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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2013 February;64(1):25-40

language: English

Non-surgical treatment options in mechanical hip pathology: medical and infiltration treatments, role of rehabilitation

Sallent A. 1, Seijas R. 1, 2, Ares O. 1, 3, Álvarez P. 1, 3, Cuscó X. 1, Cugat R. 1

1 Fundación García Cugat, Hospital Quiron, Barcelona, Spain;
2 Department of Anatomy, Universitat Internacional Catalunya, Barcelona, Spain;
3 Department of Orthopedic Surgery, Universitat Internacional Catalunya, Barcelona, Spain


The management of hip pathology mainly depends on the lesion affecting the same. The most frequent pathologies regarding the hip are: femoroacetabular impingement and osteonecrosis of the femoral head in young adults and greater trochanteric pain syndrome and the osteoarthritis in older patients. Conservative management, both used for healing and as a palliative purpose, looking for an alternative to surgery at least for a reasonable time is one of the utmost important aims in a hip specialist’s consultation. The use of non-operative therapeutic measurements should be based in rational and scientific evidence, following the logic of avoiding and aggravation that could have been avoided with surgical treatment. The purpose of the present review is to examine conservative methods of the abovementioned hip pathologies, together with the published scientific evidence, seeking for the maximum effectiveness regarding patients’ clinical resolution.

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