Orthopedic Associates' Blog

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Orthopedic Associates' Blog


Direct Anterior (DA) Hip Replacement Surgery
Direct Anterior (DA) Hip Replacement Surgery
By: Dr. Mudd Direct anterior hip replacement offers an exciting less invasive alternative to traditional techniques used to perform hip arthroplasty.  This technique is the only way to access the hip joint that is truly muscle sparing, making it the least invasive of all techniques used to access the hip.  The traditional posterior approach requires the surgeon to split the gluteus maximus, which is one of the largest muscles in the lower extremity, and to release several of the short rotators of the hip.  The unique advantage of the direct anterior approach is the ability to access the hip joint, by using a truly intermuscular plane.  The interval between the Sartorius and the Tensor Fascia Lata muscles is used to expose the hip capsule.  Using a truly intermuscular interval, the surgeon does not need to “cut, split, or release” any of your muscles.  The anterior approach allows the surgeon to minimize the trauma to the muscles while accessing the hip joint.  This translates into decreased inflammation, less pain, quicker return to function, and much less restrictive precautions after surgery.  The ...

Does Your Running Shoe Type Matter?
Does Your Running Shoe Type Matter?
By: Dr. Aaranson   An experienced runner knows a well-fit shoe is priceless, especially when you face the uphill section of a marathon. Improper fits can cause blisters, foot conditions, and a variety of other complications. Shoes is arguably one of the most debated topics among runners: what type of running shoe is best for runners? Support structure is important to consider: how much motion control does your shoe give you? If you’re naturally overpronated in your gait, a shoe ‘expert’ may have recommended a heavier type of shoe with more support. Unfortunately, research shows that the type of running shoe likely doesn’t matter. A recent study published by Aarhus University in Denmark followed the running progression of 927 adults who were novice runners for an entire year. (British Journal of Sports Medicine) The runners were men and women ranging from age 18 to 65. Researchers profiled each runner’s foot to determine their most natural pronation pattern. The runners were then divided into five categories: Neutral pronation ...

What is hip arthroscopy?
What is hip arthroscopy?
By: Dr. Ryan Pitts Doctors often want to know the extent and severity of an injury or condition without undergoing the risk of invasive surgery. Patients who suffer from hip injuries are at a higher risk of further health complications due to their condition. This is where hip arthroscopy proves its greatest value. According to the American Academy of Orthopaedic Surgeons, hip arthroscopy is a “surgical procedure that allows doctors to view the hip joint without making a large incision (cut) through the skin and other soft tissues.” (AAOS) The surgeon inserts a small camera called an arthroscope into the hip region and takes pictures. Any necessary incisions will be miniscule compared to the full incision required for a more invasive inspection of the joint area. Hip arthroscopy is not as widely used as knee and shoulder arthroscopy, but it is nevertheless still effective. Surgeons often use hip arthroscopy to identify smaller problem areas and conduct minor procedures. Some surgeries that are often conducted during hip arthroscopy include the following, among others: Repairing torn cartilage ...

What is a hip pointer (and how do to treat it)
What is a hip pointer (and how do to treat it)
By: Dr. Pitts Have you ever seen a football player take a blow to the hip and the player immediately uses both hands to press on his hip? The team doctors rush out and help the player limp to the sidelines. A few minutes later the sideline reporter gives the report that the player sustained a ‘hip pointer’. It’s at that moment when you wonder, “What is a hip pointer?” If a hip pointer sounds painful, you’re right; hip pointer can be excruciating to endure. I’d like to share what constitutes as a hip pointer injury, what are the symptoms of a hip pointer, and what treatment options are available for a hip pointer injury. What is a hip pointer injury? A hip pointer occurs during impact on the iliac crest, the fan-shaped or crescent-shaped top of the hip bone. A football helmet hitting the hip joint or a heavy object striking the bony protrusion part of the hip is what can often cause a hip pointer. Symptoms of hip pointer injuries Hip pointers are often presented as severe tenderness and pain when ...

