Diagnosis of a hip injury often begins with a history and a physical examination. Your doctor may ask you questions related to your general health and any history of accidents or injuries. You will be asked to perform various range-of-motion exercises to replicate your pain. Most patients experience acute pain with weight-bearing and active range of motion, and minimal pain when the doctor moves the hip for them (passive range of motion).
Hip pain, one of the common complaints, may not always be felt precisely over the hip joint rather in and around the hip joint. The cause for pain is multifactorial and the exact position of your hip pain suggests the probable cause or underlying condition causing it.
Osteoarthritis, also called degenerative joint disease, is the most common form of arthritis. It occurs most often in the elderly. This disease affects the tissue covering the ends of bones in a joint called cartilage.
The inflammation of the joints is referred to as arthritis. Inflammation arises when the smooth lining called cartilage at the ends of bones wears away. In some cases, the inflammation is caused when the lining of the joint becomes inflamed as part of an underlying systemic disease. These conditions are referred to as inflammatory arthritis.
Hip instability can be traumatic or atraumatic. Traumatic instability can be caused by injuries from sports or motor vehicle accidents. These injuries can damage the bony structures, labrum, and cartilage of the hip joint and form loose bodies. It can range from severe dislocation to a simple subluxation (partial displacement) of the hip joint. Atraumatic instability can be caused by overuse or developmental/congenital abnormalities of the hip joint.
A hip fracture is a break that occurs near the hip in the upper part of the femur or thighbone. The thighbone has two bony processes on the upper part - the greater and lesser trochanters. The lesser trochanter projects from the base of the femoral neck on the back of the thighbone. Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter.
The hip joint is a “ball and socket” joint. The “ball” is the head of the femur or thighbone, and the “socket” is the cup-shaped acetabulum. The joint is surrounded by muscles, ligaments, and tendons that support and hold the bones of the joint in place. Hip dislocation occurs when the head of the femur moves out of the socket. The femoral head can dislocate either backward (posterior dislocation) or forward (anterior dislocation).
A pelvic fracture is a condition that occurs due to the breakage of the pelvic bone. It may cause damage to the internal organs, nerves and blood vessels associated with the pelvic region.
Stress fractures of the hip are a break in the upper part of the thigh bone (femur) that fits into the socket of the hip joint. It can occur in any part of the hip, however, it mostly occurs just below the ball of the ball-and-socket hip joint called the femoral neck.
Hip adductors are the group of muscles on the inner side of your thigh that enable adduction or the ability to bring the thighs together. A hip adductor injury is also called a groin strain or groin tear and involves any of the adductor muscles. These injuries are common among athletes and those who play hockey, football, soccer, basketball, tennis, baseball, etc.
A hip flexor strain is an overuse injury to the flexor muscles of your hip and can range from a minor stretch injury to a complete tear of the muscle fibers or tendons.
Hip and groin disorders are more common in athletes. They are caused by rapid acceleration and deceleration motion.
A subtrochanteric hip fracture is most frequently caused by minor trauma in elderly patients with weak bones, and by high-energy trauma in young people. The long-term use of certain medicines, for example, medication for osteoporosis (a disease causingweak bones) and other bone diseases, increases the risk of subtrochanteric hip fractures.
Hip abductors are a major group of muscles found in the buttocks. It includes the gluteus maximus, gluteus medius, gluteus minimus, and tensor fascia lata muscles.
Hip synovitis, also called transient hip synovitis or toxic synovitis, is a condition characterized by inflammation of the synovial tissues that surround the hip joint. It is the most common cause for sudden hip pain that occurs in young children between the age of 2 and 9. It affects boys more commonly than girls and is most of the time limited to only one side of the hip.
Hip osteonecrosis occurs due to disruption of the blood supply to the highest part of the thigh bone (femoral head). Due to lack of nourishment, the bone tissue of the femoral head dies and gradually collapses, which may further lead to degeneration of the underlying cartilage.
The hamstring is a group of three muscles that run along the back of the thigh from the hip to the knee. Hamstring injuries occur when these muscles are strained or pulled. They are common in dancers and athletes of all sorts including runners and those who play football, soccer, basketball, tennis, etc.