"Overall, we know that the earlier we can intervene the better the outcome," Dr. Kelly and his colleagues have established a prospective research registry that tracks the progress of patients treated at the Center. To help ensure optimal treatment results, Dr. The Hip Preservation Research Registry at HSS Open surgery, in which a larger incision is required to gain more extensive visualization and access to the hip joint.Arthroscopic surgery: a technique that allows the orthopedic surgeon to use small incisions and miniaturized instruments to sculpt or re-contour bone and/or repair soft tissue injuries.Nonsurgical approaches such as physical therapy to improve range of motion and strengthen the muscles that support the hip joint, nonsteroidal anti-inflammatory drugs (NSAIDS), and injections with steroids that reduce inflammation.Treatment and OutcomesÄepending on the underlying cause or causes of hip pain, patients may benefit from one or a combination of options, including: Highly sophisticated MRI and CT imaging techniques, available through the Department of Radiology and Imaging at HSS, also play an important part in diagnosis and treatment. To address the complex nature of these injuries, the Center for Hip Preservation is made up of a multidisciplinary team of orthopedists and other physicians who can bring their areas of expertise to bear on each case. Sink, MD, associate attending orthopedic surgeon. Kelly, MD, associate attending orthopedic surgeon and Co-Director of the Center for Hip Preservation at HSS with Ernest L. The soft tissues that support the joint may also be involved," explains Bryan T. "In many cases there is more than one underlying abnormality present, such as a component of dysplasia as well as impingement. Hip pain stemming from anatomical abnormalities can affect anyone in the general population however, serious athletes are particularly vulnerable, since the joints are subjected to significant stress loads during sports activities. Related injuries to the cartilage and labrum may also be found in the painful hip. Hip pain that is not related to osteoarthritis (usually associated with an older population) is often the result of either hip dysplasia, a condition in which the acetabulum does not develop fully, making it too shallow to adequately contain and support the femoral head, or femoroacetabular impingement (FAI), in which abnormalities of either the femoral head or the acetabulum result in too much friction in the joint. ( Image by Smith & Nephew, via Wikimedia Commons) Illustration showing the pelvis, acetabulum (hip socket), labrum,femoral head (ball of the hip joint) and surface of articular cartilage.
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