Occasionally, the bone may spontaneously break due to osteoporosis and become the cause of the fall. Bones may also weaken because of other diseases that have affected the hip bones. A pathologic hip fracture describes this situation, and osteoporosis is but one cause. Other potential causes of bone weakening are cancer within the bones, benign tumors and cysts, paget's disease, and inherited diseases of bone. When health-care professionals talk about a hip fracture, they really mean a fracture of the proximal or upper part of the femur. Fractures of the acetabulum are less common and usually are due to major trauma like a motor-vehicle collision or a fall down a flight of stairs. The precise location of the fracture is important, because it guides the decision of the orthopedic surgeon as to which type of operation is needed to repair the injury.
pain arising in the lateral femoral cutaneous nerve of the thigh, which is often inflamed in pregnancy. Pain from an inguinal or femoral hernia may also cause pain that is felt in the hip. Hip pain is a nonspecific complaint that requires the health-care professional to find the underlying cause from the many potential injuries or illnesses. The approach to the diagnosis of hip pain requires an open mind because the source of trauma or the cause of illness may not be readily apparent. Picture of the Anatomy of the hip. What Are causes of Traumatic Hip pain? Hip Fracture, falls are the most common reason that elderly people break a hip. The fracture is due to a combination of two effects of aging, osteoporosis (thinning of bones and a loss of balance. These two risk factors are the potential cause of many falls.
The femoral head and the acetabulum are lined with articular cartilage that hoofdpijn allows the bones to move within the joint with less friction. Also, the socket area of the acetabulum is covered with tough cartilage called the labrum. Just like any other joint cartilage, these areas can wear away or tear and become the source of pain. There are thick bands of tissue that surround the hip joint, forming a capsule. These help maintain the hip joint stability, especially with movement. Movement at the hip joint is possible because of the muscles that surround the hip and their tendons that attach across the hip joint, allowing the leg to move in different directions. Aside from controlling movement, these muscles act together to maintain joint stability. There are large bursas (fluid-filled sacs) that surround areas of the hip and allow the muscles and tendons to glide more easily over bony prominences. Any of these structures can become inflamed. Pain can be referred from other structures outside the hip joint, meaning that while the hip hurts, the problem may potentially originate elsewhere.
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Facts on Hip pain, the hip is a ball and socket joint that attaches the leg to the torso of the body. In the hip joint, the head of the femur (thighbone) swivels within the acetabulum, the socket, made up of pelvic bones. While many causes of hip pain can arise from the joint itself, there are numerous structures surrounding the hip that can also be the source hernia of pain. Trauma is often the cause of hip pain, but any source of inflammation may cause pain in the hip area. Pain is one of the symptoms of inflammation, along with swelling, warmth, and redness; together these are signals and symptoms that a problem may exist. What, causes, hip pain? Pain may arise from structures that are within the hip joint or from structures surrounding the hip. The hip joint is a potential space, meaning that there is a minimal amount of fluid inside it to allow the femoral head to glide in the socket of the acetabulum. Any illness or injury that causes inflammation will cause this space to fill with fluid or blood, stretching the hip capsule lining and resulting in pain.
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However it is important to try to avoid weight gain when one has osteoarthritis of the knee as increased body weight is associated with worsening of symptoms. Relationships Osteoarthritis of the knee can affect relationships and social interactions to the extent that it makes getting around more difficult. Other impacts Osteoarthritis of the knee is not contagious and doesnt predispose one to other diseases or conditions. Osteoarthritis of the knee is associated with joint deformity (such as bowing of the legs knock-knees and loss of the ability to fully straighten or fully bend the affected knee; see fig 5). These joint deformities are not readily managed by interventions other than surgery but can be corrected at the time of knee replacement for patients who elect to have that surgery. Incidence It is not possible to predict who will get osteoarthritis of the knee. However there are some risk factors that may increase the likelihood that knees will become arthritic.
These things do affect ones ability to remain independent particularly as the arthritis disease reaches its more severe stages. Mobility When osteoarthritis of the knee becomes severe it indeed can severely affect ones ability to walk climb stairs enter or exit a vehicle. Daily activities Osteoarthritis of the knee can affect ones ability to walk climb stairs enter or exit a vehicle perform housework and enjoy ones day-to-day activities. Even mild to moderate osteoarthritis of the knee can adversely impact athletic performance and enjoyment of sports particularly impact sports and sports that involve running. Although there is little hard science on this point most knee surgeons and rheumatologists (doctors who treat arthritic conditions non-operatively) believe that patients with osteoarthritis of the knee should consider avoiding impact sports such as running in order to avoid increasing the rate at which.
Energy many patients indeed find that the chronic pain associated with osteoarthritis of the knee does contribute to fatigue. Osteoarthritis of the knee does not affect metabolism but some patients attribute weight gain to the inactivity that results from the knee pain caused by osteoarthritis of the knee. It is important that patients with osteoarthritis of the knee avoid decreasing their activity level and it is important that they remain fit. However this often does require some modification of exercise programs running and walking programs are usually poorly tolerated by (and not recommended for) patients with osteoarthritis of the knee. Stationary bike swimming and water aerobics usually are well-tolerated and they are recommended. Diet diets do not cure or treat osteoarthritis so far as we know.