Why does my hip keep snapping or popping and is it serious?
Why does my hip keep snapping or popping and is it serious?
Does your hip snap or pop when you move? How do you know if it’s a normal occurrence or if it’s a sign of a more serious condition? Snapping hip syndrome is a condition where your hip makes a snapping or popping sound when you walk, stand up, or reposition your leg. According to the American Association of Orthopedic Surgeons (AAOS), snapping hip is, “...most often the result of tightness in the muscles and tendons surrounding the hip. People who are involved in sports and activities that require repeated bending at the hip are more likely to experience snapping hip. Dancers are especially vulnerable.” (AAOS) Snapping hip syndrome is most often pain-free but simply annoying. It occurs most frequently in the outer region of the hip when the iliotibial band (IT band) extends over the greater trochanter portion of the thigh bone. (MedScape) As the band stretches over the protruding greater trochanter, the band can “snap” into place. Other tendons layered over the hip joint, such as the rectus femoris tendon (front of the thigh), iliopsoas tendon (front of the hip), and hamstring ...

Three most common fall-related winter injuries
Three most common fall-related winter injuries
By: Dr. James Burke The winter months present greater risk for injuries than any other season simply because of snow and ice. The pace of everyday life doesn’t always see a slippery sidewalk or driveway as a potential injury waiting to happen. One of the worst winter accidents is a fall due to snow or ice. One out of every five falls cause a serious injury, such as a broken bone or a traumatic brain injury. The risk is even greater for elderly citizens with over 2.5 million elderly people treated receiving emergency medical treatment each year because of a fall. While falling on ice can cause a myriad of potential injuries, including a wounded pride, here are three of the most common injuries due to falling during the winter. Sprained or broken wrist The falling sensation can cause us to instinctively reach out and try to brace the fall. With an uneven icy surface underneath us, the displacement of weight can often cause a wrist injury, even a completely broken wrist. Hip fracture Walking on uneven icy surfaces can sometimes cause our feet to ...

Common Fall-Related Bone Fractures Among Elderly Adults
Whether it’s weather-related or in your everyday routine, a simple fall can mean significant danger and harm to an elderly adult. Slips and falls are some of the leading causes of bone fractures for the elderly. An estimated 87% of bone fractures among people 65 years and older are due to falls. (MedicineNet) Of these fall-related fractures, there are four most common fractures that elderly adults tend to experience from such mishaps. Hip An estimated quarter-million hip fractures happen every year among people over 65 years of age in the U.S. (CDC) Of these hip fractures, over 95% of them are caused by falling, often by falling sideways and landing on the hip joint. The added pressure of the full body weight and other aging factors, including osteoporosis, contribute to hip fractures. Femur (Upper-Leg Bone) Another more common bone fracture caused by falling is a broken femur, or upper leg bone. Because of the strength of the muscles and ligaments surrounding the femur, a broken femur can often be very serious. It may even result in a compound fracture in severe situations. The ...

Is Running Actually Good For You?
There’s a long standing debate between runners and non-runners: Is running actually good for you? It’s time to find an official answer. Let’s examine the facts: The benefits of aerobic exercise (cardio) are undeniable. It’s widely known that those who regularly engage in cardio experience decreased stress, healthy weight loss, increased heart and lung strength, greater bone density, improved mood, and boosted energy. If we look at the definition of cardio, it is any use of oxygen to meet the demands created by movement via aerobic metabolism. Basically, anything that has your body intaking more air than usual and converting it to energy can be considered aerobic exercise. The question then becomes: Is running, a specific TYPE of cardio, beneficial to the body? To answer, we’ll have to look at the mechanics of the act of running. You’re breathing heavier and your heart is pumping more, but what about all those joints and muscles moving around to facilitate your aerobic experience? Running, by definition, requires that both of your feet be off of the ground simultaneously at some point in your cycle of movement ...