Background. Ballet dancers have peculiarities in the morphology of the hip joints, which is determined by their professional activities. Because of this, they are more susceptible to the development of pathological conditions of joints, which often present a specific clinical picture. The aim is to describe the features of the development of structural damage to the hip joint of a ballet dancer and present the results of treatment. Methods. The patient is a professional ballet dancer, 32 years old. She noted pain and limited range of motion in the right hip joint during dance classes. There were minimal anatomical features characteristic of femoroacetabular impingement, also damage to the articular labrum of the acetabulum and structures of the anterior joint capsule on computed tomography and magnetic resonance imaging. Pain and functional status were assessed using the VAS, HOOS, iHOT-12 before surgery and after 6, 12, 18, 24, 36, 48 months. Results. Correction of bone deformity of the hip joint and all identified soft tissue damage was successfully carried out. After 5 months the patient returned to ballet dancing. According to VAS pain decreased from 6 points to 0 at control points. But slight aching pain after physical activity remained. During the follow-up, functional status was assessed as «excellent» according to HOOS and iHOT-12. However, the patient noted slight limitations in the range of motion when performing some professional exercises. Conclusion. Patients with extreme hip range of motion and hip pain require a thorough clinical evaluation to ensure correct diagnosis and appropriate treatment. Arthroscopy of the hip joint allows achieving high results, including in patients with increased functional requirements, provided that arthroscopy is planned and performed taking into account the concept of microinstability.
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