Hip-spine syndrome: rationale for ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion leading to low back pain
The term 'hip-spine syndrome' was introduced in recognition of the frequent occurrence of concomitant symptoms at the hip and lumbar spine. Limitations in hip range of motion can result in abnormal lumbopelvic mechanics. Ischiofemoral impingement, femoroacetabular impingement and abnormal...
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| Veröffentlicht in: | Journal of Hip Preservation Surgery 2020-08, Vol.7 (3), p.390-400 |
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| container_title | Journal of Hip Preservation Surgery |
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| creator | Khoury, Anthony N Hatem, Munif Bowler, Joshua Martin, Hal David |
| description | The term 'hip-spine syndrome' was introduced in recognition of the frequent occurrence of concomitant symptoms at the hip and lumbar spine. Limitations in hip range of motion can result in abnormal lumbopelvic mechanics. Ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion are increasingly linked to abnormal hip and spinopelvic biomechanics. The purpose of this narrative review is to explain the mechanism by which these three abnormal hip pathologies contribute to increased low back pain in patients without hip osteoarthritis. This paper presents a thorough rationale of the anatomical and biomechanical characteristics of the aforementioned hip pathologies, and how each contributes to premature coupling and limited hip flexion/extension. The future of hip and spine conservative and surgical management requires the implementation of a global hip-spine-pelvis-core approach to improve patient function and satisfaction. |
| doi_str_mv | 10.1093/jhps/hnaa054 |
| format | Article |
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The future of hip and spine conservative and surgical management requires the implementation of a global hip-spine-pelvis-core approach to improve patient function and satisfaction.</description><subject>Causes of</subject><subject>Complications and side effects</subject><subject>Development and progression</subject><subject>Health aspects</subject><subject>Hip joint</subject><subject>Joint diseases</subject><subject>Low back pain</subject><subject>Review</subject><issn>2054-8397</issn><issn>2054-8397</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVUctuFDEQtBCIRCE3zshHDpnEj_Ha5oAURZBEisQFzlb7MbsOM_ZgzwblK_hlHHYTLfKh7e6qUrkLofeUnFOi-cX9Zq4XmwRARP8KHbNWOsW1fH1wP0Kntd4TQiiXK7GSb9ER57pXVItj9Ocmzl2dYwq4PiZf8hQ-4QJLzAnGgIdccKxuE_MQplxgxHFq4HWYQlrO8L9mBhcWsNsRyuEUQ_IYbMplarRn-pJLbdp4DOAbsr3xmH9jC-4nniGmd-jNAGMNp_t6gn58_fL96qa7-3Z9e3V51zmu6NIBVwP1AYJUllvtqLIOvCWs16In2nsqB-epotz2PQPKBVPMUyuFIEpZxk_Q553uvLVT8K4ZbvbMXOIE5dFkiOb_SYobs84PRhFFe0abwMe9QMm_tqEuZmqLCuMIKeRtNUwwxjWXTDXo-Q66bis1MQ25Kbp2fJiiyykMsfUvpZSrFRWaNMLZjuBKrrWE4cUXJeYpd_OUu9nn3uAfDv_yAn5Omf8FNsivGg</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Khoury, Anthony N</creator><creator>Hatem, Munif</creator><creator>Bowler, Joshua</creator><creator>Martin, Hal David</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7418-5605</orcidid><orcidid>https://orcid.org/0000-0003-4122-7845</orcidid></search><sort><creationdate>20200801</creationdate><title>Hip-spine syndrome: rationale for ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion leading to low back pain</title><author>Khoury, Anthony N ; Hatem, Munif ; Bowler, Joshua ; Martin, Hal David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-a38f1deae78b3b9c18bcadb02495409dd17fcd1813b442a135282d1b755088b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Causes of</topic><topic>Complications and side effects</topic><topic>Development and progression</topic><topic>Health aspects</topic><topic>Hip joint</topic><topic>Joint diseases</topic><topic>Low back pain</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khoury, Anthony N</creatorcontrib><creatorcontrib>Hatem, Munif</creatorcontrib><creatorcontrib>Bowler, Joshua</creatorcontrib><creatorcontrib>Martin, Hal David</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Hip Preservation Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khoury, Anthony N</au><au>Hatem, Munif</au><au>Bowler, Joshua</au><au>Martin, Hal David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hip-spine syndrome: rationale for ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion leading to low back pain</atitle><jtitle>Journal of Hip Preservation Surgery</jtitle><addtitle>J Hip Preserv Surg</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>7</volume><issue>3</issue><spage>390</spage><epage>400</epage><pages>390-400</pages><issn>2054-8397</issn><eissn>2054-8397</eissn><abstract>The term 'hip-spine syndrome' was introduced in recognition of the frequent occurrence of concomitant symptoms at the hip and lumbar spine. Limitations in hip range of motion can result in abnormal lumbopelvic mechanics. Ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion are increasingly linked to abnormal hip and spinopelvic biomechanics. The purpose of this narrative review is to explain the mechanism by which these three abnormal hip pathologies contribute to increased low back pain in patients without hip osteoarthritis. This paper presents a thorough rationale of the anatomical and biomechanical characteristics of the aforementioned hip pathologies, and how each contributes to premature coupling and limited hip flexion/extension. 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| identifier | ISSN: 2054-8397 |
| ispartof | Journal of Hip Preservation Surgery, 2020-08, Vol.7 (3), p.390-400 |
| issn | 2054-8397 2054-8397 |
| language | eng |
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| source | DOAJ Directory of Open Access Journals; Oxford Journals Open Access Collection; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Causes of Complications and side effects Development and progression Health aspects Hip joint Joint diseases Low back pain Review |
| title | Hip-spine syndrome: rationale for ischiofemoral impingement, femoroacetabular impingement and abnormal femoral torsion leading to low back pain |
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