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Hip impingement is damage to a ball-and-socket joint, which connects the thigh bone to the pelvis. The joint connection loses its elasticity and the patient can no longer use their hip normally. If not treated in time, this disease can result in hip osteoarthritis.
In some cases, hip impingement is asymptomatic and it can remain latent for years. Almost 15% of the world population has this disease without even knowing it.
There are two types of hip impingement:
Cam impingement is where the head of the ball-and-socket joint is not round like it should be, so it does not move properly in the hip socket. With pincer impingement, the femur bone rubs against the hip bone, resulting in cartilage damage. In some cases, a person has both types of this condition simultaneously and may need to undergo surgery.
According to Washington University Orthopedics.edu, this disease can either be mechanical or structural. This means that hip impingement can develop as a result of trauma or if the patient has a congenital problem that causes their hip structure to deviate slightly from the norm. Impingement can manifest itself at any age and is equally common in women and men.
First of all, a doctor will conduct physical tests to estimate the range of hip flexibility and see at which point movement begins to be painful.
In order to avoid complications, patients most often need to undergo surgery. According to statistics, surgery success reaches 96%, so chances for recovery, as you can see, are very high.
Arthroscopy is joint surgery that is performed with an arthroscope – a device is inserted into a joint through a tiny incision. An Arthroscope is a type of endoscope that can reconstruct and repair damaged cartilage. This is a more effective type of treatment than open surgery, because the joint does not need to be fully opened up.
During open surgery, surgeons open the hip in order to realign and correct its structure. Open surgery is recommended in more severe cases.
Both arthroscopy and open surgery bring good results and these types of treatment are especially suited to people who have lost a lot of their hip flexibility, Athletes in particular are prone to wear and tear in the hip.
Finally, you may need to undergo several courses of physiotherapy to fully recover.
Authors: Dr. Nadezhda Ivanisova, Dr. Farrukh Ahmed
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