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Orthopedic Surgery
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Orthopedic Surgery
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Orthopedic Surgery
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Oral Presentation
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Clinical Science
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Research/Clinical
Abstract
Background: Hip dysplasia is a common source of hip pain in young adults that can lead to early-onset osteoarthritis. The Bernese periacetabular osteotomy (PAO) and total hip arthroplasty (THA) have shown good results as surgical treatment options for this disorder, yet pain may persist after surgery. A previous study described the clinical features of pre-treated hip dysplasia in a traditional clinical cohort; however, to our knowledge, no previous studies have examined the symptomatic manifestations of hip dysplasia in young adults before and after various surgical treatments including the analysis of pain locations in numerous anatomical areas through a body pain diagram. This study aimed to analyze the symptomatic differences of hip dysplasia before and after separate surgical interventions, including pain location and characteristics, severity, patient-reported outcomes, and a body pain diagram.
Methods: A REDCap-based survey was distributed through social media from October 2023 to May 2024 and targeted anyone previously affected by, or currently experiencing, hip pain. The survey gathered data on demographics, comprehensive hip-specific history, and various patient-reported outcome measures. Of the 509 completed surveys, 287 respondents reported a diagnosis of hip dysplasia and were divided into cohorts based on treatment history: no surgery (n=65), post-PAO (n=162), post-THA (n=45), and post-hip arthroscopy (n=15).
Results: Chronic hip pain was reported by all cohorts, with pain most commonly localized to the groin (no surgery 92.3%; post-PAO 84.6%; post-THA 84.4%; post-hip arthroscopy 93.3%) and trochanteric region (no surgery 66.2%; post-PAO 72.8%; post-THA 68.9%; post-hip arthroscopy 86.7%). The no surgery (4.26±2.08), post-PAO (4.10±1.94), post-THA (3.98±2.13), and post-hip arthroscopy (4.0±1.73) cohorts all reported pain in multiple anatomic locations. All hip arthroscopy respondents (n=15) and 98.5% (n=64) of the non-surgical respondents reported experiencing pain in the week prior to survey participation. Activity exacerbated pain across all cohorts while rest was found to be the best method of pain alleviation. THA respondents have seen an average of 5.27 (± 3.40) medical professionals for their hip pain while the hip arthroscopy cohort have seen an average of 4.13 (± 1.25). Seventy-point nine percent (n = 112) and 79.6% (n = 35) of the PAO and THA cohorts, respectively, reported their surgeries helped alleviate pain while only 46.7% (n = 7) hip arthroscopy respondents reported pain alleviation after surgery. THA and PAO respondents reported the lowest pain levels (VAS 3.75±2.44 & 4.01±2.48, respectively) and better hip function (HOOS 58.9±17.4 & 55.9±14.1, respectively) compared to other groups. Hip arthroscopy respondents had the lowest function (HOOS 47.6±11.9) and highest pain catastrophizing (PCS 27.5±8.0) while non-surgical respondents had the highest pain levels (VAS 5.08±2.48).
Conclusion: Patients with hip dysplasia continue to report pain in multiple anatomical locations even after treatment, highlighting the persistent nature of pain in this condition. Furthermore, the most common pain locations associated with this condition remain consistent following different surgical treatments. Despite multiple pain locations, PAO and THA appear effective in treating hip dysplasia, showing better pain, hip function, and pain catastrophizing compared to respondents without surgery.
Recommended Citation
Gaddis, John M.; Wheeler, Amanda; Alsabawi, Yossef; Shults, Erika; South, Charles; and Wells, Joel E., "Symptomatic Manifestations of Hip Dysplasia in Young Adults: How Do Patients Present Before and After Surgery?" (2025). Research Symposium. 15.
https://scholarworks.utrgv.edu/somrs/2025/talks/15
Included in
Symptomatic Manifestations of Hip Dysplasia in Young Adults: How Do Patients Present Before and After Surgery?
Background: Hip dysplasia is a common source of hip pain in young adults that can lead to early-onset osteoarthritis. The Bernese periacetabular osteotomy (PAO) and total hip arthroplasty (THA) have shown good results as surgical treatment options for this disorder, yet pain may persist after surgery. A previous study described the clinical features of pre-treated hip dysplasia in a traditional clinical cohort; however, to our knowledge, no previous studies have examined the symptomatic manifestations of hip dysplasia in young adults before and after various surgical treatments including the analysis of pain locations in numerous anatomical areas through a body pain diagram. This study aimed to analyze the symptomatic differences of hip dysplasia before and after separate surgical interventions, including pain location and characteristics, severity, patient-reported outcomes, and a body pain diagram.
Methods: A REDCap-based survey was distributed through social media from October 2023 to May 2024 and targeted anyone previously affected by, or currently experiencing, hip pain. The survey gathered data on demographics, comprehensive hip-specific history, and various patient-reported outcome measures. Of the 509 completed surveys, 287 respondents reported a diagnosis of hip dysplasia and were divided into cohorts based on treatment history: no surgery (n=65), post-PAO (n=162), post-THA (n=45), and post-hip arthroscopy (n=15).
Results: Chronic hip pain was reported by all cohorts, with pain most commonly localized to the groin (no surgery 92.3%; post-PAO 84.6%; post-THA 84.4%; post-hip arthroscopy 93.3%) and trochanteric region (no surgery 66.2%; post-PAO 72.8%; post-THA 68.9%; post-hip arthroscopy 86.7%). The no surgery (4.26±2.08), post-PAO (4.10±1.94), post-THA (3.98±2.13), and post-hip arthroscopy (4.0±1.73) cohorts all reported pain in multiple anatomic locations. All hip arthroscopy respondents (n=15) and 98.5% (n=64) of the non-surgical respondents reported experiencing pain in the week prior to survey participation. Activity exacerbated pain across all cohorts while rest was found to be the best method of pain alleviation. THA respondents have seen an average of 5.27 (± 3.40) medical professionals for their hip pain while the hip arthroscopy cohort have seen an average of 4.13 (± 1.25). Seventy-point nine percent (n = 112) and 79.6% (n = 35) of the PAO and THA cohorts, respectively, reported their surgeries helped alleviate pain while only 46.7% (n = 7) hip arthroscopy respondents reported pain alleviation after surgery. THA and PAO respondents reported the lowest pain levels (VAS 3.75±2.44 & 4.01±2.48, respectively) and better hip function (HOOS 58.9±17.4 & 55.9±14.1, respectively) compared to other groups. Hip arthroscopy respondents had the lowest function (HOOS 47.6±11.9) and highest pain catastrophizing (PCS 27.5±8.0) while non-surgical respondents had the highest pain levels (VAS 5.08±2.48).
Conclusion: Patients with hip dysplasia continue to report pain in multiple anatomical locations even after treatment, highlighting the persistent nature of pain in this condition. Furthermore, the most common pain locations associated with this condition remain consistent following different surgical treatments. Despite multiple pain locations, PAO and THA appear effective in treating hip dysplasia, showing better pain, hip function, and pain catastrophizing compared to respondents without surgery.
