Understanding Hip Conditions & Arthroscopy

Hip pain is a common issue among active individuals, but it can stem from a variety of causes. Dr. Scott Hrnack, an expert in orthopedics and sports medicine, provides insights into the most common hip conditions and treatment options, including hip arthroscopy.

Common Hip Conditions in Active Individuals

Hip pain location helps determine its cause:

• Front/Groin Pain: Often linked to arthritis, hip impingement, or labral tears.
• Outer Hip Pain: Typically, from trochanteric bursitis, gluteus medius tears, or iliotibial band irritation.
• Back Hip Pain: May be related to the spine rather than the hip itself.

Understanding Femoroacetabular Impingement (FAI)

FAI occurs when excess bone growth in the hip joint leads to impingement, or pinching, of soft tissues. This can develop naturally or due to repetitive movements in sports. Symptoms include groin pain, stiffness, and discomfort with activities like running.

Hip Labral Tears: Causes and Symptoms

The labrum is a rubbery structure around the hip joint that maintains joint stability. A tear in the labrum can cause pain, particularly with movement, and may lead to a sensation of hip locking. Sitting for long periods, driving, or rising from a seated position can exacerbate symptoms.

Other Common Hip Conditions

• Trochanteric Bursitis: Inflammation of the bursa on the outer hip, often due to repetitive movement.
• Abductor Tears: Weakness in the hip leading to an altered standing and walking pattern.
• Hip Arthritis: A degenerative condition that can mimic symptoms of FAI and labral tears, often leading to long-term joint damage.

Diagnosis: Identifying the Source of Hip Pain

Dr. Hrnack uses the following diagnostic tests:

• Clinical Examination: Use an impingement test to evaluate hip pain through movement.
• X-Rays: Identify bony abnormalities like FAI or osteoarthritis.
• MRI: Confirms labral tears and other soft tissue damage.
• MRI with Arthrogram: Uses contrast dye to enhance the presence of labral tears.

Conservative Treatments Before Surgery

Most hip conditions are initially treated non-surgically. Common approaches include:

• Physical Therapy: Strengthens hip-supporting muscles.
• Activity Modification: Reduces strain and overactivity on the hip.
• Anti-Inflammatory Medications: Alleviate pain and swelling.
• Corticosteroid Injections: Provide temporary relief by reducing inflammation.

Hip Arthroscopy: A Minimally Invasive Solution

Hip arthroscopy is a surgical technique using a small camera to access and repair the hip joint. Compared to traditional open hip surgery, arthroscopy involves smaller incisions, less trauma, and a faster recovery. It is commonly used to treat:

• FAI (Pincer or Cam Impingement)
• Labral Tears (Repair or Reconstruction)
• Trochanteric Bursitis and Soft Tissue Repairs

Recovery from Hip Arthroscopy

• Minor Debridement: Recovery in a few months.
• Labral Repair & Bone Reshaping: Recovery may take 6-12 months.
• Rehabilitation: Physical therapy is key to regaining strength and mobility.

Long-Term Outcomes and Preventing Hip Issues

Patients who undergo hip arthroscopy typically experience significant pain relief and improved mobility. Early intervention for conditions like FAI and labral tears may help prevent future arthritis. To maintain hip health, Dr. Hrnack recommends:

• Maintaining a Healthy Weight: Reduces joint stress.
• Strength and Flexibility Training: Supports hip stability.
• Low-Impact Exercises: Swimming and cycling protect the joints.

Conclusion

Hip pain should not be ignored, especially for active individuals. Whether through conservative treatments or surgical intervention, Dr. Scott Hrnack and the team at All-Star Orthopaedics are dedicated to helping patients regain mobility and live pain-free lives. Schedule an appointment with Dr. Hrnack if you need expert hip treatment.