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Hip

Total Hip Replacement

Total Hip Replacement

Total hip replacement is a surgical procedure in which the damaged cartilage and bone are removed from the hip joint and replaced with artificial components. The main indication for total hip replacement is arthritis.

Minimally Invasive Total Hip Replacement

Minimally Invasive Total Hip Replacement

Minimally invasive total hip replacement is a surgical procedure performed through one or two small incisions rather than the single long incision of 10–12-inches as in the traditional approach.

Hip Hemiarthroplasty

Hip Hemiarthroplasty

Hip hemiarthroplasty is a surgical technique employed to treat hip fractures. In this procedure, only one half (ball section) of the hip joint is substituted by a metal prosthesis.

Outpatient Hip Replacement

Outpatient Hip Replacement

Outpatient hip surgery is designed to allow surgeons to replace the damaged hip bones through a small, minimally invasive approach. The single incision measures around 5 inches compared to 10 to 12 inches for traditional surgery and is usually placed on the outside of the thigh.

Revision Hip Replacement

Revision Hip Replacement

During total hip replacement, the damaged cartilage and bone are removed from the hip joint and replaced with artificial components. At times, hip replacement implants can wear out for various reasons and may need to be replaced with the help of a surgical procedure known as revision hip replacement surgery.

Hip Reconstruction

Hip Reconstruction

Hip reconstruction is a surgery to repair or replace a damaged hip joint that causes pain and limits your movement.

Hip Arthroscopy

Hip Arthroscopy

Hip arthroscopy, also referred to as keyhole or minimally invasive surgery, is a procedure in which an arthroscope is inserted into your hip joint to check for any damage and repair it simultaneously.

Hip Fracture Surgery

Hip Fracture Surgery

Surgical correction of a hip fracture is known as hip fracture surgery. Hip fractures involve a break that occurs near the hip in the upper part of the femur or thigh bone. The thigh bone has two bony processes on the upper part - the greater and lesser trochanters.

Physical Therapy for Hip

Physical Therapy for Hip

Physical therapy is an exercise program that helps you to improve movement, relieve pain, encourage blood flow for faster healing, and restore your physical function and fitness level. The main aim of physical therapy is to make your daily activities, such as walking, getting in and out of bed and climbing stairs, easier.

Hip Preservation Surgery

Hip Preservation Surgery

The hip is a ball and socket joint comprising of the femur (thigh bone) and the pelvic bone. The head of the femur (ball) articulates with a cavity (socket) called the acetabulum in the pelvic bone. To facilitate the smooth and frictionless movement of the hip joint, the articulating surfaces of the femur head and acetabulum are covered by spongy articular cartilage.

Short-Stay and Fast-Track Hip Replacement

Short-Stay and Fast-Track Hip Replacement

Short-stay and fast-track hip replacement is a minimally invasive surgical procedure in which worn-out or damaged surfaces of the hip joint are removed and replaced with prostheses.

Complex Hip Reconstruction Surgery

Complex Hip Reconstruction Surgery

Complex hip reconstruction surgery is a surgical procedure employed to treat hip structures with complex hip fractures or traumatic hip injuries, deformities, structural issues, and damage from diseases such as arthritis.

Posterior Hip Replacement

Posterior Hip Replacement

Posterior hip replacement is a minimally invasive surgical procedure in which the worn out or damaged surfaces of the hip joint are removed and replaced with artificial joint components made of metal, ceramic, or plastic.

Core Decompression for Avascular Necrosis of the Hip

Core Decompression for Avascular Necrosis of the Hip

The hip joint is a ball and socket joint, where the head of the thighbone (femur) articulates with the cavity (acetabulum) of the pelvic bone.

Anterior Hip Replacement

Anterior Hip Replacement

Anterior hip replacement surgery is performed under general anesthesia or regional anesthesia. You will lie down on your back, on a special operating table that enables your surgeon to perform the surgery from the front of the hip.

Direct Superior Hip Replacement

Direct Superior Hip Replacement

Direct superior hip replacement is a minimally invasive surgery that provides your surgeon access to the hip joint with minimum displacement or damage to the surrounding muscles, tendons, and ligaments.

