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Michigan Sports and Spine

Arthritis

Overview
Arthritis literally means "inflammation of a joint." The three most common types of inflammatory arthritis that affect the hip are:

Causes
Degeneration (wear and tear)
Damage to ligaments surrounding the hip joint
Aging
Osteoarthritis

Symptoms
Dull, aching pain in the groin, outer thigh, or buttocks
Pain that is worse in the morning and lessens with mild activity but increases with vigorous activity
Limited movement
Difficulty walking

Diagnosis
Physical examination and medical history consultation
X-rays
Lab tests

Treatment
Anti-inflammatory medications
Corticosteroids
Disease-modifying antirheumatic drugs (DMARDs)
Physical therapy
Assistive devices
Surgery

Source: http://orthoinfo.aaos.org/topic.cfm?topic=a00396

 

Bursitis

Overview
A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues o f the body.  There are two major bursae of the hip, the trochanteric bursa and the ischia bursa.  Inflammation of either can be associated with stiffness and pain around the hip joint.  The trochanteric bursa is located on the side of the hip.  it is separated significantly from the actual hip joint by tissue and bone.

Causes
Trauma to soft tissue
Strain injury
Infection (rare)
Gout/pseudo gout

Symptoms
Tenderness of the outer hip
Difficulty lying on the side
Dull, burning pain on the outer hip that is worsened by excessive walking or stair climbing
Dull pain in the upper buttock area that is worsened by climbing uphill
Pain from prolonged sitting on hard surfaces

Diagnosis
Physical examination and medical history consultation
Anesthetic injection
X-rays

Treatment
Aspiration of the bursa fluid
Cortisone injection
Weight loss
Physical therapy
Orthotics
Activity modification
Antibiotic therapy (if caused by infection)

Source: http://www.medicinenet.com/hip_bursitis/page2.htm

 

Degenerative Joint Disease

Overview
Degenerative joint disease of the hip is also known as osteoarthritis of the hip.  Like other joints that carry weight, hips are at risk for "wear and tear."  The smooth covering (articular cartilage) on the ends of your bones that helps the hip joint glide may wear thin.

Cause
Genetics
Aging
Obesity
Injury that puts stress on the hip cartilage

Symptoms
Discomfort and stiffness in the groin, buttock, or thigh (especially in the morning)
Pain that flares with activity and recedes with rest
Inability to rotate, flex, or extend the hip

Diagnosis
Physical examination and medical history consultation
X-rays

Treatment
Rest
Physical therapy
Non-steroidal anti-inflammatory medications
Weigh loss
Use of a cane
Surgery

Source: http://orthoinfo.aaos.org/topic.cfm?topic=a00213
 

Dislocation

Overview
A hip dislocation occurs when the head of the thighbone (femur) slips out of its socket in the hip bone (pelvis). In approximately 90% of patients, the thighbone is pushed out of its socket in a backwards direction (posterior dislocation). This leaves the hip in a fixed position, bent and twisted in toward the middle of the body. The thighbone can also slip out of its socket in a forward direction (anterior dislocation). If this occurs, the hip will be bent only slightly, and the leg will twist out and away from the middle of the body.  A hip dislocation is very painful. Patients are unable to move the leg and, if there is nerve damage, may not have any feeling in the foot or ankle area.
 
Causes
An extreme acute injury such as a motor vehicle accident or fall from a height

Diagnosis
Physical examination
X-rays

Treatment
Hip reduction (placing bones back into proper position)
Rehabilitation

Source: http://orthoinfo.aaos.org/topic.cfm?topic=A00352

 

Fractures

Overview
A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture.

Causes
Fall or direct blow to the side of the hip
Osteoporosis, cancer, stress that weakens the bone

Symptoms
Pain over the outer upper thigh or in the groin
Significant discomfort with any attempt to flex or rotate the him
Aching in the groin or thigh before the break
Injured leg appears shorter than non-injured leg

Diagnosis
Physical examination
X-ray
MRI
CT Scan

Treatment
Surgery
Rehabilitation
Physical therapy

Source: http://orthoinfo.aaos.org/topic.cfm?topic=A00392

 

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