Many mechanical factors are related to the development of hip joint damage and pain. The position in which the femoral head sits in the hip joint is defined as femoral torsion. If you imagine the center of the femoral head pointing directly to the center of the acetabulum, this is defined as neutral femoral torsion. When the center of the femoral head points more toward the anterior aspect of the hip joint, then it is known as anteversion. If the center of the femoral head points to the back of the hip joint, it is known as retroversion. Excessive femoral anteversion and retroversion lead to symptomatic, painful hips and progressive cartilage wear. A patient suffering from excessive torsion may consider femoral rotational osteotomies as a long-term solution.