Hip joint

Case courtesy of Dr Thuan Tzen, Koh, Radiopaedia.org. From the case rID: 42600

Arthritic joint pain is an ache and sharpness on movement which limits weight bearing and range of motion such as rotation and flexion especially. Positive tests such as loss of internal rotation and pain on flexion beyond 90 degrees are common starting points. There is a lot that can be done to improve early arthritic change in the joint including exercise to improve the often weak surrounding structures and work to improve the flexibility. Don’t wait for it to get bad! Get it seen!

Younger sporting hip issues present as pain deep in the joint when running or lunging. This is particularly felt when hugging the knee to the chest or taking it across the body. These are things like hip impingement often called Femoral Acetabular Impingement and can involve bony changes such as CAM deformity of the neck of the femur. This is where the neck of the femur pinches the edge of the hip joint and can damage the fibrous rim (labrum).The neck of the femur can grow slightly thicker than usual and make this problem.

Whilst there are many things that we can do the best thing is to make an early diagnosis to ensure the damage is limited. These can result in surgery but success is dependent on the damages caused so sooner the better.

We have excellent links with the best surgeons in Europe to help with this – so get it seen!