Hip dysplasia

International Elite Care coordinates specialist care for hip dysplasia, from initial diagnosis through to personalised treatment.

What is hip dysplasia? Definition and overview

Hip dysplasia is, by definition, a malformation of the hip joint. It refers to an abnormality in the shape or position of the joint that makes it unstable.

Normally, the femoral head (the ball at the top of the thigh bone) fits securely into the acetabulum (the socket in the pelvis). In cases of dysplasia, this fit is insufficient: the acetabulum provides too little coverage and is sometimes poorly oriented.

This hip condition disrupts the normal mechanics of the joint. Over time, it can lead to lasting pain, restricted movement and progressive wear of the cartilage and bone surfaces.

Hip dysplasia in humans can be present from birth, known as congenital hip dysplasia, yet remain completely silent for years. It is sometimes discovered during adolescence or adulthood, when the first symptoms appear, often during walking, physical activity or prolonged sitting.

Hip Dysplasia in Adults: Diagnosis

The diagnostic process for a hip dysplasia in adults relies on a thorough clinical assessment combined with targeted imaging studies. The goal is to confirm the joint abnormality, measure its severity and determine the most appropriate care plan.

During the consultation, the specialist evaluates the location and intensity of pain. They assess hip mobility, joint stability and the impact of the condition on walking and everyday activities. This examination is particularly recommended for young or active patients presenting with unexplained hip pain.

The diagnosis is then confirmed through imaging: a pelvic radiograph, sometimes supplemented by MRI, CT scan or CT arthrography depending on the clinical picture.

These investigations allow the surgical team to characterise the dysplasia precisely and determine its form. When the deficiency affects the upper and outer part of the acetabulum, it is classified as superolateral hip dysplasia. This location directly influences hip mechanics and the potential progression of symptoms.

With International Elite Care, every case receives a personalised assessment. This approach allows us to define a tailored care strategy for your dysplastic hip, which may combine targeted treatment or, where indicated, a specialist surgical procedure. In some cases, a non-surgical approach may be preferred.

Adult hip dysplasia: symptoms and clinical signs

Hip dysplasia symptoms in adults are varied. The condition can remain painless for a long time. Symptoms most often appear gradually. A developmental dysplasia of hip typically goes unnoticed throughout childhood and adolescence.

The most common symptoms include:

Pain in the groin, which may radiate to the thigh or knee, especially during walking or physical exertion
Mechanical discomfort worsened by stairs, prolonged sitting or hip rotation
A sensation of instability, as though the hip catches or lacks support
Stiffness and limited range of motion, particularly after rest or upon waking
Muscular fatigue around the hip, sometimes accompanied by a limp in more advanced cases

Over time, without appropriate management, hip dysplasia in adultscan lead to premature cartilage wear. This results in early-onset hip osteoarthritis, with more persistent pain and increasing difficulty in daily life.

In cases of bilateral hip dysplasia, both hips are affected. Symptoms may be more diffuse, but the progression and treatment principles remain the same. Each hip may be at a different stage, which requires an individually tailored approach.

Hip dysplasia in women

Hip dysplasia is significantly more common in women than in men, particularly in forms diagnosed during adolescence or adulthood.

Several factors explain this difference compared to hip dysplasia in men. The female pelvis is naturally wider and more open, which can alter the shape of the acetabulum, slightly reduce femoral head coverage and promote joint instability.

In addition, female hormones, particularly oestrogen, influence ligament flexibility and joint stability. Ligaments that are overly supple can make the hip more unstable when dysplasia is present.

For women, the symptoms of hip dysplasia are broadly the same: pain and functional limitation. However, discomfort can sometimes be more diffuse, which may delay diagnosis.

Treatments and recovery for hip dysplasia in adults

Managing adult hip dysplasia depends on several factors: the patient’s age, symptom severity, the degree of dysplasia and the condition of the cartilage. The objective is always to relieve pain, preserve mobility and protect the joint over the long term.

Non-surgical treatments

Treating hip dysplasia without surgery is possible when the condition is mild to moderate and pain remains manageable.

Non-surgical management may include:

Functional rehabilitation (targeted physiotherapy)
Activity modification
Medication (analgesics or anti-inflammatory drugs)
Intra-articular injections (in selected cases)

These measures do not address the underlying anatomical cause of the dysplasia, but they help manage symptoms and slow unfavourable progression.

Surgical treatments

When pain persists or the dysplasia is more pronounced, surgical intervention may be considered.

In young or active patients without advanced osteoarthritis, joint-preserving hip surgery is the recommended approach. The aim is to correct the mechanics of the hip and improve femoral head coverage while avoiding prosthetic replacement. The goal is to preserve the natural joint and limit cartilage deterioration.

When untreated hip dysplasia in adults has led to advanced osteoarthritis, a total hip replacement may be indicated. This procedure provides lasting pain relief, restores mobility and significantly improves quality of life.

Our answers to your questions about hip dysplasia

Is surgery always necessary for hip dysplasia?

No. Not every case of hip dysplasiarequires surgical intervention. In certain situations, appropriate conservative management can control symptoms and preserve quality of life. A specialist evaluation is essential to determine the best option for your individual case.

When should I consult a specialist?

As soon as you experience persistent pain in the hip or groin, or during walking, even if symptoms remain moderate. An early assessment helps anticipate the progression of the condition and explore suitable treatment options before more advanced damage develops.

Can I continue walking or exercising with hip dysplasia?

In many cases, yes, with certain modifications. The objective is to maintain an activity level that is compatible with your hip, without placing it under excessive strain. The specialist surgeon at International Elite Care provides precise guidance on which activities to favour or avoid.

How long does recovery take after hip dysplasia treatment?

The duration and ease of recovery depend on the type of treatment and your personal situation. In all cases, recovery is gradual and medically supervised, with the aim of a safe return to walking and daily activities. A structured medical follow-up facilitates each stage and helps optimise long-term outcomes.

Is a remote consultation possible before travelling?

Yes. The pre-operative teleconsultation offered by International Elite Care allows your case, imaging and expectations to be reviewed, while answering your questions. This streamlines the decision-making process and ensures your care pathway is as smooth as possible.

How can International Elite Care support me in practice?

International Elite Care offers a fully personalised pathway, from the first point of contact through to post-treatment follow-up. The team connects you with the most qualified and available surgeon, while coordinating every medical, organisational and logistical aspect of your care.

Surgeon performing the procedure