hip HIP ARTHRITIS
DEFINITION:
- A destructive process resulting in the loss of cartilage and subsequent narrowing of the joint space. (See illustration).
MECHANISM OF INJURY / HOW IT OCCURS:
- Osteoarthritis is the most common form and can be primary or result from trauma, osteonecrosis, childhood hip disorders, amongst other causes.
SYMPTOMS:
- Individuals complain of gradual increase in thigh, groin, or buttock pain.
- Occasionally complain of knee pain which is referred from the hip.
- Pain may become constant as arthritic process progresses with individuals experiencing pain at rest and at night.
- May experience limp and limited motion.
DIAGNOSIS:
- Physical examination reveals decreased motion with discomfort at the extremes of motion.
- Limp with a painful gait.
- Radiographs will confirm the arthritic process.
TREATMENT/REHABILITATION:
- Anti-inflammatory medications (NSAIDS).
- Activity modifications specifically avoiding high impact activities.
- Rehabilitation to include non-impact activities such as cycling and swimming.
- In advanced cases surgery may be considered to include osteotomy (the realignment of the hip joint by cutting the bone) or total hip arthroplasty (replacement) surgery.