22. October 2016 06:22
Slipped Capital Femoral Epiphysis (SCFE) is a medical condition that affects the hip joint of people in their teen age. The hip is a ball and socket joint in which the head of the femur (thigh bone) rests in the socket referred to as the acetabulum. The femur has two plates at either end of the bone where the bone growth occurs. In some adolescents, the rounded head of the bone tends to slip out of the socket in the backwards direction causing pain and discomfort. A break or fracture in the growth plate causes instability of the femoral head (also known as capital) and it tends to slip out of its socket. This condition can be classified into two categories:
- Stable SCFE- This is a less severe condition in which the person is able to bear body weight without the use of orthotic devices
- Unstable SCFE- This condition creates a severe instability and the patient is unable to bear body weight
- Genetic traits- People with a family history of SCFE are more likely to be affected
- Metabolic disorders- Hyperthyroidism and Hypopituitarism are major risk factors for this condition
- Obesity- People suffering from SCFE have been found to be overweight in most cases
- Pain in the groin, thigh, hip and knee
- Physical deformity in the legs
- Inability to bear body weight
- Muscle spasms
- Detailed examination of the affected leg and the hip
- Analysis of the patient’s medical, genetic history, past injuries and existing symptoms
- Evaluation of the gait
- Physical tests may be performed to check for loss in range of motion
- X-ray imaging is done to study the position of the bone and it helps confirm the diagnosis
- The aim of the treatment is to realign the bones and enable the patient to move freely. The patient is generally required to undergo surgical treatment within 2-3 days of diagnosis.
- In-situ Fixation- A small incision is made in the hip. Screws and wires are used to fix the growth plates. This prevents the bone from slipping out and eventually the growth plates close once the patient attains maturity. This process is best suited in case of stable SCFE.
- Open Reduction- A large incision is made in the affected joint and the bone is placed back in its original position. It is then fixed using screws
- Post-operative care- The doctor may recommend using crutches to avoid bearing weight for a few weeks. Specific physical therapy sessions may be conducted to restore movement.
We at OrthoTexas, provide effective treatment for Slipped Capital Femoral Epiphysis. To schedule an appointment with the orthopedic doctors in Carrolton, TX, visit (972) 492 – 1334.
23. July 2016 12:33
Hip Dislocation is a traumatic injury that occurs when the top rounded part of the femur moves out of the pelvic socket known as acetabulum. The injury mainly occurs due to high impact car accidents. If not treated immediately, it may cease the blood supply to the top of the thigh bone, leading to permanent damage. In most cases, Hip Dislocation also involves injury to the ligaments, muscles, labrum, soft tissues and nerves in the joint.
Hip Dislocation may be classified as:
- Anterior Dislocation: This involves forward rotation of the leg with the hip slightly bent.
- Posterior Dislocation: It is a common injury that causes the leg to rotate inwards towards the middle of the body.
- Motor vehicle collisions
- Falling from a significant height
- Sports injury, particularly in football, snowboarding and skiing
- Previous hip replacement surgery
- Severe pain in the hip
- Visible deformity in the injured leg
- Pain increases when trying to move the leg
- Pain may radiate to lower back, knees and legs
- Difference in the length of both legs, with the injured leg appearing to be shorter
- Numbness and swelling
- Loss of sensation in foot or ankle, in case of nerve damage
Hip Dislocation can be diagnosed with a physical examination by an orthopedic doctor. The position of the leg and visible deformity in the hip is indicative of dislocation. The doctor may conduct certain imaging tests to determine the exact position of the dislocated bone as well as identify damage to the adjacent structures within the joint.
- Reduction: In case of a minor dislocation, the orthopedic doctor may perform a closed reduction procedure to bring the bone back to its normal position. A sedative or anesthesia may be administered before the procedure.
- Medications: The doctor may prescribe non-steroidal anti-inflammatory medications to provide relief from pain and swelling.
- Assistive Devices: Crutches or cane may be used to avoid bearing on the injured leg.
- Surgery: If the bone pieces or soft tissue fragments block the thigh bane from moving back into the socket, surgical intervention may be required.
- Physical Therapy: After the surgery, the doctor may advise the patient to do some stretching exercises to restore the flexibility of the hip joint.
The orthopedic surgeons at OrthoTexas provide effective treatment for Hip Dislocation. To schedule an appointment with our hip specialists in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
4. June 2016 14:19
The pelvis is a structure of bones - coccyx, hip bones and sacrum located between the base of the spine and legs. The hip bones are further divided into the pubis, ilium and the ischium. The pelvis forms a bowl-like cavity which contains as well as protects the reproductive organs, bladder and bowels. A break or crack in any of these bones is termed as Pelvic Fracture. The injury is often accompanied by damage to the ligaments as well. It can be classified as follows.
