New York City—September 2, 2011
Treating young athletes with chronic hip pain may be the key to slowing or halting the progression of degenerative hip disease.
Recently, increased understanding of hip structural abnormalities has allowed specialists to better identify underlying hip conditions that previously went unrecognized and to more accurately diagnose hip problems in children, teens and young adults.
"Adolescent hip pain often strikes young athletes with structural abnormalities sooner than their less active counterparts, due to the stress their level of activity places on the hip,” said Ernest L. Sink, M.D., co-director of the Center for Hip Preservation at Hospital for Special Surgery in New York City. Dr. Sink is also a member of the HSS Pediatric Orthopedic Service. His practice focuses on hip disorders and dysplasia in infants, children, adolescents and young adults.
"Any persistent hip pain in adolescents and young adults isn’t normal and should be evaluated with an x-ray and physical exam to make sure there’s no underlying structural problem that needs treatment,” Dr. Sink recommended.
In a recent online interview on the subject of adolescents and children with hip pain, Dr. Sink hoped to help patients, parents, coaches, physicians, and others to better understand the implications of chronic hip pain and its role in hip disease. This interview with Dr. Sink is available on the Center for Hip Preservation at Hospital for Special Surgery website. Formed in 2009, the Center provides individuals experiencing hip pain with proper diagnosis and treatment through innovative diagnostic imaging techniques, a full complement of non-operative and surgical approaches, and less invasive surgical procedures including arthroscopic surgery.
Increasingly, early treatment of chronic hip pain in young athletes and performers may have a long term impact on the health and mobility of the hip. With improved imaging techniques and a careful physical evaluation, it is simpler to diagnose some of the more subtle problems that cause hip pain. These more accurate diagnostic capabilities combined with improved treatments make it possible for hip specialists to slow or halt the progression of degenerative hip disease, return patients to their chosen activities, and sometimes reduce the need for more extensive surgeries.
"An occasional ache in the groin or hip may not be something about which a parent or young athlete should be concerned,” explained Dr. Sink. “But, chronic pain that does not improve should be evaluated by a surgeon who sees hip problems on a day-to-day basis.” Such hip pain occurs in young women and young men who place stress on their hips with sports (especially in dancers, hurdlers or baseball catchers) because these individuals’ activities involve the hip moving beyond its normal constraints.
With more than 44 million children and adolescents participating in sports nationwide, it’s important for parents, coaches and dance instructors to know what to look for in young athletes and performers who may be at risk:
“I always tell my patients that it’s important to conserve the hip and to manage an underlying structural problem early, before it gets too late,” explained Dr. Sink, who studied hip surgery techniques under the world-renowned Reinhold Ganz, M.D., at the University of Berne in Switzerland.
Dr. Sink performs a range of hip surgical procedures, including hip osteotomy, Ganz or periacetabular osteotomy (PAO) and surgical hip dislocation. Conditions for which young patients are commonly referred to Dr. Sink include hip dysplasia in all ages including developmental dysplasia of the hip (DDH), labral tears, femoroacetabular impingement, Perthes disease and slipped capital femoral epiphysis (SCFE).
“Sometimes if too much time goes by and a patient is living with this pain on an ongoing basis, when they finally do come to us, we look at the radiograph and it’s too late to do anything effective,” Dr. Sink continued. “Through education of other physicians, parents, coaches and instructors about what to look for, hip conditions can be managed with effective treatments specific to a patient’s particular problem.”
For more information, listen to Dr. Sink explain hip pain in children, adolescents and young adults in more detail.
About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the eighth consecutive year) and No. 3 in rheumatology by U.S. News & World Report (2017-2018). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients from 80 countries and performed more than 32,000 surgical procedures. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Innovation Institute was formed in 2015 to realize the potential of new drugs, therapeutics and devices; the global standard total knee replacement was developed at HSS in 1969, and in 2017 HSS made 130 invention submissions (more than 2x the submissions in 2015). The HSS Education Institute provides continuing medical curriculum to more than 15,000 subscribing musculoskeletal healthcare professionals in 110 countries. Through HSS Global, the institution is collaborating with medical centers worldwide to advance the quality and value of care and to make world-class HSS care more accessible to more people.