Orthopedic Conditions

Hip

Hip pain follows a recognisable pattern: it is felt in the groin, radiates down the front of the thigh and often reaches the knee. Patients typically grip the area between thumb and index finger in a C shape. Pain in the buttock or on the outer side usually has a different origin — the lumbar spine or the tendons around the greater trochanter.

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Γυναίκα πιάνει το πλάι του ισχίου της λόγω πόνου από δυσπλασία ισχίου Adult Dysplasia of the Hip Hip dysplasia is a developmental disorder of the hip joint in which the acetabulum (the socket of the joint) does not adequately cover the femoral head.… Learn more Avascular Necrosis of the Hip Avascular Necrosis of the Hip Avascular necrosis of the hip (also called osteonecrosis or aseptic necrosis of the femoral head) is a serious condition in which the blood supply to the… Learn more Hip Fracture Hip Fracture A hip fracture is a serious injury that mainly affects older patients with osteoporosis, but also younger people after high-energy trauma. It is an orthopedic emergency… Learn more Άνδρας πιάνει τη βουβωνική χώρα λόγω πόνου από ρήξη επιχείλιου χόνδρου ισχίου Hip Labral Tear The acetabular labrum, or simply the labrum, is a fibrocartilaginous ring that surrounds the acetabulum. It deepens the joint, seals in the joint fluid and contributes… Learn more Hip Osteoarthritis Hip Osteoarthritis Hip osteoarthritis is one of the commonest causes of chronic pain and stiffness in the hip and groin, particularly in older people. It is a degenerative… Learn more Total Hip Replacement Loosening Total Hip Replacement Loosening Loosening of a total hip replacement is one of the commonest causes of failure of an artificial joint and of the need for revision. It is… Learn more

The early signs

Stiffness in the morning or after sitting that eases within minutes. Difficulty putting on socks and shoes or cutting toenails. A walking distance that keeps shrinking. A limp. And, in advanced disease, pain at night. On examination, internal rotation is the first movement to be lost.

The main causes

Osteoarthritis is the most common. Next come avascular necrosis of the femoral head, which often affects patients in their thirties and forties and progresses silently, adult dysplasia and femoroacetabular impingement with labral tearing, fractures, tendon and synovial inflammation, and problems following a previous replacement.

Why timing matters

Several of these conditions have a window during which the joint can still be preserved. In avascular necrosis that window closes when the femoral head collapses. In impingement it closes when the cartilage is destroyed. An early MRI in a patient with unexplained hip pain and a risk factor is often the single most decisive investigation.

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