July 27, 2026 · The Journal of bone and joint surgery. American volume · DOI: 10.2106/JBJS.26.00112

Lexicon on the Pathomechanics of the Native Hip Joint at Risk for Arthritis

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The authors aim to develop a structured lexicon that defines the morphological features and pathomechanical mechanisms associated with symptomatic, pre-arthritic hip conditions, addressing the inconsistencies in existing terminology that hinder scientific communication and treatment standardization. By synthesizing biomechanical, radiographic, and clinical evidence, they propose a framework that categorizes wear modes and mechanisms, linking them to specific pathological loading environments and tissue damage. This lexicon is intended to enhance diagnostic and therapeutic approaches in hip preservation by providing a coherent framework for understanding pre-arthritic hip disease.

Paul E Beaulé, Martin Beck, Moritz Wagner, Johan Witt, George Grammatopoulos, Ira Zaltz, Nobuhiko Sugano, Andrew E Anderson, Stephen J Ferguson, Richie Gill, John C Clohisy, Michael Leunig, Christopher L Peters, Marc Safran, Pierre Laboudie, Klaus Siebenrock, Michael Millis

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