Evaluation and Treatment of Femoroacetabular Impingement and Hip Dysplasia in the Young Adult Population

Femoroacetabular impingement and hip dysplasia are surgical hip conditions in the young adult population. Thorough physical examination and radiographic evaluation are important in the diagnosis of these conditions. Radiographic measurements include lateral center edge angle to assess acetabular coverage and alpha angle to quantify cam morphology in impingement. Intra-articular injections and physical therapy are key components of nonoperative management. Surgical interventions include hip arthroscopy and periacetabular osteotomy and have demonstrated good outcomes for reduction of pain and improved function. However, hip preserving procedures should have a limited role in the setting of osteoarthritis.