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April 1, 2026Clinical Orthopaedics and Related Research5 citations

What Are the Biomechanical Features and Metrics for Native Hip Instability? Consensus Statements From a Scoping Review and an International Multidisciplinary Delphi Study

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MWMoritz WagnerAAArlen AndersonAPAriane Parisien

Key Points

  • This research aims to establish biomechanical benchmarks for distinguishing between physiological laxity and pathologic instability in the hip.
  • Conducted a scoping review and international multidisciplinary Delphi study
  • Gathered consensus on biomechanical features of hip instability
  • Defined specific metrics such as femoral head translation
  • Identified femoral head translation > 3 mm as a significant metric for instability
  • Contributed to standardizing definitions of joint stability
  • Guided surgical decisions regarding capsular management and soft tissue repair

Abstract

Clinically, this study sets a biomechanical benchmark defining native hip instability, enabling researchers to better distinguish between physiological laxity and pathologic instability. By defining biomechanical features of hip instability-most notably femoral head translation > 3 mm-this work contributes to a more standardized approach for defining joint stability, integrating bony morphology, capsulolabral integrity, and muscular stabilization. Such biomechanical insights guide surgical decision-making regarding capsular management and soft tissue repair and inform targeted rehabilitation strategies aimed at restoring hip stability.

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Cite This Study

Wagner et al. (2026) studied this question.

synapsesocial.com/papers/69ccb55116edfba7beb8741chttps://doi.org/10.1097/corr.0000000000003904
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