I have been diagnosed with hip dysplasia as a teenager, however have I always had hip dysplasia?

In many cases adolescent hip dysplasia is a progression of paediatric hip dysplasia, and patients will have had some failure of hip formation as a younger child. In some cases patient may have had treatment as a child for hip dysplasia and may have had a relatively normal hip, however over time the hip joint formation regresses, and this can result in poor socket formation as an adolescent.

How long is recovery after hip dysplasia surgery?

This depends on the nature of the surgery which is undertaken. After a periacetabular osteotomy, most patients are back to playing sport and activities at approximately 3-4 months.

I get clicking and catching in my groin, is this a sign of hip dysplasia?

Clicking and catching in the groin can be a sign of hip dysplasia, and instability of the hips lies in and out of its socket. If you have these symptoms would highly recommend that you are evaluated by a specialist orthopaedic surgeon.

I have hip dysplasia, what is the risk of developing hip arthritis?

This is a very difficult question to answer without a thorough evaluation of your x-rays and an assessment of your condition. The risk of developing arthritis is directly related to the amount of bony coverage of the ball of the femur.

My child has hip dysplasia - will they be in pain?

Hip dysplasia in young children is typically non-painful, when children become older >6-8yrs then pain can occur.

How long will my child need their brace for?

This depends upon how they grow and how the hip dysplasia resolves. Typically the minimum time a brace is required is 3 months. However, it is not uncommon for children to require braces up to 12-18months in severe cases.

Will my child have a developmental/walking delay due to being in a brace?

Most children who have been in a brace will have a delay in their ability to walk, but they normally catch up very quickly when the brace is removed.

Can my child walk in the brace?

In a hippo or rhino brace, children can often stand or crab walk. They can also usually pull themselves up to stand.

Can my child do tummy time in the brace?

Tummy time is difficult in any brace or orthotic. When the brace is off, it is recommended to encourage this as much as possible.

What is my child's risk of arthritis in the future?

If hip dysplasia is detected early and treated successfully, there is a low risk of arthritis, however, if there is residual dysplasia, or if the condition is detected late, this increases the risk of arthritis.

What happens if avascular necrosis is left untreated?

When avascular necrosis is left untreated, the disease will progress. The bone may develop a crack, in which the bone collapses. Should this occur at the end of the bone, the surface of the joint will be irregular, which can cause arthritic pain and loss of function to the affected joint.

Does exercise help avascular necrosis?

There is no evidence exercise helps avascular necrosis, and weight bearing on a hip with avascular necrosis can contribute to collapse of the joint and the development of arthritis. It is essential that your hip is evaluated by a hip specialist to determine the correct physical regime for you.

Will avascular necrosis spread to other bones in the body?

No, avascular necrosis cannot spread to other bones in the body. In the absence of other conditions, AVN will stay in the same body part. However, avascular necrosis can occur in other parts of the body, for example if it affects one hip, there is between 10-40% chance it can affect the other hip.

How common is femoroacetabular impingement?

FAI is most common in healthy, active adults and athletes between the ages of 25-50 years. In older patients, it is also frequently accompanied with osteoarthritis.

Does stretching help hip impingement?

Addressing internal rotation to combat symptoms can sometimes provide relief, however if you're too aggressive and stretch too high up into hip flexion it can actually increase hip pain. For this reason, it is important to seek professional help when treating FAI.

Is surgery required for hip impingement?

Typically, non-surgical methods for therapeutic injections are used to treat hip impingement before surgery. If pain persists, we may recommend surgery to reshape the bones in the hip joints.

What happens if a labral tear goes untreated?

If left untreated, a labral tear can become an irritant to the hip joint which can increase friction and speed the presence of osteoarthritis in your hip. If the tear gets worse, it can become a tissue flap that can cause severe pain when moving your hip. Treatment may be recommended and can help minimise pain.

What aggravates a hip labral tear?

Labral tears are most commonly caused by structural abnormalities in the hip, and they can additionally be caused by repetitive injuries from lunging, squats, kicking, sports and extremes of range of motion. Cycling can bean aggravatingactivity as hip flexion combined with other movements can aggravate your pain. You may also wishto avoidactivities such as football, soccer, gym, basketball and ballet as they can irritate the tear and cause sharp pain in the groin or hip. Treatment of labral tears may provide relief allowing you to return to some activities you enjoyed.

What does a labral tear feel like?

For many patients, a torn labrum may show no symptoms, making diagnosis difficult. For others, pain in the hip joint, groin or buttocks can be a sign of a torn labrum, sometimes experienced alongside an audible clicking sound in the joint when engaging in high-intensity activity. Pain levels usually correlate with activity, subsiding with rest.

Do I need surgery for a torn labrum?

Surgery may be required to correct a hip labral tear, as often a torn labrum is a symptom of a deeper structural issue with the hip. In this case, simply correcting the tear may not provide effective relief to the patient. In cases where the labral tear has no underlying cause, some conservative treatment methods such as NSAID drugs and targeted physical therapy can provide relief. Surgical treatment often takes the form of minimally-invasive hip arthroscopy.

How is a hip labral tear diagnosed?

Labral tears are normally diagnosed by a combination of physical examination and assessment of the hip joint, and confirmed by an MRI.

What is the difference between hip dysplasia and hip arthritis?

While symptoms may be similar, Hip dysplasia is a developmental disorder largely influenced by genetics. Hip arthritis on the other hand can be caused by a range of factors including weight, joint injury or increasing age.

What is the difference between hip arthritis and a labral tear?

Labral tears are typically caused by trauma, arthritis, femoroacetabular impingement or acetabular dysplasia, while the most common cause of hip arthritis is old age. Labral tears are also more common in athletes, however people with labral tears in their hip are also more likely to develop hip arthritis.

Pubic Rami Fractures

29 Sep

Written By Bryn Gilbertson

Home > Condition & Treatment Map > Hip & Pelvis Conditions & Treatments > Pubic Rami Fractures

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Overview

Fractures of the pelvis are common, and many of these fractures are treated surgically by orthopaedic specialists. However, certain fractures of the pelvis, called pubic rami fractures, are usually not surgically treated, but instead monitored closely for healing. Often, these pubic rami fractures can feel like hip and groin pain. Our surgeons at Victorian Bone and Joint Specialists can assess your pelvic fracture and provide advice and treatment for your specific condition.

Assessment

Pelvic fractures are assessed by an orthopaedic surgeon, as well as with x-rays. These x-rays can determine whether surgery is necessary, as well as to monitor how your fracture is healing.

Treatment

Often pubic rami fractures are treated without surgery, but require monitoring with x-rays, as well as pain relief - as they can be quite painful.

Rehabilitation

After this type of fracture has been assessed you will be able to walk with the assistance of physiotherapists. You will need something to help you walk soon so that you can take weight off the injured bones. You may need crutches, a walking stick, a frame or four wheeled walker. You should use this aid until you can walk safely. Your team will discuss when you can start to put more weight on your leg. This normally happens after 6 weeks.

X-rays will be arranged in the weeks following the injury to monitor the healing of the fractures.

Bryn Gilbertson

Pubic Rami Fractures

Overview

Assessment

A normal hip and pelvis

Fractures of the pelvic bones

Treatment

Rehabilitation

Pubic Rami Fractures

Overview

Assessment

A normal hip and pelvis

Fractures of the pelvic bones

Treatment

Rehabilitation

DDH - Developmental Dislocation (Dysplasia) / Congenital Hip Dislocation

Avascular Necrosis