Orthopedic Associates' Blog

rss

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 ...

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 ...

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 ...