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Purpose of review: To identify several of the major trends and advancements in the diagnosis and care of the adolescent hip that have recently been responsible for reshaping the standard of care for this group of patients.

Recent findings: Recent research has provided an expanded understanding of hip mechanics and anatomy, improved imaging techniques and, in particular, produced a better appreciation of factors that predispose the hip to degenerative changes. It has led to the development and expansion of several treatment options, including hip arthroscopy, safe surgical dislocation of the hip and periacetabular rotational osteotomy.

Summary: An appreciation of emerging trends in the diagnosis and treatment of adolescent hip problems is important, as prompt recognition of and intervention for certain hip disorders may prevent ongoing injury and avoid or ameliorate chronic conditions associated with the development of degenerative joint changes and osteoarthritis.

(C) 2009 Lippincott Williams & Wilkins, Inc.