Hip evolution to degeneration

Abstract

Body: Of all the human joints, the morphology of the hip and pelvis have been influenced most by human evolution with the development of a bipedal erect gate and a progressive increase in head size [1]. The hip and pelvis continue to grow and develop during the first two decades of life [2]. Conditions that affect this development include developmental dysplasia of the hip, Legg-Calvé- Perthes disease and slipped capital femoral epiphysis. These entities, as well as anatomical configurations such as cam and pincer morphology are associated with premature hip failure in young patients [3]. Man's longevity also has increased the morbidity associated with premature osteoarthritis [1]. This review will discuss the evolutionary processes that influenced development of the hip, as well as several hip disorders encountered in children that can ultimately result in hip degeneration. Learning objectives: Understanding of hip evolution and development and paediatric hip pathology that predisposes to degeneration.L6189767122017-11-01 <br />