The hip is an integral component in load transference during both upper and lower limb athletic performance. The incidence of hip pain in athletes is low, however, approximately 30% of hip pain remains without a clear pre-operative diagnosis. Intra-articular disorders of the hip in athletes can severely hinder athletic performance. Controversial topics such as acetabular labrum tear, femoroacetabular impingement syndrome, instability, and osteoarthrosis along with possible management strategies are outlined in this paper. The importance of specific differential diagnoses is also highlighted.