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Joined by the hip

  • From: dradityasai@gmail.com
  • Posted: 08/28/2018 06:20AM
  • City: Mumbai
  • State: MAHARASHTRA
  • Phone Number: 7767060255
  • Keywords: Dr.Aditya Sai , MUMBAI , HIP, KNEE , SHOULDER
  • Description:
  • If you are an athlete, be alert to any loss of movement in the hip region. Dr Aditya Sai Kadavkolan explains why The hip is one of the most important joints in human body where your thigh bone meets your pelvis. It helps us to walk, run and jump. It is called the ball and socket joint, because the ball (the head of the femur), like the top of your thigh bone, fits into a cup-like area within your pelvis (os coxa/ acetabulum); think of how a baseball fits into a glove. It is the most flexible joint that allow a greater range of motion than all other joints in the body except for the shoulder. It bears our body’s weight and the force of the strong muscles of the hip and leg. Hyaline cartilage is a glass-like (hyaline) but translucent cartilage lines both the acetabulum and the head of the femur, providing a smooth surface for the moving bones to glide past each other. During the movement hyaline cartilage acts as a flexible shock absorber to prevent the collision of the bones. Between the layers of hyaline cartilage, synovial membranes secrete watery synovial fluid to lubricate the joint capsule. The strong muscle of the hip helps to hold the hip joint together and prevent dislocation. The labrum is a gasket-like tissue around the hip joint, the rim of soft tissue or fibrocartilage that surrounds the acetabulum (hip socket). The labrum adds to the stability of the hip by deepening the socket and protects the joint surface. Femoroacetabular impingement (FAI), commonly known as hip impingement syndrome, affects the hip joint in young and middle-aged adults, as a mechanical or structural disorder of the hip. Damage can occur to the labral cartilage i.e. soft tissue bumper of the socket. Treatment options range from the conservative arthroscopic to open surgery. The hip impingement syndrome may be caused by a mis-shapen femoral head, deformed neck, or hip socket that covers the femoral head. It has been observed in most athletes where repetitive activity involving recurrent movement of the legs beyond the normal range of motion may cause hip impingement. Basically there are two main types of hip impingement Cam impingement Cam impingement occurs because of abnormal contact between the ball (femoral head) and socket of the hip joint. A common cause of cam impingement is early onset hip dysfunction and secondary osteoarthritis. Pincer impingement Pincer impingement involves pathological contact between the acetabular labrum and rim and the femoral head-neck junction. This kind of disorder occurs usually in active middle-aged women. There may be no symptoms in early stages associated with hip impingement or it may be mild or vague. Some typical symptoms include stiffness in the groin or front of the thigh and/or a loss of your hip's full range of motion, or groin, the inability to flex the hip beyond a right angle, and pain in the groin area. At first, you may only feel pain when you move the hip near its limits. Repetitive activity involving movement of the legs beyond the normal range of motion may cause hip impingement, which has been observed in certain athletes. If treatment is not responsive, a surgical approach is required. Decompression of impinging bone growth, requiring the cutting and removal of bone tissue. Labral repair can involve repairing labral tears by reattaching the labrum to the bone. Short Takes Except for the shoulder, the hip is the most flexible joint in the body. The hip impingement syndrome has been observed in athletes. This can be caused by repetitive activity involving recurrent movement of the legs beyond the normal range of motion. Dr. Aditya Sai Kadavkolan is Consultant, Arthroscopy, Sports Medicine and Shoulder Surgery, Dr. LH Hiranandani Hospital, Powai. Visit http://www.shoulderandkneeclinic.com




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