Clinical presentation of symptomatic @entity7195 in skeletally mature XXXX .

@entity1 @entity7195 @entity572 @entity158 @entity570
BACKGROUND: @entity7195 is recognized as a cause of early @entity570 . The purpose of this study was to prospectively determine the early clinical presentation of symptomatic @entity7195 in skeletally mature @entity1 . METHODS: Fifty-seven consecutive skeletally mature @entity1 with a total of sixty-five symptomatic hips were diagnosed with symptomatic @entity7195 on the basis of the history, physical examination, and radiographs. These fifty-seven @entity1 were enrolled in this study and were followed prospectively for a minimum of twenty-four months postoperatively. RESULTS: The study group included forty-one female @entity1 (72%) and sixteen male @entity1 (28%) with a mean age of twenty-four years. All were treated with a periacetabular osteotomy and were followed for a minimum of twenty-four months. The initial presentation was insidious in 97% of the hips, and the majority (77%) of the hips were associated with moderate-to-severe @entity158 on a daily basis. @entity158 was most commonly localized to the groin (72%) and/or the lateral aspect of the hip (66%). Activity-related @entity158 was common (88%), and activity restriction frequently diminished @entity158 (in 75% of the cases). On examination, thirty-one hips (48%) were associated with a limp; twenty-five (38%), with a positive Trendelenburg sign; and sixty-three (97%), with a positive impingement sign. The mean time from the onset of symptoms to the diagnosis of @entity572 was 61.5 months. The mean number of health-care providers seen prior to the definitive diagnosis was 3.3. The mean Harris hip score improved from 66.4 points preoperatively to 91.7 points at a mean of 29.2 months after the periacetabular osteotomy. CONCLUSIONS: The diagnosis of symptomatic @entity7195 is commonly delayed, and procedures other than a pelvic reconstructive osteotomy are frequently recommended. The diagnosis of @entity572 should be suspected and investigated when a skeletally mature, young, active @entity1 has a predominant complaint of insidious activity-related groin @entity158 and/or lateral @entity158 . LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions to Authors for a complete description of levels of evidence.
