Hip Archives - Snibbe Orthopedics

Trochanteric Bursitis

Trochanteric bursitis is inflammation of a fluid-filled sac on the side on the hip. This is often a result of a tight IT band. Patients will experience soreness and pain on the side of the hip, as well as difficulty with sleeping on their side. Treatment involves medications, physical therapy, injections, and sometimes requires surgery.

Snapping Hip – Internal

Internal snapping hip is a condition where a patient has a snapping sensation when the leg is brought from a flexed position to a straight leg position. The snapping can sometimes be painful and cause discomfort when a person is exercising. Treatment for internal snapping hip may include medications, physical therapy, and possibly arthroscopic surgery.

IT band snapping across greater trochanter of the hip

Snapping Hip – External

An external snapping hip is when the patient experiences a snapping sensation on the outside of the hip that is painful. This is often a result of a tight iliotibial band (IT band). Treatment for external snapping hip syndrome may include medications, physical therapy, and sometimes surgical intervention.

Total Hip Arthroplasty

In a total hip arthroplasty, the cartilage that lines the hip joint is a source of pain and is thus removed. The damaged ball of the hip joint is replaced with a metal ball that is attached to a metal stem, which is fitted in the femur. The socket of the hip (acetabulum) is replaced with a metal cup that has a plastic liner.

Osteoarthritis (OA) of the Hip

Osteoarthritis of the hip is the loss of cartilage in the hip joint. Patients with osteoarthritis will experience groin and buttock pain, stiffness in the hip, and pain with sitting and walking. Treatment for osteoarthritis of the hip can include medications, physical therapy, injections, and joint replacement surgery.

Proximal Hamstring Repair

During an open proximal hamstring repair, an approximately 3–5 cm incision is made at the crease of the buttock. Next the damaged hamstring tendon is located and any frayed or damaged tissue is removed. Once a clean edge of healthy tendon is achieved, it is secured using strong suture back to its insertion on the ischial tuberosity of the pelvis.

Labrum Tear

The labrum is cartilage in the hip which lines the outer lip of the hip socket (acetabulum). Damage to the labrum can occur as a result of trauma or from femoroacetabular impingement (FAI). Patients with a torn labrum will experience a deep pain in the groin area which is sore, aching, and sometimes sharp. Patients may also notice a decreased range of motion and pain with sitting. Treatment for a torn labrum includes conservative care as well as possibly arthroscopic surgery to repair the damaged labrum.

Arthroscopic Trochanteric Bursectomy

Through a small incision on the side of the thigh, a tiny shaver instrument is used to clean out the bursa. All of the inflamed, damaged, or frayed tissue is removed. This may be combined with an iliotibial band release, labral repair, and/or osteoplasty of femoral neck and acetabulum.

Iliotibial Band Syndrome

The iliotibial band, also known as IT band, is a thick band of tissue extending from the pelvis to the knee along the outside of the leg. With overuse activities such as running, this band can become inflamed and cause pain at the hip and the knee. Treatment for IT band syndrome includes medications, physical therapy, and possible injections and/or surgery if necessary.

Arthroscopic Partial Iliopsoas Tendon Release

The partial iliopsoas tendon release can be performed arthroscopically. Instead of releasing the tendon completely, which may lead to postoperative weakness, a partial tendon release is preferred. Using a heat device, the tendon is partially released and by doing this, the tendon is lengthened. This lengthening allows the tendon to glide over the hip joint and not snap any further.