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Most of the literature has studied it in relation to total hip arthroplasty literature and has been shown to increase dislocation risk. Lumbar spine and pelvic mobility have been studied less frequently in relation to nonarthritic pathologic hip states. Understanding the biomechanical relationship between the lumbar spine, pelvis, and hip can help elucidate how hip\u2013spine syndrome affects the nonarthritic hip and how it impacts outcomes of hip arthroscopy. Changes in lumbar spine motion may be the reason certain predisposed patients develop symptomatic femoroacetabular impingement (FAI) or ischiofemoral impingement. Some athletes may be \u201chip users\u201d with a low pelvic incidence, making them more reliant on hip motion due to less\u2010intrinsic lumbopelvic motion. When these patients have FAI morphology, their increased reliance on hip motion makes them prone to experiencing femoroacetabular contact and concurrent symptoms. Other athletes may be \u201cspine users,\u201d with larger pelvic incidence and more baseline lumbopelvic motion, making them less reliant on hip motion and therefore less prone to experiencing hip impingement even with hip FAI morphology. Hip\u2013spine syndrome also appears to have an impact on patient selection, role of nonoperative treatment, and hip arthroscopy surgical outcomes. Identifying patients with concurrent pathology may allow surgeons to recommend targeted physical therapy or counsel patients better on their expectations after surgery.<\/jats:p>","DOI":"10.1016\/j.arthro.2022.04.015","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T23:33:44Z","timestamp":1652139224000},"page":"2930-2938","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Hip\u2013Spine Syndrome in the Nonarthritic Patient"],"prefix":"10.1002","volume":"38","author":[{"given":"Ravi","family":"Vaswani","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery New York New York U.S.A."},{"name":"Hospital for Special Surgery Sports Medicine Institute New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander E.","family":"White","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery New York New York 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