Hip Preservation

There are a number of reasons that athletes experience hip pain and injury. For optimal management, doctors must identify the exact etiology of the pain and individualize treatment to address the specific cause of injury and patient needs. Mayo Clinic sports medicine experts working with athletes to preserve hip function collaborate to develop the best treatment strategies for all athletes with hip injuries.

Faculty members collaborating on research related to hip preservation include:

• Aaron J. Krych, M.D.

Research highlights

Review a complete list of publications on hip preservation by Mayo Clinic sports medicine researchers. Here are the highlights:

• How do we predict a full-thickness cartilage lesion of the acetabulum at the time of hip arthroscopy? The RAPID score!

  Hevesi M, Hartigan DE, Wu IT, Wyles CC, Desai VS, van Wijnen AJ, Saris DB, Levy BA, Krych AJ. The Rapidly Assessed Predictor of Intraoperative Damage (RAPID) Score: An in-clinic predictive model for high-grade acetabular chondrolabral disruption. Orthopaedic Journal of Sports Medicine. Oct. 3, 2018.

• Should we repair or reconstruct the acetabular labrum? Hip labral augmentation gives surgeons another option.

  Krych AJ. Editorial commentary: Meet your newest tool in the hip labral preservation toolbox: Labral augmentation. Arthroscopy. 2018;34:2612.

• We can successfully treat selected patients with mild hip dysplasia with hip arthroscopic labral repair.

  Hevesi M, Hartigan DE, Wu IT, Levy BA, Domb BG, Krych AJ. Are results of arthroscopic labral repair durable in dysplasia at midterm follow-up? A 2-center matched cohort analysis. The American Journal of Sports Medicine. 2018;46:1674.

• Mild hip dysplasia needs to be carefully recognized and quantified in patients presenting with hip pain.

  Bryan AJ, Poehling-Monaghan K, Krych AJ, Levy BA, Trousdale RT, Sierra RJ. Factors associated with failure of hip arthroscopy in patients with hip dysplasia. Orthopedics. March 23, 2018.

• The cam lesion can very accurately predict the location and severity of cartilage and labral damage in hips with femoral acetabular impingement.

  Kapron AL, Aoki SK, Weiss JA, Krych AJ, Maak TG. Isolated focal cartilage and labral defects in patients with femoroacetabular impingement syndrome may represent new, unique injury patterns. Knee Surgery, Sports Traumatology, Arthroscopy. Feb. 13, 2018.

• This study is one of the first to demonstrate the successful results of hip labral repair at a minimum follow-up of five years.

  Hevesi M, Krych AJ, Johnson NR, Redmond JM, Hartigan DE, Levy BA, Domb BG. Multicenter analysis of midterm clinical outcomes of arthroscopic labral repair in the hip: Minimum 5-year follow-up. The American Journal of Sports Medicine. 2018;46:280.