More and more patients are presenting with new diseases and hip ailments, discomfort that a few years ago could go unnoticed or simply be undervalued.
From premature stages of gestation, in the hip and other parts of the body, a series of events occur that carry with them some changes that, according to the chronology and order in which they occur, can have repercussion in the hip later. Therefore, specialists in Traumatology should give importance to the different manifestations or symptoms that arise from birth.
With the development of new techniques for diagnostic imaging, including some innocuous and non-invasive ones such as ultrasound , it is possible to ensure, from a very early age, that the anatomy and congruence of the hip joint is within normal parameters, both static and dynamic, which provides a significant margin of tranquility during a long time of the patient's childhood, adolescence or young adulthood, unless at these ages there are symptoms appreciated as strange, such as pain, disorders of gait, lameness or postural disability, which should be the subject of consultation with the specialist.
That is why, for some years, not only the treatment of osteoarthritis has been described as a disease of the hip, already established with its sequelae, even in young patients, but also, it is becoming increasingly important to diagnose early alterations of the hip in the young adult, that can be treated and thus try to avoid that they reach an osteoarthritis. Osteoarthritis does not always respond to conservative medical treatments, it is only when it is replaced in the operating room by a hip prosthesis that in the elderly patient seems a wise solution but in the young adult is difficult to accept.
The diversity of diagnostic imaging tests, some available even in 3D and little or no invasion, from the Rx, ultrasound, CT, MRI, and combinations with minimally invasive procedures such as the MRI arthrotroth CAT, allow a very precise visualization and to plan, thus, the most suitable surgical technique that takes to the specialist to its correction.Likewise, the modalities of treatment by arthroscopy and other techniques in the articulation of the hip allow to see and correct a large number of pathologies in a minimally invasive way with a satisfactory short and long term recovery.
For this reason, specialists have the responsibility to direct their training in two clear senses, the diagnosis and treatment. The first is the careful exploration and a better realization and interpretation of new diagnostic images and the second, in the deepening and purification of new surgical techniques that allow access to these pathologies of young hips that, although they have always existed, can now be intervened .