Osteoarthritis of the Hip

Osteoarthritis of the Hip

Osteoarthritis, also called degenerative joint disease, is the most common form of arthritis. It occurs most often in the elderly. This disease affects the tissue covering the ends of bones in a joint called cartilage.

Hip Bursitis

Hip Bursitis

Hip bursitis is a painful condition caused by the inflammation of a bursa in the hip. Bursae are fluid-filled sacs present in the joints between bone and soft tissue to reduce friction and provide cushioning during movement.

Hip Dislocation

Hip Dislocation

The hip joint is a “ball and socket” joint. The “ball” is the head of the femur or thighbone, and the “socket” is the cup-shaped acetabulum. The joint is surrounded by muscles, ligaments, and tendons that support and hold the bones of the joint in place.

Hip Instability

Hip Instability

Injury or damage to these structures can lead to a condition called hip instability when the joint becomes unstable.

Hip Labral Tear

Hip Labral Tear

A hip labral tear is an injury to the labrum, the cartilage that surrounds the outside rim of your hip joint socket.

Hip Ligament Injuries

Hip Ligament Injuries

Injuries to the hip ligaments are commonly called a hip sprain and can range from minor tears of the ligaments to more serious injuries involving the hip muscles, tendons or bone.

Hip Pain

Hip Pain

Hip pain, one of the common complaints, may not always be felt precisely over the hip joint rather in and around the hip joint. The cause for pain is multifactorial and the exact position of your hip pain suggests the probable cause or underlying condition causing it.

Hip Fracture

Hip Fracture

The hip joint is a “ball and socket” joint. The “ball” is the head of the femur or thighbone, and the “socket” is the cup-shaped acetabulum. The joint surface is covered by a smooth articular surface that allows pain-free movement in the joint.

Transient Osteoporosis of the Hip

Transient Osteoporosis of the Hip

Transient osteoporosis of the hip is a rare condition that causes temporary bone loss in the upper region of the thighbone (femur). It occurs most often in young or middle-aged men of the age groups 30 to 60, and women in their later stages of pregnancy or early postpartum (following childbirth).

Iliopsoas Tendonitis

Iliopsoas Tendonitis

Iliopsoas tendonitis also referred to as snapping hip syndrome, is an inflammation of the iliopsoas tendon or the surrounding area.

Femoral Neck Fracture

Femoral Neck Fracture

The hip is a ball-and-socket joint made up of the head of the thigh bone or femur that acts as the ball and fits into the rounded socket of the hip bone or acetabulum.

Hip Flexor Pain

Hip Flexor Pain

Hip flexor pain is a distressing feeling or discomfort noted in the hip and/or groin region that can make everyday activities, such as going up and down the stairs or lifting your leg to tie a shoe extremely difficult and painful and can severely limit your activity and mobility.

Femoroacetabular Impingement

Femoroacetabular Impingement

Femoroacetabular impingement (FAI) is a condition characterized by excessive friction in the hip joint from the presence of bony irregularities. These cause pain and decreased range of hip motion.

Developmental Dysplasia

Developmental Dysplasia

Developmental dysplasia of the hip (DDH) or hip dysplasia is a condition that is seen in infants and young children because of developmental problems in the hip joint.

Inflammatory Arthritis of the Hip

Inflammatory Arthritis of the Hip

The inflammation of the joints is referred to as arthritis. Inflammation arises when the smooth lining called cartilage at the ends of bones wears away.

Femur Fracture

Femur Fracture

The femur or thigh bone is the longest and strongest bone in the body, connecting the hip to the knee. A femur fracture is a break in the femur.

Hip Osteonecrosis

Hip Osteonecrosis

Hip osteonecrosis occurs due to disruption of the blood supply to the highest part of the thigh bone (femoral head). Due to lack of nourishment, the bone tissue of the femoral head dies and gradually collapses, which may further lead to degeneration of the underlying cartilage.

Hip Implants

Hip Implants

Hip implants are artificial devices that form the essential parts of the hip joint in a hip replacement surgery. The hip implants vary by size, shape, and material.

Hip Joint

The hip joint is the largest weight-bearing joint in the human body. It is also referred to as a ball and socket joint and is surrounded by muscles, ligaments, and tendons. The thigh bone or femur and the pelvis join to form the hip joint.

Any injury or disease of the hip will adversely affect the joint's range of motion and ability to bear weight.

