Non-Operative Care and Operative Approaches for the Unstable Adolescent Hip

As part of the 4th Annual Hip Preservation Program Conference, Keelan Enseki, PT, ATC, Ron DeAngelo, MEd, LAT, ATC, FAFS, Kentaro Onishi, DO, Craig Mauro, MD, & Michael McClincy, MD, discuss non-operative care and operative approaches for the unstable adolescent hip.

Educational Objectives 

Upon completion of this activity, participants should be able to: 

  • Recognize the differences between hip dysplasia and microinstability of the hip
  • Describe relevant concepts for performing a physical therapy for adolescents with clinical hip instability
  • Describe an appropriate rehabilitation plan-of-care and recognize rehabilitation challenges for adolescent patients with hip instability
  • Identify signs before testing and correcting for a left AIC Pattern
  • Identify the role for ultrasound-based interventions as a diagnostic tool for adolescent patients with hip pain and instability
  • Recognize the operator-dependent nature of ultrasound based therapeutics
  • Identify the role for nonoperative and operative treatments for adolescent patients with hip pain and instability
  • Recall the indications for hip arthroscopy for the adolescent patient with hip instability
  • Recall the considerations related to hip capsule closure and its effect on rehabilitation protocols
  • Identify relevant radiographic features of patients with mild or borderline hip dysplasia
  • Identify the expected recovery and functional/mechanical benefits of hip arthroscopy and periacetabular osteotomy for mild dysplasia


Drs. McClincy and Onishi and Mr. DeAngelo have reported no relevant relationships with entities producing health care goods or services.

Dr. Mauro has financial interests with the following entity or entities producing health care goods or services as indicated below:

  • Consultant: Arthrex, Inc

Dr. Enseki has financial interests with the following entity or entities producing health care goods or services as indicated below:

  • Consultant: PTLinked

All presenters' disclosures of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients is listed above. No other planners, members of the planning committee, speakers, presenters, authors, content reviewers, and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh designates enduring material activity for a maximum of 1.75 AMA PRA Category 1 Credit[s]™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

For your credit transcript, please access our website four weeks postcompletion at and follow the link to the Credit Transcript page.

Release Date: 8/17/2021 | Last Modified On: 8/17/2021 | Expires: 8/17/2022