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HIPS

Hip Anatomy

The hip joint functions as one of the most important joints in the human body. Designed for both mobility and stability, the hip allows the entire lower extremity to move in three planes of motion, while providing an important shock absorption function to the torso and upper body. view 

Hip Contusion

Trauma is the term used to describe injury. Trauma is classified by its severity depending on the amount of force used to cause the injury. view 

Hip Fractures

Hip fractures are breaks in the upper part of the thigh bone (femur) and are the second-most common break in the human body after wrist fractures under the age of 75 years and the most common fracture after 75 years of age. view 

Hip Dislocation

A hip dislocation is classified according to the direction of the dislocation (anterior, posterior, superior, inferior), the amount of force it took to dislocate the hip, whether it is accompanied by a fracture (fracture/dislocation), and whether or not the patient has had a previous hip replacement on the affected side. view 

Thigh Fractures

Thigh bone (femur) fractures usually occur in younger patients after high speed injuries such as motor vehicle and motorcycle accidents. view

Thigh Compartment Syndrome

Compartment syndrome is an orthopedic emergency. Thigh compartment syndrome occurs when the pressure in the front, back, or inner thigh compartments rises above the blood pressure needed for the heart to pump blood to the thigh. view

Hip Arthritis

Hip arthritis is the loss of the cartilage cushion in the joint contact surfaces that normally allows for smooth, pain-free gliding during hip motion. view

Trochanteric Bursitis

A bursa is a fluid-filled sac of tissue that helps tendons slide over themselves as well as over and around bones. view

Hip and Thigh Strain

A hip/thigh strain, by definition, is an injury to a muscle or muscles around the hip and thigh. These injuries can be caused by one specific injury, such as a fall or while playing sports, or by repetitive micro-trauma over time, often referred to as overuse injuries. view

THIGH COMPARTMENT SYNDROME

Pathology

Compartment syndrome is an orthopedic emergency. Thigh compartment syndrome occurs when the pressure in the front, back, or inner thigh compartments rises above the blood pressure needed for the heart to pump blood to the thigh. When this occurs, the muscles and nerves within the compartment are at risk of dying with little or no chance of recovery. Thigh compartment syndrome usually occurs after some sort of thigh trauma such as a fall with or without a fracture. Patients may complain of increasing pain, pain out of proportion to the injury, an increase in pain medication requirements, numbness, tingling, or no symptoms at all. The thigh may feel tense, the patient may have pain with stretch of the muscles affected, there may be a loss of sensation in the thigh, a cool feeling of the skin, loss of pulses in the groin or back of the knee, or loss of function of the thigh muscles. Because the signs and symptoms can be variable, physicians must maintain a high index of suspicion if the patient’s complaints and injury history are consistent with a compartment syndrome.

 

Treatment

If a thigh compartment syndrome is diagnosed, it must be treated within 6 hours. The treatment consists of a trip to the operating room where the connective tissue (fascia) that surrounds and separates each compartment must be surgically released. This release relieves the pressure within the compartment and allows the muscles and nerves within the compartment to receive their required blood supply. The surgical wounds are often not sutured back immediately to allow for the skin and soft tissue to accommodate any swelling that occurred during the course of the surgery. The surgical wounds are then sutured back at a later a date. If they cannot be sutured back because of skin tightness, the use of a vacuum-assisted wound closure device may be used. Skin grafts may sometimes be needed to ultimately close the surgical wounds.