Developmental Dysplasia of the

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Intra-articular pathology is often associated with developmental dysplasia of the hip [1,37,39]. Hip dysplasia may present in adolescence or young adulthood as hip pain from a degenerative labral tear or chondral lesion (Fig. 7). Anterior labral tears may also occur as a result of anterior impingement from a post-slipped capital femoral epiphysis deformity or pistol-grip deformity [36,40-45]. Although favorable results have been reported from the arthroscopic management of intra-articular pathology in dysplastic hips [10], the authors' preferred approach is to address the underlying dysplasia with periacetabular osteotomy, with or without proximal femoral osteotomy [1,37]. After periacetabular osteotomy, some patients may present with increasing hip pain and mechanical symptoms caused by a degenerative labral tear. In the authors' series, we found improvement in symptoms with arthroscopic debridement in six of eight patients; however, the two patients who had full-thickness degenerative joint disease did not improve after arthroscopic debridement, questioning its efficacy in patients who have advanced degenerative joint disease.

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