Hip

Bursitis

For more info: orthoinfo.aaos.org
Bursitis is inflammation of a bursa. A bursa is a thin, slippery piece of tissue that protects tendons. Tendons are the tissues that connect muscles to bones. The bursa reduces friction between the tendon and bone. It allows the tendon to glide easily over the bone.
There are many bursae in the body protecting underlying tendons. Bursitis most often occurs in the following joints:

• Shoulder
• Elbow
• Knee
• Hip

Bursitis is often treated by:

• Avoiding aggravating activities
• Rest the injured area
• Icing the area the day of the injury
• Anti-inflammatory medicines

If you are still experiencing pain after a week Dr. Augustin will do an evaluation. At this time the doctor can discuss with you other options to treat your bursitis. One option could be prescription drugs to reduce the inflammation. Also, Corticosteroids, also known simply as “steroids,” are often used because they work quickly to decrease the inflammation and pain. Steroids can be injected directly at the site of injury. Injections are often, but not always, effective and can be repeated. The doctor will discuss these treatment plans with you to see which works best for you.

Hip Replacement

For more info: orthoinfo.aaos.org
If your hip has been damaged by arthritis, a fracture, or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Your hip may be stiff, and you may even have trouble resting.
Treatment for joint pain may include activity modification, weight loss, physical therapy with strength training, anti-inflammatory medications, or cortisone injections. However, for more severe osteoarthritis or joint deterioration, joint replacement surgery may also be considered.
Hip replacement surgery involves replacing part or all of the joint with artificial parts. In a partial hip replacement, the doctor replaces the broken upper part of the thighbone. In a total hip replacement, both the hip socket and the top of the thigh bone are replaced.
After total hip replacement surgery, Dr. Augustin will want you to start physical therapy immediately. On the first day after surgery it is common to begin some minor physical therapy. Physical therapy is extremely important in the overall outcome of any joint replacement surgery. The goals of physical therapy are to strengthen muscles around the hip joint enhancing the recovery, ultimately returning you to your normal activities.
For our patient’s convenience, Dr. Augustin performs hip replacement surgery at several local hospitals.

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Fractures

For more info: orthoinfo.aaos.org

A hip fracture is a break in the thigh bone just below the hip joint. The hip joint consists of a ball at the top of the thigh bone (femur) and a rounded socket (acetabulum) in the pelvis.

Factors that may contribute to a hip fracture include:

• Falls (the most frequent cause of hip fractures)
• Osteoporosis —a bone-thinning condition that weakens all bones including the hip
• Motor vehicle accidents and other types of major trauma
• Stress fractures in athletes (rare)
• Bone conditions such as osteomalacia (rare)
• Bone tumors (rare)

 

A hip labral tear is an injury to the cartilage inside the hip joint. The hip joint is made of a ball and socket. The ball is the end of the thigh bone (femur). This ball fits into the bowl-shaped socket in the pelvic bone (acetabulum). Cartilage lines the socket to keep movement smooth and the joint cushioned. When the cartilage tears it is called a hip labral tear
Hip labral tears can result from wear and tear or from an acute injury. Causes may include:

• • Wear and tear of hip joint from different activities (eg, golf, softball)
  • Traumatic injury to hip
  • Twisting injuries
  • Motor vehicle accident
  • Degenerative diseases like osteoarthritis

Many labral tears may fail to show noticeable symptoms and specific treatment is not needed. However, for patients with persistent pain from labral tears, there are many treatment options. There is often sign of improvement in hip range of motion and strength in the muscles around the hip joint shown in patients who do physical therapy. Pain medications such as anti-inflammatories can be used to decrease inflammation around the labrum and provide pain relief.
For those with continued pain from a labral tear, surgery is often indicated. Dr. Augustin has much success with arthroscopic surgery to either clean or remove the injured labrum, or repair it to the socket.

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