CENTER FOR SPORTS INJURY
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Overview

The largest weight-bearing joint in the human body, the Hip joint is a ball and socket joint surrounded by muscles, tendons, and ligaments. The thigh bone, femur, and the pelvis form a hip joint. The hip joint is made of bones and joints, ligaments of the joint capsule, Muscles and tendons, and nerves and blood vessels.

Any injury or disease of the hip joint affects its range of motion and the ability to bear weight.

Hip Joint Conditions
  • Hip Adductor Injuries
  • Femoroacetabular Impingement
  • Ischiofemoral Impingement
  • Avascular Necrosis
  • Gluteal Strain
  • Hip Fracture
  • Hip Ligament Injuries
  • Hip Dislocation
  • Deep Gluteal Pain Syndrome
  • Gluteus Medius tear
  • Acetabular Subchondral Cysts
  • Hip Labral Tear
  • Labral Cysts of the Hip
  • Hip & Groin Disorders
  • Greater Trochanteric Pain Syndrome
  • Subtrochanteric hip fractures
  • Sciatic Nerve Compression
  • Hip abductor tears
  • Trochanteric Bursitis
  • Hip Synovitis
  • Iliopsoas Tendonitis
  • Irritable Hip
  • Stress Fracture of the Hip
  • Hip Tendonitis
  • Hip Injury
  • Hip Pointer
  • Periprosthetic Hip Fractures
  • Osteoarthritis of Hip
  • Iliopsoas Impingement
  • Transient Osteoporosis of Hip
  • Acetabular Fracture
  • Inflammatory arthritis of the hip
  • Femoral Neck Fracture
  • Osteoporosis of hip
  • Gluteus Tendon Tear
  • Femur Fracture
  • Snapping Hip Syndrome
  • Hip Osteonecrosis
  • Pelvic Fractures
  • Hamstring injuries
  • Hip Bursitis
  • Groin Injuries in Athletes
  • Partial Hamstring Tears
Most Common Hip Joint Related Sports Injuries
  • Bursitis & Tendonitis – These are overuse injuries commonly occurring in active athletes. The inflammation of the bursa (a cushion-like structure) between the muscle and hip joint is known as bursitis. Tendonitis, on the other hand, is the inflammation of the tendons surrounding the hip joint. The most frequently injured tendon is Iliotibial Band (ITB) Tendonitis.
  • Hip Pointer – It is a condition that involves a direct impact on the tip of the iliac crest (hip bone). The bone and the muscles overlying also get bruised and the pain can be excruciating.
  • Osteoarthritis – Osteoarthritis of the hip joint is a common cause of hip pain in older athletes. It is a condition of wear and tear of the joint cartilage which protects the bones of the joints. As you age, the protective layer of cartilage erodes and exposes the underlying bones. This leads to pain in the joints while moving and bearing weight.
  • Hip Labral Tears – An injury to the hip labrum (a structure that cushions the hip socket) leads to the hip labrum tear. This leads to pain in the groin and a sensation of catch in the hip.
  • Hip Impingement – Often detected in middle-aged and young athletes, hip impingement is a condition in which the hip bones do not perfectly fit together owing to an abnormal shape. This causes bones to rub against each other and damage the hip joint.
  • Stress Fractures – Stress fractures commonly occur in long-distance runners due to repetitive trauma to the hip bone.
  • Avascular Necrosis – Avascular necrosis means the death of bone owing to lack of adequate blood supply to the hip joint. It usually occurs in the ball of the hip joint. It causes dull throbbing pain in the hip, buttock, or groin while moving side to side.
Orthopedic Evaluation at CSI

At CSI, our expert specialists follow three main steps to comprehensively evaluate the Hip Joint pathology:

  1. Patient’s Medical History – The patient’s medical history is important to comprehensively evaluate the information about pain, injury, symptoms, and joint limitations. The doctors also take the medical/surgical history and the current status of the patient.
  2. Physical Examination – The assessment of swelling, joint range of motion, tenderness, and muscle testing including strength, weakness, and instability are assessed through physical examination.
  3. Diagnostic Tests – These tests help make an accurate diagnosis of the patient’s condition through X-ray, MRI, CT scan, or the Imaging tools. At CSI, we have a dedicated Musculoskeletal Imaging Center, DiagKnow that helps our doctors make an accurate diagnosis of the underlying pathology. It also helps the surgeon make an informed decision about whether the patient requires surgery or not.
Surgery

Orthopedic surgery for the Hip joint can be – Arthroscopic and Open surgery.

Hip Arthroscopy

Hip Arthroscopy, also referred to as Keyhole or minimally invasive surgery, is a procedure that involves the insertion of an arthroscope in the hip joint. The arthroscope helps the doctor to check for any damage or requirement of repair in the hip joint simultaneously. With the help of a fiber-optic instrument consisting of a light and video camera, the arthroscope helps to capture the image of the inside of the joint and the doctor repairs the damage through minimal invasion.

Hip Arthroscopy is done to treat various conditions of the hip joints such as torn ligaments, cartilage, fractures, hip labrum tears, femoral-acetabular impingement syndrome, etc.

The procedure is less painful, leads to faster recovery, ensures shorter hospital stays, and has a lower infection rate over open surgery.

Open Hip Surgery

Open Hip Surgery involves a surgical procedure done for the treatment of hip conditions or hip injury. The procedure helps repair diseased or damaged hip joints to eliminate pain and improve function. Open Hip Surgery involves making a long incision of a few centimeters over the hip joint. The procedure is carried out under general or local anesthesia. After the incision, underlying soft tissues are carefully moved aside to expose the diseased or damaged part. The damaged tissue is then repaired by special surgical tools. Once repaired, the instruments are removed and the incisions are closed with sutures or stitches.

Some of the common hip procedures carried out by surgery are Total Hip Replacement, Hip labrum repair, labrum reconstruction, Femoral osteoplasty, Snapping hip syndrome, etc.

Total Hip Replacement

Total Hip Replacement (THR) is surgery of the hip joint done to remove the damaged cartilage and bone from the hip joint and replace them with artificial components. The main indication for a THR is Arthritis.

Arthritis is an inflammatory disease of the joint that results in pain, stiffness, swelling, and limited Range of motion. Hip arthritis is the most common cause of pain and disability. Total Hip replacement is recommended when conservative treatments like physical therapy and pain medication fail to relieve symptoms.

Preparing for Surgery

Preparation for Hip surgery involves a thorough examination by your doctor. Your blood work and imaging will be done before undergoing the surgery. You will be checked for any allergies to medications, anesthesia, etc. You will also be advised to be Nil by Mouth at least 8 hours before the surgery and written consent will be taken after you have been explained about the surgical procedure.

Other Treatment Options
  • Rehabilitation
    • Non-Surgical
    • Post- Surgical
  • PRP
Why CSI?

CSI is a one-stop solution for all sorts of orthopedic, musculoskeletal, and sports-related conditions. CSI is one of the best orthopedic hospitals for hip replacement surgery in India. At CSI, we have a dedicated OT for orthopedic surgeries, a dedicated Musculoskeletal Imaging Center, DiagKnow, and a physical rehabilitation center for conservative and Post-operative physiotherapy at CSI PhysioCare! Learn more about PhysiCare

CSI is one of the best centers for Hip surgery in Delhi. Headed by one of the best orthopedic doctors in Delhi, Dr. Pushpinder Singh Bajaj, CSI offers all the surgical, imaging, and post-operative rehabilitation services under one roof.

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