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Arthroscopy of the hip The hip joint presents challenges to arthroscopy in terms of access and instrumentation of the deeply recessed femoral head in the acetabulum and the surrounding thick fibrocapsular and muscular envelope. Technical advances, including an...

CONDITIONS AFFECTING THE HIP Common hip pathologies in the paediatric age group and secondary to trauma are covered in Chapters 29, 32 and 44 This chapter focuses on the acquired pathological conditions in the adult. Friedrich Trendelenburg , 1844–1924, Profes...

DEGENERATIVE AND INFLAMMATORY DISORDERS OF THE HIP Osteoarthritis OA is referred to as primary when no predisposing cause can be found, and secondary when it develops after an insult to the hip joint. A multitude of factors, including genetic, in the developm...

DEGENERATIVE AND INFLAMMATORY DISORDERS OF THE HIP Osteoarthritis OA is referred to as primary when no predisposing cause can be found, and secondary when it develops after an insult to the hip joint. A multitude of factors, including genetic, in the developm...

Diagnostic hip injection Identification of the source of symptoms is essential to ensure appropriate management. Since the hip joint is deeply seated, several extra-articular pathologies can present with hip and groin pain and the diagnostic hip injection can...

Extra-articular hip pathology ). The Hip pain can also occur as a result of impingement of extra-articular structures resulting in restriction of activities. - Table 39.3 shows the common causes of extra-articular hip impingement. Snapping hip syndromes (show...

Femoroacetabular impingement Femoroacetabular impingement (FAI) has recently been recognised as a cause of hip pain in the young adult and may lead to secondary hip OA. Two distinct types of FAI have been described – cam and pincer – although many patients h...

HIP PRESERVATION PROCEDURES For the conditions above, in which degenerative change is not predominant, a variety of surgical procedures are now described with the aim of preserving the hip joint. HIP PRESERVATION PROCEDURES For the conditions above, in which...

Hip dysplasia in young adults Hip dysplasia is a condition in which there is under-coverage of the femoral head, secondary to a shallow acetabulum. Hip dysplasia is defined as an LCEA of <20° and/or an acetabular index of >10° ( Figure 39.6 ). The acetabular...

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Inflammatory arthritis The hip joint can also be a ff ected by inflammatory arthritides; however, these are not as common as OA. This group includes rheumatoid arthritis, ankylosing spondylitis, gout and chon - drocalcinosis, juvenile rheumatoid arthritis and sys...

Learning objectives To understand: The anatomy and biomechanics of the hip and their • clinical implications The clinical presentation, aetiology and management of • common hip pathologies Learning objectives To understand: The anatomy and biomechanics of the ...

Osteotomies around the hip The goal of an osteotomy around the hip is to redistribute forces evenly across the joint, thereby eliminating excessive point loading. This can be achieved by performing an oste - otomy on the femoral or the acetabular side, depend...

Primary total hip replacement Over 95 /uni00A0 000 primary THRs are performed annually in the UK (National Joint Registry , UK). The success rate for THR is very high and the evidence supports the results being more than encouraging. In the modern era, with ev...

Revision total hip replacement Revision of a THR is required if the patient is symptomatic secondary to failure of the implant by loosening ( Figure 39.11 ), recurrent dislocations or a periprosthetic fracture. Rarely the femoral prosthesis itself can frac...

SURGICAL PROCEDURES FOR DEGENERATIVE HIP CONDITIONS Arthrodesis of the hip Arthrodesis or fusion of the hip is an uncommon operation. It is generally reserved for young patients with severe OA who have to fail early . The aim is to achieve a painless joint by...

SURGICAL PROCEDURES FOR DEGENERATIVE HIP CONDITIONS Arthrodesis of the hip Arthrodesis or fusion of the hip is an uncommon operation. It is generally reserved for young patients with severe OA who have to fail early . The aim is to achieve a painless joint by...

Surgical approaches to the hip, postoperative course and complications The operation can be performed via a posterior approach, a trochanteric osteotomy , an anterolateral or Hardinge approach or an anterior approach ( Table 39.8 ). Each approach has its own a...