Why is it often undiagnosed?
Mild forms of **hip dysplasia** cause vague symptoms for years, which are attributed to posture, sports, or stress. A correctly taken pelvic X-ray with targeted measurements usually confirms the diagnosis. Too often, only the back is examined.
Typical Symptoms
- Deep, persistent groin pain that gradually worsens
- Pain after prolonged sitting or standing
- C-sign: you point to the pain with your thumb and index finger around the groin
- Fatigue in the hip after active days
- Clicking or popping in the hip
- Pain in specific yoga poses, dance, or squats
Treatment Options at a Young Age
For hip dysplasia:
- Strengthening of gluteal muscles and core
- **Periacetabular osteotomy (PAO)** for structural correction
- Arthroscopy if combined with labral tear
For FAI:
- Modified activity + physiotherapy
- **Hip arthroscopy** for persistent symptoms
Goal: to prevent or delay osteoarthritis later in life.
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