The peeling and thinning of the articular cartilage in the hip joint, resulting in the underlying bone structures rubbing against each other, is calledcalcificationorosteoarthritis.
Anatomy
The hip is a joint consisting of a knob and socket. The socket is formed by the large pelvic bone, while the knob is formed by the thigh bone called the femur. Cartilage tissue, which has a slippery structure, covers the socket and the knob and creates low friction surfaces.
In the inner part of the socket, there is a fibrocartilage half-moon-like structure called the labrum, on which the knob rests and which acts as a shock absorber.
Causes
The background of this disease is most likely familial. factors are at the forefront. Excessive steroid use, congenital hip dysplasia, femoral head avascular necrosis, etc. may be other causes.
The elderly, the obese, and those in professions or situations that put excessive stress on the hip are at risk. But it may not always be a risk factor or there may be no reason.
If you think of hip pain and arthritis, you should see your doctor as soon as possible.
Clinical Findings
The first symptom when you wake up in the morning is pain and stiffness in the groin area, sometimes spreading to the thigh and sometimes to the hip. Your pain increases with activity and decreases with rest.
If there is no treatment and arthritis progresses, your pain continues with rest and may turn into pain that wakes you up at night. In advanced cases, calcification may also form around the joint, reducing mobility.
If the joint cartilage disappears completely, the bones will rub against each other more and movements become very painful. It becomes difficult to turn the hip inward and outward and move it forward and backward. As the disease progresses, it is necessary to keep the hip immobile to reduce the pain and then weakness develops in the muscles around the hip.
Physician Examination
Your doctor will determine how advanced the disease is. In order to determine your symptoms, the patient will examine you after questioning your complaints and medical history. During the hip examination, the sensitivity of hip movements will be checked. He will look at your standing and walking to see your hip line and your posture. X-ray is very important in imaging. It is a tool. It shows bone and joint changes very well.
Treatment
Hip calcification is generally an irreversible disease. If diagnosed early, its progression can be prevented and precautions can be taken for a pain-free life. However, surgery is usually inevitable in a severely advanced hip.
Non-Surgical Treatments
- Rest and life modification by avoiding overuse
- To increase hip joint range of motion, water sports, cycling
- Non-steroidal medications to relieve pain
- If you are overweight, weight should be lost and if the disease has progressed, a cane should be used. >
Surgical Treatment
If you have advanced stage arthritis and the pain does not go away at night and with rest, your doctor may recommend total hip replacement surgery. In this surgery, the calcified socket and knob are removed and a prosthesis is installed in their place, thus you will be relieved of your pain and your hip joint range of motion will be increased to perform your daily activities.
Post-surgery. Rehabilitation should be done and muscle strengthening is very important.
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