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Are you suffering from Hip Bursitis?

Hip Bursitis

Hip Bursitis

Pain along the side of the hip is still a common spot for bursitis (also known as greater trochanter pain syndrome. A large tendon passes over the bony bump on the side of the hip called the greater trochanter.

Inflammation in the bursa (a protective gel sac) between the tendon and […]

Seronegative Spondyloarthropathies

Basics Description Also called enthesopathies, these inflammatory diseases are associated with a negative rheumatoid factor or antinuclear antibody titer that affects the spine and multiple peripheral joints. Included in the seronegative spondyloarthropathies are AS, reactive arthritis (formerly known as Reiter syndrome), psoriatic arthritis, and enteropathic arthritis. Synonym: Reactive arthritis General Prevention Although the disease […]

Septic Hip

Basics Description The incidence of septic hip is increasing, especially in elderly and immunosuppressed individuals. This condition may occur in infants, children, adults, and the elderly, but it is more common in the pediatric population. Risks factors include hip surgery (most common cause), intravenous drug abuse, alcoholism, and steroid use. Epidemiology Incidence In children, […]

Intertrochanteric Hip Fracture

Basics Description Fractures of the proximal femur located between the greater and lesser trochanters and external to the capsule of the hip joint The greater and lesser trochanters may be avulsed as separate fragments. Many classification systems have been developed that are unreliable in identifying fracture types, but in general, they are classified as […]

Hip Transient Synovitis

Basics Description Transient synovitis is characterized by the acute onset of monarticular hip pain, limp, and restricted hip motion. It must be distinguished from septic arthritis. Gradual but complete resolution over several days to weeks is the norm. Synonyms: Toxic synovitis; Irritable hip Epidemiology Transient synovitis is the most common cause of hip pain […]

Hip Replacement

Basics Description Many forms of arthritis lead to destruction of the articular cartilage of the hip joint, resulting in pain and loss of function. End-stage arthritis can be treated with surgical replacement of the joint. Elderly patients may have a greater risk of cardiac complications and more associated medical problems than younger patients. Patients […]

Hip Pain in the Child

Basics Description Hip pain is a term used to describe discomfort in the groin, which receives sensory innervation provided by the obturator and femoral nerves. This pain can be produced by a lesion anywhere in the region of the hip joint, such as: Capsule and synovial lining Bone of the pelvis or proximal femur […]

Hip Fracture in the Child

Basics Description Fracture of the femoral neck, in the intertrochanteric or subtrochanteric region Classification: Delbet system as popularized by Colonna: Type I Transphyseal separation (femoral head separates from neck through the growth plate) Can be nondisplaced (widened physis), displaced, or dislocated Least common type Occurs in young children Many patients have dislocation of the […]

Hip Arthritis

Basics Description Hip arthritis is caused by loss of the articular cartilage of the acetabulum and proximal femur. As the cartilage is lost, the subchondral bone of the proximal femur and the acetabulum rub, causing pain with ambulation, loss of motion, and disability. General Prevention Low-impact exercise (swimming, biking, walking) Activity modification Weight loss […]

Hip Anatomy and Examination

Basics Description Bones: Pelvis and femur bone The acetabulum is the socket Muscles: Flexors: Iliopsoas, sartorius, rectus femoris Extensors: Gluteus maximus, hamstring muscles Abductors: Gluteus medius, gluteus minimus Adductors: Gracilis, pectineus, adductor longus, adductor brevis, adductor magnus Nerves: Femoral: Hip flexors Obturator: Adductors Superior gluteal: Abductors Ligaments: Sacroiliac: Sacrum to ilium Sacrotuberous: Sacrum to […]