The Clinical Center of Friedrichshafen offers the whole scope of modern innovative joint treatment methods. The interdisciplinary approach, experienced specialists and modern equipment are those factors, which allow us to guarantee the accurate diagnostics and safe, efficient joint treatment.
The hip joint is a ball-and-socket joint, which flexibly connects the bones of the femur and pelvis. This means that the joint can move in all directions. It is the most massive joint in a human body, which can carry a lot of weight without any problems. But as the hip joint is constantly under a great load, it is no wonder that its damage heads the list of the articular system diseases.
The hip pain may have different causes. They include injury and inflammatory disease of the tendons and joints, may be manifested by systemic diseases and infectious processes that affect the joint itself or the periarticular anatomical structures. In the event of the hip joint injury, it’s necessary to consult a medical specialist to diagnose and treat the damage immediately.
There are the diseases, having the nontraumatic origin, as osteoarthritis, osteoarthrosis, infectious hip arthrosis, blood supply disturbance of the bones that form the joint, which cause the joint pains. The degenerative changes in the joint surfaces (pathological changes in the joint synovial membrane, damage of the cartilage, the periarticular structures damages, decrease of the joint fluid amount) cause the complications of these diseases, which lead to the pain syndrome and joint dysfunction.
Osteoarthritis starts to develop when the load the hip joint has to take exceeds the load it can take. In the process, cartilage tissue is destroyed progressively. The damage is irreversible as cartilage tissue cannot be regenerated. Ultimately, the bones rub over each other without protection and the joint surfaces enlarge and become deformed. From this arise inflammation and, paralleling the progressive deformation of the joint, increasing tenseness of the muscles, restriction of motion, swelling, and pain.
The breakdown of the layer of cartilage between the femoral head and the socket of hip as we get older is called “age-related” degeneration. The hip joint is damaged to such an extent that it can no longer perform its function as a “shock absorber.”
The medical term, hip dysplasia, describes a deformity of the hip socket which is present from birth. The femoral head should sit in the shadow socket of the hip (the acetabulum). If the socket is too flat in shape and at a sharp angle, the femoral head is only covered by part of the socket, then the joint undergoes excessive strain. If left untreated, this malposition of the hip joint can lead to osteoarthritis at an early age. However, modern examination procedures ensure that hip dysplasia is diagnosed early.
Fractures and avascular necrosis of the femoral head are the most dangerous (however, not the most frequent) causes of the hip pain.
Trauma and falls can lead to fracture of the neck of the femur meaning that the femoral bone breaks at its neck, just next to the hip joint. The risk of bone fracture increases significantly with increasing age and reduced bone substance. Consequently, it is often elderly patients who are afflicted by these fractures. If blood vessels supplying the bone with blood are damaged, the head of femur can die (femoral head necrosis). In such cases an operation is necessary. An artificial hip joint is often implanted during this operation.
The femoral bone fracture (especially its neck - the narrowest part) is a bad problem, especially for older people. As a result, it significantly reduces man’s activity, and older people frequently have severe complications during the recovery period (thrombosis, infections, etc.). The risk of the fracture increases with age and especially for the patients suffering from osteoporosis (the decrease of the density and strength of the bone).
The avascular necrosis of the femoral head is the death and destruction of the femoral bone joint occurred as a result of the cessation of blood supply to it. This condition may have complications if taking glucocorticoid (hormonal) drugs, in the event of antiphospholipid thrombosis and other diseases.
The hip dislocation is rather infrequent injury. These are usually inside automobile injuries, when the traumatic forces act along the axis of the leg bent at the knee and a body is fixed, and injuries caused by the fall from a height.
There are posterior (90% of all the dislocations), anterosuperior and anteroinferior dislocations.
When the dislocation is posterior, the leg is bent at the hip and knee joints and is set and rotated inwards; when it is anterosuperior, the leg is straightened, taken aside a bit and rotated outwards, and the femoral head is felt below the femoral (inguinal) arch; in case of anteroinferior dislocation, the leg is bent at the hip, taken aside and rotated outwards.
Since different diseases may cause the hip joint pain, it is necessary to conduct a thorough differential diagnosis of each case. The following methods of the examinations give especially valuable information:
The treatment is selected only after thorough diagnostics and consultation. To reduce pain in the hip joint, there are many different treatment options. The success of either option depends not only on the condition of the hip joint of each individual, but also on the professionalism of the joint specialist. In order to relieve the arthritis pain the complex combination treatment is needed, which should be tailored to the individual needs. To choose the best method of treatment, you should consult the specialist at Friedrichshafen. In some cases the hip replacement surgery could be the key. Hip replacement recovery usually lasts a month or two. After it many patients forget about the hip pain.
The doctors of Friedrichshafen clinic of fully use all their opportunities to help their patients, suffering from the pain syndrome in the hip joint, most effectively. The treatment regimen is selected for each patient individually that helps to cope with sciatica and all other manifestations of the diseases completely in the shortest possible time.