- Stable Fracture- Fractures or cracks in the pelvis ring caused by a low energy force which does not disrupt the positioning of the bones
- Unstable Fracture- High impact fractures which may lead to displacement of the bone pieces and often involve multiple breakages
- Vehicular collision
- A sudden fall on the hip or back
- Direct trauma to the joint
- Sports injuries which may lead to the separation of the ischium bone from the adjoining muscles
- Missing a step while climbing or descending the stairs
- Loss of bone calcium
- Dull or severe pain
- Bone piece may pierce out of the skin, in severe cases
- Inability to bear body weight
- Instability in the back and lower limbs
- Numbness in the legs or groin
- Bruising and tenderness
- Difficulty walking or standing
- Pain is aggravated by movement
- Rectal or vaginal bleeding
- Detailed physical examination of the injured area, hips and lower limbs
- The doctor may check for loss of sensation due to nerve damage
- Evaluation of the patient’s symptoms, medical history and mode of injury
- X-ray imaging may be done to assess the level of damage and bone displacement
- A cross-sectional image of the pelvis may be obtained through CT scan
- MRI scan to assess soft tissue, ligament, blood vessel injuries
- Ultrasound may be suggested to check internal bleeding
- In case of low impact injury, use of a walker, cane or crutches may be recommended to avoid bearing weight on the leg
- Pain killers and anti-inflammatory medicines may be prescribed to relieve pain
- Anticoagulants may be prescribed to reduce the risk of clotting
- Pins and screws may be fixed externally to keep the pelvic bones in place
- Skeletal traction may be helpful to realign the bones
- Surgery may be required to reposition and hold together the broken bone fragments with the help of metal plates or screws.
- Physical therapy may be required to boost recovery and regain mobility of the hip
OrthoTexas provides effective treatment for pelvic fracture and other hip conditions. To schedule an appointment with our orthopedic hip surgeons in Carrollton, TX, you can call at (972) 492 – 1334.
3. March 2016 12:33
Hip Pointer refers to an injury to the iliac crest of the hip joint. The iliac crest is the outer ridge that curves along the pelvic bone. It forms the crest of the ilium which is the largest of the three bones viz. ischium, pubis and ilium that fuse together to form the pelvis or the hip joint. The ilium protects the abdominal organs while the iliac crest lends support to the joint. Hip Pointer leads to damage of the blood capillaries within the iliac crest and most commonly occurs in people engaged in sports activities. The anterior or frontal part of the hip joint is most susceptible to such injuries as it has the least amount of fatty tissue coverage.
- Direct fall on the hip joint
- Sports injury
- Overuse of the hip joint
- Direct hit/blow
- Not using protective gear during sports
- Pain which exacerbates while walking, bending, coughing or laughing
- Pain generally occurs in the front part of the hip
- The injured part may feel tender when touched
- Limited range of motion
- Visible bruising in severe cases
- Muscle spasms may occur
- Weakness in legs and hip
- Detailed evaluation of the time and mode of injury
- The orthopedic doctor may check for apparent symptoms and check for additional damage to the abdominal organs if any
- Analysis of the patient’s gait
- Check for sensory reactions
- The doctor may assess the range of motion
- X-ray imaging or MRI scans may be required to rule out a fracture
- Prescription of pain killers and anti-inflammatory drugs to combat pain
- Use of crutches to avoid weight bearing
- Application of ice packs at regular intervals to reduce swelling
- Keeping the injured leg elevated while resting
- Compression using bandages or straps for the hip joint
- Once the pain subsides, specific exercises may be recommended to improve joint motion
- In case of hematoma, the fluids may need to be drained out
- Injecting corticosteroids may help in case of severe pain
- Surgical intervention may be required if there is an avulsion fracture or damage to internal organs
The surgeons at OrthoTexas provide effective treatment for Hip Pointer and other orthopedic conditions. To schedule an appointment with the orthopedic doctors in Carrollton, TX, call at (972) 492 – 1334.
26. October 2015 06:49
The hip joint comprises of the femur (thigh bone) and the pelvic bone. Hip fracture occurs when there is a crack or break in the upper part of the femur. Also known as a proximal femoral fracture, the injury is more common among people above the age of 65 years. With increasing age, the bones start losing calcium and tend to become fragile, thereby, making the individual susceptible to a fracture.
- Sudden fall on a hard surface
- Motorcycle or car accident
- Injury caused by a sports activity
- Deficiency of calcium and vitamin D
- Genetic factors
- Severe pain in the hip and groin
- Difficulty while moving and walking
- Inability to put weight on the affected leg
- Stiffness and inflammation around the hip
- Bruising and discoloration
- Leg tend to turn outwards to the injured side
The orthopedic doctor may conduct a physical examination to check for swelling, pain, tenderness in the injured hip. He may also conduct an X-ray to determine the exact location and severity of the fracture. A bone scan may be recommended in case of a hair line hip fracture.
