The Hip

The hip joint is the ball-and-socket joint between a person’s pelvis and leg bone (femur). This is in contrast to what many people may colloquially understand, referring to the ‘hip’ as the upper part or side of the buttocks.

AVN and Osteoarthritis

Sports Injuries

The hip joint is well-protected by many muscles, and thus it is not easy to injure this joint. However, certain sports injuries are quite common, and these are Hamstring pull/tear, Trochanteric bursitis, or Groin adductor muscle pull.

The majority of such injuries recover well with rest and physiotherapy. In suitable cases, a tissue-healing stimulant injection stimulates and accelerates recovery.

Femoral-Acetabular Impingement (FAI)

One of the common hip conditions that we treat is FAI. Patients with FAI have pain when bending over to tie shoelaces or getting in/out of the car. Sometimes, patients feel an ache in the front of the groin after long walks or a run. FAI typically affects people in their late 20s to early 40s, and affects ladies more. Early-stage FAI can be treated by physiotherapy to improve hip strength and muscle control. In cases with persistent pain despite conservative therapy, Arthroscopic (Key-Hole) surgery is a very effective treatment to get rid of pain and protect the hip for the years to come.

We are also experienced in Avascular Necrosis (AVN) and Hip Osteoarthritis. AVN is a condition where the blood supply to the hip is damaged, leading to dying bone. The causes are excessive alcohol, chronic steroid use, or previous hip fractures. Untreated AVN can lead to Hip Osteoarthritis, which is progressive damage of the cartilage.

Our expertise includes:
- Physiotherapy
- Bone marrow injections
- Tissue-healing stimulant for sports injuries
- Hamstring / muscle tears repair 
- Key-Hole procedures for FAI, labrum tears, and AVN
- Hip Fracture fixation
- Hip replacements

Avascular Necrosis treatment

Femoral-Acetabular Impingement (FAI) 

 

Early cases of Osteoarthritis can be treated with medications, physiotherapy, and lubricant injection. In more severe cases, the most effective treatment for severe Hip Osteoarthritis is a Total Hip Replacement (THR), which is a surgery to replace the hip joint with artificial prostheses. THR is one of the most successful and cost-effective surgeries in the whole of Orthopaedic Surgery.

Osteoarthritis is a significant cause of hip pain and poor mobility.

© Centurion Ortho 2020. Clinical images from Dr Ang CL.