“This webpage is designed to inform you about the different pathologies. It is not meant to replace any personal conversations that you might wish to have with your physician or other member of your healthcare team.”

 

Anatomy of the Hip
A bursa is a small sac of fluid that acts as a cushion between bones and the overlying soft tissues, reducing friction between the bone and muscles. There are four bursae associated with the hip. One, the trochanteric bursa, overlies the greater trochanter, which is the bony point of the hip that serves as a point of attachment for many of the muscles that move the hip joint. This is the largest bursa of the hip and the most common to cause symptoms. Another, called the iliopsoas bursa, is located on the groin side of the hip and lies between the bone the and iliopsoas tendon. The ischiogluteal, or simply ischial, bursa is deep in the pelvis below the hip joint and overlies the ischium of the pelvis. The gluteus medius bursa is near the trochanteric bursa and lies between the femur and the gluteus medius tendon. When any of these bursae become irritated and inflamed, the condition is commonly referred to as hip bursitis.

 

Bursitis
Trochanteric bursitis is characterized by painful inflammation of the bursa that is located just superficial to the greater trochanter of the femur beneath the iliotibial band..

 

Femoroacetabular Impingement

Femoroacetabular Impingement (FAI) is caused by an overgrowth of bone on the acetabulum (Pincer Lesion) or an excess of bone arising from the femoral neck (Cam Lesion). FAI is often mixed pincer and Cam pathology causing impingement of the labrum between the acetabular rim and femoral neck during hip range of motion.

Snapping Hip
Snapping hip can be classified in two manners; Internal or external. Internal snapping hip is generally caused by the iliopsoas muscle rolling over the iliopectineal eminence. It can be painful or painless, and usually includes mechanical symptoms such as a “snap” that can be felt and heard by the patient and examiner during range of motion of the hip.

 

 

Total Hip Replacements

Total hip replacement (THR) is a treatment option for late-stage degenerative hip disease, also known as osteoarthritis or degenerative arthritis. THR is one of the most successful and common surgical procedures in orthopedic surgery. In addition to marked reduction in pain and improvement in sleep, most people regain range of motion, physical ability, and quality of life.

The hip joint is composed of a ball and socket, with the surface of each covered by cartilage.

A number of conditions and diseases can cause the cartilage surfaces to degenerate, which in turn leads to pain, stiffness, loss of hip joint range of motion, and disability.