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It is is a chronic disease meaning that it takes months to years to appear; while it is not curable it most certainly is treatable using activity modifications medications injections and if those interventions dont work knee replacement surgery. Lethality Osteoarthritis of the knee is not deadly. Pain Osteoarthritis of the knee indeed can and usually does cause pain. Other symptoms include swelling stiffness sometimes warmth and joint deformity. Debilitation Osteoarthritis of the knee is progressive and when it becomes severe it indeed can severely affect ones ability to walk climb stairs enter or exit a vehicle and enjoy ones day-to-day activities. Comfort Osteoarthritis of the knee indeed can and usually does cause pain and discomfort.
Curability Osteoarthritis of the knee is not curable. However while it is not curable it most certainly is treatable using activity modifications medications injections and if those interventions dont work knee replacement surgery. Fertility and pregnancy Osteoarthritis of the knee will not affect a patients ability to get pregnant or have children. However some medications used to treat arthritis need to be used with care (or not at all) during a pregnancy. It is important to inform ones obstetrician and family physician about all medications and nutritional supplements that one takes. Independence Osteoarthritis of the knee indeed can affect ones ability to walk climb stairs enter or exit a vehicle and enjoy ones day-to-day activities.
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It is a condition whose biology x-ray appearance (see fig 4) and clinical symptoms are defined. Myth : Not much can be done for osteoarthritis of the knee. In fact there are exercise programs that can alleviate the pain in mild arthritis a variety of medications and injections can be helpful for moderate arthritis and severe arthritis of the knee is very commonly successfully treated with knee replacement surgery (see fig 6). New minimally invasive approaches appear to decrease the recovery time from this operation. Myth : Women have more doctor-diagnosed arthritis than men. Studies show women also report greater activity and work limitations, greater psychological distress and more severe joint pain than their male counterparts. Symptoms diagnosis Prognosis Osteoarthritis of the knee is a serious condition. Osteoarthritis is the most common of the more than 100 kinds of arthritis and the knee joint is the most commonly affected large joint in the body. Osteoarthritis of the knee results in pain stiffness and joint deformity (see fig 5) which can affect ones ability to walk work and enjoy life.
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Many patients who experience a sudden flare-up will go to the doctor for care and for many patients this apparently "acute" set of symptoms will result in the diagnosis of this chronic condition. Facts and myths, myth : Osteoarthritis of the knee is not usually the result of overuse. There have been studies of long-distance runners that show that they are not more likely to get arthritis than more sedentary individuals. However people in occupations that require extreme and repeated heavy exertions (such rugspieren as farmers) experience higher rates of osteoarthritis. Myth : Osteoarthritis of the knee is a normal result of aging. Studies show aging have more "doctor-diagnosed" arthritis. Myth : Osteoarthritis of the knee is just aches and pains.
When the bearing wears away the result is a roughed joint surface that causes the pain coloana and stiffness that people associate with osteoarthritis (see fig 2 and Fig 3). And for most patients who have only mild arthritis the pain can be managed with simple things such as ice rest activity modifications pills or joint injections. However if the arthritis becomes severe (see fig 4 and Fig 5) the pain may not respond to those kinds of interventions. Patients with severe arthritis sometimes can benefit from joint replacement surgery either partial (unicompartmental) knee replacement or total knee replacement (see fig 6) which now can be done using a minimally-invasive quadriceps-sparing approach that can significantly shorten the recovery and decrease the pain following surgery. Click to Enlarge, figure 1 - arthritic Knee, click to Enlarge, figure 2 - normal Cartilage, click to Enlarge, figure 3 - defect in joint surface cartilage. Click to Enlarge, figure 4 - x-ray showing arthritis of the knee, click to Enlarge, figure 5 - joint deformity from knee arthritis, click to Enlarge, figure 6 - model of a knee replacement prosthesis. Immediate medical attention, osteoarthritis of the knee is not an emergency. It can however result in disturbing flare ups with increased pain and swelling.
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Edited By: Seth. D., professor, uw orthopaedics sports Medicine. Last updated: February 14, 2011, contact, if you would like to schedule an appointment with. To discuss knee bifida replacement surgery or knee arthritis, please contact Elaine Anderson at or by phone at (206) 598-7467. Overview, basics of knee arthritis, many kinds of arthritis can affect the knee joint but by far the most common is osteoarthritis which some people call "degenerative joint disease.". This occurs when the joint surface cartilage (also called hyaline cartilage or articular cartilage) becomes worn away leaving the raw bone beneath exposed (see fig 1). The cartilage normally serves as a pad or a bearing in the joint and under normal conditions the cartilage bearing is even slicker than a hockey puck on ice.