Live Clinics - Young adult hip pain: systematic examination and management paradigms by Vikas Khanduja

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.
     
Nicolas Reina
CHU Toulouse, FRANCE
Course Director

My website

Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.

His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.

Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).

Vikas Khanduja
Cambridge, UNITED KINGDOM
Addenbrookes - Cambridge University Hospital

Vikas Khanduja is a Consultant Orthopaedic Surgeon specialising in both sports surgery and arthroplasty aspects of hip surgery and has a particular interest in arthroscopic surgery of the hip. He has been instrumental in setting up the tertiary referral service for Young Adult Hip Surgery in Cambridge for the East of England.

Mr. Khanduja qualified as a Doctor in 1997 and then completed his Basic Surgical training in London. Following this he received his Higher Surgical Training in Trauma and Orthopaedics on the North Thames circuit in London, gaining the FRCS (Orth) in 2005. Subsequently, he undertook his sub‐specialty training fellowships in knee and hip surgery with eminent surgeons in the field in London, Cambridge, Zurich and New York.

Complementing his clinical practice, his research interests centre around Optimisation of arthroscopic management of femoroacetabular impingement. In particular, he has been working on disease stratification of FAI using novel imaging techniques, better pre-operative planning tools using dynamic analysis of the hip and optimisation of arthroscopic management of FAI via precision surgery using navigation to improve outcomes.

Mr. Khanduja sits on the Executive Board of the British Hip Society ** as the President, the ESSKA Board as Chair of European Hip Preservation Associates, the SICOT Board as President Elect, the NIHR MSK NSG as the Orthopaedic Lead for the Eastern Region and is the Trustee and Past Chair of the Non Arthroplasty Hip Registry.

Ran Schwarzkopf
New York, UNITED STATES
NYU Langone Orthopedic Hospital

"I graduated summa cum laude from both my Bachelor of Science degree and master’s degree in biomedical engineering programs at Ben-Gurion University of the Negev in Israel, where I later graduated as valedictorian of my medical class.

After an orthopedic surgery residency here at the Hospital for Joint Diseases—now NYU Langone Orthopedic Hospital—I completed a fellowship in adult reconstruction and total joint replacement surgery at Brigham and Women’s Hospital, a major teaching hospital of Harvard Medical School.

My practice at NYU Langone focuses specifically on caring for people with hip and knee conditions. I have a particular interest in degenerative joint disease of the hips and knees. Other areas of focus include treatment for people with developmental hip dysplasia, avascular necrosis, posttraumatic arthritis, rheumatoid arthritis, and complex revision surgery.

I have had the privilege to train and learn from the founders of the field of joint replacement surgery. I have gained a vast amount of experience in performing complex and revision hip and knee surgery, partial knee replacement, ligament-sparing knee surgery, hip resurfacing, and hip fracture surgery. I helped develop and use robotics and advanced technology for hip and knee replacement. I pioneered minimally invasive surgical techniques such as the STAR approach for hip and robotic knee replacements. My goal is to help my patients maintain their lifestyle and activity levels.

Dr Schwarzkopf is the director of the Research Center for the Adult Reconstruction Division. Dr. Schwarzkopf’s research interests include both clinical and basic science. He has published over 800 peer reviewed studies on topics ranging from hip fracture fixation to outcomes of total joint replacements. Dr. Schwarzkopf has received multiple grants throughout his career including the TriOrg, FARE, OREF and knee and hip society research grants. Dr. Schwarzkopf is a member of both the prestigious North American Hip Society and Knee Society; he serves on the board of the hip society and the American Association of Hip and Knee Surgeons."

Dr Schwarzkopf is married to Aude, and father to Matan, Yaelle and Mia. His hobbies include running, snowboarding, Scuba diving and skydiving.

Tsiridis
Surgery PGH Hospital at AUTh Medical School, GREECE
Professor & Chairman of Orthopaedic

Eleftherios Tsiridis (MD, MSc (Orth), DMed, PhD (London), FACS, FRCS) is Professor & Chairman of Orthropaedic Surgery, Director of Adult Joint Reconstruction and the Arthroplasty Registry (ART) at AUTH University of Thessaloniki in Greece, as well as President of the Hellenic Hip and Knee Society and President Elect of the European Hip Society (EHS) and Vice President of Hellenic Orthopaedic Association. He trained and worked in the UK and USA for 20 years developing international activity, profile and recognition through his clinical and research work comprising of 250 publications with 15,000 citations and an h factor of 52 along with 15 completed PhD theses and 3milion Euros in research grants.

He is a high volume Surgeon performing over 600 arthroplasty cases per year, including revisions and robotics. He is the innovator of VR technology in Orthopaedics, founder of the start-up Orama VR.SA and pioneer in robotic Surgery in Europe.

CHU Dijon

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