance of the recognition of these hip pathologies as contributors to pain and dysfunction, there is an ever-increasing rate of "failed" procedures emerging in the literature. The etiology of femoroacetabular impingement (FAI) syndrome and associated pathologies of the hip are now better understood.

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The optimal classification system in arthroscopic and related surgery research and clinical practice should be clinically relevant, descriptive, reproducible, simple, inexpensive, safe, and widely applicable. For the hip, classification systems that characterize intra-articular disorders like femoroacetabular impingement (FAI) syndrome, dysplasia, labral tears, and articular cartilage disease predominate the literature. Recently, awareness of peritrochanteric and other extra-articular disorders has increasingly led to greater recognition, diagnosis, and treatment of what has been historically known as "just bursitis".

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Purpose: The ischiofemoral distance (IFD), defined as the distance between the ischial tuberosity and the lesser trochanter of the femur, is gaining recognition as an extra-articular cause of hip pain. It is unknown whether the IFD is influenced by the frontal knee alignment. The aim of this study was to determine the influence of realignment surgery around the knee on the IFD.

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