Hip
Groin pain (sportsman's hernia)
Resurfacing
Total Hip replacement
In this PCO 2026 Live Clinics session, renowned hip preservation specialist Vikas Khanduja demonstrates a systematic clinical examination of a 28-year-old patient with post-slipped capital femoral epiphysis (SCFE) deformity and early secondary osteoarthritis.
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Comprehensive clinical & groin assessment
Master the targeted young adult hip examination protocol to distinguish intra-articular pathology from extra-articular pain generators:
- Palpation & provocation: Systematic palpation of four bony landmarks and four soft-tissue entities to rule out adductor-, iliopsoas-, pubic-, and inguinal-related groin pain.
- Dynamic Range of Motion: Identification of obligatory external rotation, internal rotation deficit, and pathognomonic impingement tests (FADIR / FABER).
Preservation vs. arthroplasty decision-making
An international faculty debates critical management crossroads in young adults:
- Evaluating the limitations and failure risks of hip arthroscopy in Tönnis grade II post-SCFE hips.
- Primary total hip arthroplasty (THA) longevity with modern cross-linked polyeth-ylene versus hip resurfacing.
- Evidence-based critique of intra-articular injections and chondroprotective sup-plements in established chondral loss.
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