Initial management of hip pain in young adults includes simple analgesics or non-steroidal anti-inflammatory medication (NSAIDs), activity modification, and an anteroposterior radiograph of the hip
Refer young adults with persistent hip pain for orthopaedic/sports and exercise medicine specialist opinion, even if imaging studies in primary care are reported as normal
Most common causes of persistent hip pain in young adults are femoroacetabular impingement syndrome (FAI), hip dysplasia, and early osteoarthritis
Early referral and treatment can improve pain and function but might also enable joint preserving treatments before the onset of osteoarthritis
Appropriate surgical correction of the anatomical abnormalities in FAI and dysplasia safely and reliably reduces pain and improves function; failure of these procedures usually reflects failure to identify pre-existing arthritic change in the joint or to correct the anatomical deformity
Hip pain in young adults is not normal and can be severe and disabling, affecting work, parenting, and leisure activities.12 The causes of hip pain in young adults (aged 16-50) tend to receive less attention than those in children (including Perthes’ disease, slipped capital femoral epiphysis, and septic arthritis) and in older patients (usually osteoarthritis). Imaging studies might not reveal an underlying problem, even where the patient’s symptoms are a consequence of clinically significant pathology.
Research has improved understanding of the causes of hip pain in young adults, including femoroacetabular impingement syndrome (FAI) and dysplasia of the hip, and has identified new treatments, although evidence is still limited.34 Importantly, both FAI and hip dysplasia are treatable causes of hip pain in young adults.456 This Practice Pointer aims to help the non-specialist evaluate young adults presenting with hip pain, and provides an update on common young adult hip pathologies.
Hip problems in young adults can be considered as problems within the joint itself …

中文翻译：

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年轻人髋部疼痛的治疗方法

年轻人髋部疼痛的初步管理包括简单的镇痛药或非甾体类抗炎药（NSAIDs），活动改变以及髋关节前后位影像。将
患有持续性髋部疼痛的年轻人用于骨科/运动和运动医学专家的意见，即使已报告了初级保健的影像学研究是正常的
，年轻人持续性髋关节疼痛的最常见原因是股骨髋臼撞击综合征（FAI），髋关节发育不良和早期骨关节炎
早期转诊和治疗可以改善疼痛和功能，但也可以保留关节骨关节炎发作前的治疗
对FAI和发育异常的解剖异常进行适当的手术矫正，可安全可靠地减轻疼痛并改善功能；这些程序的失败通常反映出无法识别关节中先前存在的关节炎变化或无法纠正解剖畸形
。年轻人的髋关节疼痛是不正常的，可能很严重且致残，影响工作，养育子女和休闲活动。1 2与儿童（包括Perthes病，股骨骨epi滑脱和化脓性关节炎）和年龄较大的患者（通常是骨关节炎）相比，年轻人（16-50岁）的髋部疼痛病因受到的关注较少。影像学研究可能无法揭示潜在的问题，即使患者的症状是临床上重要病理学的结果。
研究已经使人们对年轻人髋关节疼痛的原因有了更深入的了解，包括股骨髋臼撞击综合征（FAI）和髋关节发育不良，并确定了新的治疗方法，尽管证据仍然有限。3 4重要的是，FAI和髋关节发育不良都是可治疗的年轻人髋关节疼痛的病因。4 5 6该实践指针旨在帮助非专业人员评估出现髋关节疼痛的年轻成年人，并提供有关常见的年轻成年人髋关节病变的最新信息。
年轻人的髋关节问题可视为关节本身内的问题……