Hip Problems

 

What Are Some Recent Advances in the Management of Hip Problems?

Hip injuries were once thought to be a problem that affected the elderly, but are now recognised to be very common in people of all ages. Young people with hip injuries are often incorrectly diagnosed as having groin strains, sciatica, bursitis, or hernias. Once the actual problem is recognised, many patients with hip problems are candidates for hip arthroscopy.

The management of hip injuries in the general community as well as in athletes has evolved substantially in recent years, largely with the advancement of arthroscopic techniques and improved diagnosis.

Advances in hip arthroscopy and magnetic resonance imaging have led to the recognition of sources of hip joint abnormalities that can result in chronic and disabling hip symptoms. Many of these conditions were previously unrecognised and consequently untreated.

Minimally invasive surgical techniques have facilitated relatively rapid returns to sporting activity in athletes, and return to work in injured workers.

what are the treatment options for hip problems?

Nonsurgical treatment should generally be considered first. Rest, activity modification, physiotherapy, and non-steroidal anti-inflammatory medications may help significantly. When pain persists, a strong effort to make the correct diagnosis should be made.

It can be difficult to differentiate between problems inside the hip joint (such as labral tears, cartilage damage, and arthritis) versus problems outside the joint (such as tendonitis orr bursitis). Steroid injections into the joint or around bursae and tendons may be helpful. High resolution MRI scanning is indispensable for visualizing bone and soft tissues to help confirm the correct diagnosis.

Where symptoms persist despite the above measure, surgery may be considered. The exact surgery performed depends upon the damage or degree of hip abnormalities, patient's age, and expected course of the disorder.

 Surgical options to treat hip pathology include: 

  1. Hip Arthroscopy 

     

  2. Osteotomy 

     

  3. Fusion (Arthrodesis) 

     

  4. Arthrotomy 

     

  5. Total Hip Replacement