Complex labral tear with arthroscopic probe
Pincer and CAM impingement
Hip
General Issues
The femoroacetabular joint, commonly known as the hip joint, is a complex joint which provides a lot of the motion necessary for everyday tasks. Even small issues can cause noticeable symptoms including pain and decreased motion.
Labral Tears
The labrum is the cartilage lining the hip socket, and provides stability to the joint. Therefore, labral tears can cause a variety of issues, from dislocation to hip micro instability. Labral tears can be caused by acute trauma, musculoskeletal health conditions like arthritis, structural issues (ex: FAI), and repetitive motions that may occur in sports or daily life. If you are experiencing pain, instability, stiffness, limited range of motion, or a “clicking” sensation in the hip joint, you may have this condition.
Impingement (FAI)
Femoroacetabular impingement occurs when the hip joint is not shaped normally, and bones painfully rub together. This injury is commonly seen in young, physically active people, particularly in young athletes in sports with twisting and squatting . The symptoms of FAI include pain in the groin and outside of hip, and stiffness in the hip. Deep, sharp pain often occurs during motions like turning, twisting, and squatting. FAI is often confused with other sources of pain, but a physical exam, impingement test, local anesthetic, and imaging tests can help to diagnose it.
Sports Injuries
Many common hip injuries are a result of sports. Repetitive motions and running can put athletes at risk for a variety of conditions, including labral tears, tendonitis, bursitis, hip pointer, stress fractures, and femoroacetabular impingement (FAI). Dr. Urband will discuss prevention and treatment options with his patients to keep athletes on the field.
Arthritis
Arthritis means inflammation (itis) of the joint (arthro). There are over a hundred types of arthritis that can affect any joint, but the three most common types are osteoarthritis, rheumatoid arthritis, and post traumatic arthritis. Osteoarthritis inflames the joint over time, as the articular cartilage deteriorates, bone rubs against bone, and stiffness and pain ensue. In rheumatoid arthritis, the immune system targets and harms the articular cartilage. In post traumatic arthritis, arthritis develops after an injury to the knee, from broken bones to meniscus tears.
Sources
Labral Tears
-
https://www.mayoclinic.org/diseases-conditions/hip-labral-tear/symptoms-causes/syc-20354873
-
https://www.mayoclinic.org/diseases-conditions/hip-labral-tear/diagnosis-treatment/drc-20354878
-
https://my.clevelandclinic.org/health/diseases/17756-hip-labral-tear
-
https://health.ucsd.edu/specialties/surgery/ortho/hip/Pages/labral-tears.aspx
-
https://online.boneandjoint.org.uk/doi/pdf/10.1302/0301-620x.98b6.37099
Impingement
-
https://orthoinfo.aaos.org/en/diseases--conditions/femoroacetabular-impingement/
-
https://my.clevelandclinic.org/health/diseases/21158-femoroacetabular-impingement-fa
Sports Injuries
Images
1. Smith & Nephew. “Basic anatomy of the hip joint”. Wikimedia Commons, 2 June 2011, https://commons.wikimedia.org/wiki/File:Figure_1._Basic_anatomy_of_the_hip_joint.png.
2.Smith & Nephew. "Figure 7. A complex labral tear. An arthroscopic probe is seen at the junction of the labrum and acetabular rim..png". Wikimedia Commons, June 2, 2011, https://commons.wikimedia.org/wiki/File:Figure_7._A_complex_labral_tear._An_arthroscopic_probe_is_seen_at_the_junction_of_the_labrum_and_acetabular_rim..png.
3. Smith & Nephew. “Figure 6. Diagram of the bony pathology of both cam and pincer impingement”. Wikimedia Commons, 2 June 2011, https://commons.wikimedia.org/wiki/File:Figure_6._Diagram_of_the_bony_pathology_of_both_cam_and_pincer_impingement..png.
4. 3. Lorie Shaull. “Carli Lloyd”. Wikimedia Commons, 4 September 2019. https://commons.wikimedia.org/wiki/File:Carli_Lloyd_(48677254417).jpg.
5. Article authors: Ruiz Santiago, Fernando; Santiago Chinchilla, Alicia; Ansari, Afshin; Guzmán Álvarez, Luis; Castellano García, Maria del Mar; Martínez Martínez, Alberto; Tercedor Sánchez, Juan. "X-ray of septic arthritis of the hip". Wikimedia Commons, January 13, 2016, https://commons.wikimedia.org/wiki/File:X-ray_of_septic_arthritis_of_the_hip.jpg.
.jpg)
Septic arthritis