Orthopedic Diseases & Conditions
Recovering from a hip injury or condition starts with learning more about it. At Nacogdoches Medical Center, we stay current with knowledge on a range of hip diseases and conditions and hip replacement complications. Below you’ll find more information on these common hip problems.
Avascular necrosis results from a significant loss of blood supply to the top of the thighbone where it fits in the hip socket. This disabling condition can lead to painful hip movement and arthritis.
This condition involves irregularities in the hip joint such as femoroacetabular impingement (FAI), cam impingement, pincer lesions and dysplasia.
Bursitis of the Hip
Around the outer area of the hip, small sacs filled with liquid act as cushions between bone, tendons and muscles. When inflammation of the sacs occurs, hip pain follows.
Chondral Lesions or Injuries
Injuries to, or loss of, cartilage exposes the underlying bone surface, causing severe pain in the hip.
Detachment of the Hip Labrum
The labrum, a ring of soft tissue outside the socket of the hip, cushions and works like a suction cup to hold the hip together. Pain with internal rotation and adduction occurs when the hip labrum becomes detached.
When the round ball of the bone sits more forward or backward in the hip joint, this can lead to symptomatic, painful hips and progressive cartilage wear.
Extra-Articular Disorders about the Hip
Disorders about the hip can be related either directly to the joint or to the outside of the joint. These disorders include tendon injuries, muscular injuries and nerve damage.
When the hip socket has limited coverage around the ball of the femur, the body forms softer labrum tissue to compensate. This can result in the labrum tearing.
This occurs when the ball of the femur does not have its full range of motion within the socket. This causes a decreased range of hip joint motion in addition to pain.
This is the most common form of arthritis. Hip osteoarthritis occurs when cartilage breaks down, causing damage to the hipbone. More than 20 million Americans, mostly adults over the age of 65, suffer from osteoarthritis.
See Avascular necrosis.
Labral Tears and Chondral Lesions in the Hip
The hip joint has a rim of cartilage called the labrum that allows the femur to move easily in the hip socket. A tear of the labrum can occur from injury, repetitive motion or degeneration, causing pain in the hip joint.
Periarticular Muscle Irritations and Tendonitis
A fall or direct blow to the hip, or overstretching and overuse can tear muscle fibers, resulting in hip strain. Strains may be mild, moderate or severe, depending on the extent of the injury.
Ruptured Ligament of the Hip
Ligaments strengthen the hip and stabilize the joint. Ligament strains or ruptures occur if the joint is twisted or overstretched. Usually a “snapping” or “cracking” occurs when a ligament ruptures, followed by bruising, swelling and pain.
The occasional “snapping” that can be heard when walking results from the movement of a muscle or tendon over a bony structure. A tear in the cartilage or some bone debris in the hip joint can also cause a snapping or clicking sensation.
This is the term for inflammation of the inner layer of the joint capsule, which is made up of loose connective tissue. Most hip conditions overload this capsule, causing its inflammation.
Tendonopathies of the Hip
Disorders in tendons, the soft tissues that connect muscles to bones, can be caused by inflammation, some degree of degeneration or tearing.
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You can also read more about diseases and conditions in our health library