Depending upon the age of the patient, medical history and the degree of displacement of hip joint, the orthopedic doctor may suggest the following treatment options:
- Medication: Taking a course of anti-inflammatory medications, as prescribed by the orthopedic doctor, can help to reduce pain and inflammation.
- Surgery: The following surgical procedures may be performed to treat a hip fracture:
- Hip repair surgery: Also known as ‘hip pinning’, this procedure involves usage of metal screws, plates and rods to hold the bones together. The hip repair surgery is recommended when the bones can be aligned correctly.
- Hip replacement surgery: In case of a major fracture, a hip replacement surgery may be required. In this procedure, the joint is partially or completely replaced by the doctor.
- Physical therapy: Post-surgery, the patient may be advised to undergo physical therapy to restore movement in the hip joint. Performing light exercises, under the guidance of a physiotherapist can help to regain lost joint strength and flexibility.
For complete diagnosis and treatment of hip fracture, visit OrthoTexas. To schedule an appointment with the orthopedic doctors in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
26. May 2014 07:36
The hip joint is one of the most important joints of the human body, contributing significantly to balance, stability, strength and range of motion. Problems related to the hip joint can cause extreme Hip Pain which is a serious condition that can affect your life negatively in a major way. There are many common conditions which can cause Hip Pain, including age related ailments, bursitis, tendon damage, and damage from impacts and injuries. Hip Pains can also result from bad posture, alignment problems of the spine, and as a side effect of other ailments and obesity.
To keep yourself free from Hip Pain, there are a number of preventive measures that you can employ in your daily life to keep yourself safe from this debilitating condition. The following tips are advised by orthopedic surgeons and can be of great help –
- Incorporate an exercise routine into your life which gives adequate attention to all the important joints and areas of your body. Light exercise of the joints keeps them healthy and moving fluidly and minimizes the chance of the development of conditions which can give rise to Hip Pain.
- Before you exercise make sure you are always properly warmed up. Try not to start a routine without proper warm-up measures first. Also, if you incorporate stretching in your routine, make sure you do that during the later phases of the routine when your muscles are nimble.
- If you are obese or have a tendency towards obesity, make sure that you take the necessary measures to stay in shape and maintain an optimal weight proportionate to your height. This can go a long way in preventing the occurrence of Hip Pain.
- Be wise in your choice of footwear. You must always wear shoes that provide you with proper cushioning and support. Heavy use of high heels can be a major reason for the development of Hip Pain.
- Make sure that you do not favor one side of your body during day to day activities unless you have a weaker leg. This can create an imbalance and stress out the favored side. Try keeping your hips level while carrying out day to day activities like working out in the yard, walking or climbing stairs.
- If you have sustained an injury which causes Hip Pain, make sure that you sleep on your uninjured side with adequate leg support.
- When in pain, take advantage of techniques used to deal with sports injuries like physical therapy, stretching, the use of ice packs etc. but after proper diagnosis of the injury by an orthopedic doctor.
18. March 2014 13:38
Hip Pain refers to the pain felt in and around the hip joint. According to the pain specialists, the pain can originate from the back, groin structures or the actual hip joint. Read on to know about the causes, symptoms and treatment of hip pain.
- Injury: Hip pain can be caused by a number of injuries such as stress on hip bone resulting into fracture and hence pain. Another most common factor causing acute hip pain is over exercising or over weight lifting results into a stretch in the joints and consequently leads to pain.
- Arthritis: Arthritis can cause pain, stiffness, tenderness and swelling in hip joints.
- Other medical conditions: It has been found that Bursitis, Tendinitis, Cancer and Avascular Necrosis patients are more prone to hip pain.
- Compression: Various physical activities may lead to nerve compression. Nerve compression should not be ignored as it may further lead to a severe problem like hip pain.
- Miscellaneous: It can be caused by various other factors including hip injury, overuse of the joints, posture problems or another factor such as rheumatoid arthritis.
- Deformity: Hip joint getting deformed.
- Difficulty in lifting weight: If the hip is unable to bear weight.
- Swelling: When large amount of swelling is felt at the affected area and bars the body to walk, stand and sit.
- Severe Pain: Severe pain felt in hip joints, thighs and legs.
- Inflammation: Inflammation in hip joints can also be taken as one of the symptoms. When the bursa (a liquid-filled sac next to a joint) over the hip joint gets inflamed.
Treatment: Treatment of hip pain depends on the factors causing it. Following are the treatment options:
- For injuries, treatment generally involves medication and bed rest used to relieve stress or pain.
- Surgical intervention may be required in case of hip fractures or malformation of the hips. This kind of surgery is generally termed as hip replacement surgery in which damaged hip joint is replaced with an artificial one.