The hip joint is made up of the following:

  • Bones and joints
  • Ligaments of the joint capsule
  • Muscles and tendons
  • Nerves and blood vessels that supply the bones and muscles of the hip

Bones and Joints

The hip joint is the junction where the hip joins the leg to the trunk of the body. It is comprised of two bones: the thigh bone or femur and the pelvis which is made up of three bones called ilium, ischium, and pubis. The ball of the hip joint is made by the femoral head while the socket is formed by the acetabulum. The Acetabulum is a deep, circular socket formed on the outer edge of the pelvis by the union of three bones: ilium, ischium, and pubis. The lower part of the ilium is attached by the pubis while the ischium is considerably behind the pubis. The stability of the hip is provided by the joint capsule or acetabulum and the muscles and ligaments which surround and support the hip joint.

The head of the femur rotates and glides within the acetabulum. A fibrocartilagenous lining called the labrum is attached to the acetabulum and further increases the depth of the socket.

The femur or thigh bone is one of the longest bones in the human body. The upper part of the thigh bone consists of the femoral head, femoral neck, and greater and lesser trochanters. The head of the femur joins the pelvis (acetabulum) to form the hip joint. Next, to the femoral neck, there are two protrusions known as greater and lesser trochanters which serve as sites of muscle attachment.

Articular cartilage is the thin, tough, flexible, and slippery surface lubricated by synovial fluid that covers the weight-bearing bones of the body. It enables smooth movements of the bones and reduces friction.

Ligaments

Ligaments are fibrous structures that connect bones to other bones. The hip joint is encircled with ligaments to provide stability to the hip by forming a dense and fibrous structure around the joint capsule. The ligaments adjoining the hip joint include:

  • Iliofemoral ligament: This is a Y-shaped ligament that connects the pelvis to the femoral head at the front of the joint. It helps in limiting the over-extension of the hip.
  • Pubofemoral ligament: This is a triangular shaped ligament that extends between the upper portion of the pubis and the iliofemoral ligament. It attaches the pubis to the femoral head.
  • Ischiofemoral ligament: This is a group of strong fibers that arise from the ischium behind the acetabulum and merge with the fibers of the joint capsule.
  • Ligamentum teres: This is a small ligament that extends from the tip of the femoral head to the acetabulum. Although it has no role in hip movement, it does have a small artery within that supplies blood to a part of the femoral head.
  • Acetabular labrum: The labrum is a fibrous cartilage ring which lines the acetabular socket. It deepens the cavity, increasing the stability and strength of the hip joint.

Muscles and Tendons

A long tendon called the iliotibial band runs along the femur from the hip to the knee and serves as an attachment site for several hip muscles including the following:

  • Gluteals: These are the muscles that form the buttocks. There are three muscles (gluteus minimus, gluteus maximus, and gluteus medius) that attach to the back of the pelvis and insert into the greater trochanter of the femur.
  • Adductors: These muscles are located in the thigh which helps in adduction, the action of pulling the leg back towards the midline.
  • Iliopsoas: This muscle is located in front of the hip joint and provides flexion. It is a deep muscle that originates from the lower back and pelvis and extends up to the inside surface of the upper part of the femur.
  • Rectus femoris: This is the largest band of muscles located in front of the thigh. They also are hip flexors.
  • Hamstring muscles: These begin at the bottom of the pelvis and run down the back of the thigh. Because they cross the back of the hip joint, they help in extension of the hip by pulling it backward.

Nerves and Arteries

Nerves of the hip transfer signals from the brain to the muscles to aid in hip movement. They also carry the sensory signals such as touch, pain, and temperature back to the brain.

The main nerves in the hip region include the femoral nerve in the front of the femur and the sciatic nerve at the back. The hip is also supplied by a smaller nerve known as the obturator nerve.

In addition to these nerves, there are blood vessels that supply blood to the lower limbs. The femoral artery, one of the largest arteries in the body, arises deep in the pelvis and can be felt in front of the upper thigh.

Hip Movements

All of the anatomical parts of the hip work together to enable various hip movements. Hip movements include flexion, extension, abduction, adduction, circumduction, and hip rotation.

5848 South 300 East
Suite 110
Salt Lake City, UT 84107

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