Specialists

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A Patient’s Guide to Femoroacetabular Impingement of the Hip

Introduction

Femoroacetabular impingement (FAI) occurs in the hip joint. Impingement refers to some portion of the soft tissue around the hip socket getting pinched or compressed. Femoroacetabular tells us the impingement is occurring where the femur (thigh bone) meets the acetabulum (hip socket). There are several different types of impingement. They differ slightly depending on […]

Slipped Capital Femoral Epiphysis

Basics Description SCFE is a disorder of the hips of adolescents or preadolescents in which the femoral head is displaced relative to the rest of the femur. The femoral head remains in the acetabulum. Most notable features: The outward rotation of the lower femur and leg and a limp Classification: Stable versus unstable (1): […]

Knee Examination in the Child

Basics Description It is important, during a knee examination, to keep in mind the child’s age and to understand the age-specific pediatric knee disorders. Congenital hyperextension or dislocation of the knee: Varies from simple hyperextension to anterior dislocation of the tibia on the femur Hyperextended knee presents at birth. A hyperextensible knee resolves spontaneously, […]

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 […]

Computed Tomography

Basics Description CT is a noninvasive diagnostic technique that uses a rotational radiographic source to generate cross-sectional images. CT is particularly advantageous for musculoskeletal imaging when used with multiplanar, volume-rendered reconstruction techniques. Etiology Chronology of development : 1972: Introduction 1974-1976: 1st clinical scanners installed 1980: Became widely available 1985-1986: Introduction of modern applications, such […]

A Patient’s Guide to Slipped Capital Femoral Epiphysis

Introduction

Slipped capital femoral epiphysis (SCFE) is a condition that affects the hip in teenagers between the ages of 12 and 16 most often. Cases have been reported as early as age nine years old. In this condition, the growth center of the hip (the capital femoral epiphysis) actually slips backwards on the top of […]