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Hip Arthritis

    Arthritis is one of the most common causes of pain in the hip. Arthritis is a progressive disorder, which means that it typically starts gradually and gets worse with time. It is“inflammation of the joint.”

    Types of Arthritis

    • Rheumatoid arthritis

    • Ankylosing spondylitis

    • Psoriatic arthritis

    • Systemic lupus erythematosus

    Though there is no cure for any type of arthritis, there are ways to treat the pain and other associated symptoms.

    Osteoarthritis

    • Structural problems with the hip joint (hip dysplasia, femoroacetabular impingement)

    • Advancing age

    • Previous damage or injury to the hip

    • However, osteoarthritis may develop in people without these risk factors.

    Rheumatoid Arthritis

    Rheumatoid arthritis is a systemic disorder, that is, it affects your entire body and not just the hip joint. The inflammation is related to an immune system response rather than wear and tear. The hip joint, like other joints in the body, is protected by a special capsule that completely surrounds the joint. This capsule has a special lining (the synovial lining) and is filled with lubricant (joint fluid) that helps the joint move smoothly. Rheumatoid arthritis typically causes a swelling of the synovial lining. This causes pain and swelling, but eventually, rheumatoid arthritis can cause the bone and cartilage of the joint itself to deteriorate. Rheumatoid arthritis can occur in people of all ages, including children, and is more common in women than men. Unlike osteoarthritis of the hip, which may occur only in one hip, rheumatoid arthritis typically occurs in both hips at the same time. Rheumatoid arthritis is also associated with overall weakness and fatigue. Medications to treat rheumatoid arthritis continue to improve.

    Ankylosing spondylitis is a chronic inflammation of the spine and sacroiliac joint (the joint where the spine meets the pelvis) which can sometimes cause inflammation of the hip joint. Ankylosing spondylitis can occur in people of all ages, including children, and typically starts in a person between the ages of 17 and 35. It is more common in men than women. It is typical for people with ankylosing spondylitis to experience flares, when the condition is worse, followed by periods of remission with mild to no symptoms.

    Psoriatic Arthritis

    As the name sounds, this type of arthritis is related to the skin condition psoriasis. Psoriatic arthritis causes joint pain, swelling, and stiffness and can affect any joint in the body, including the hip. Most people with psoriatic arthritis have the skin condition first (scaly red patches of skin) but it is possible to develop psoriatic arthritis before the skin condition occurs.

    Systemic Lupus Erythematosus

    Systemic lupus erythematosus or lupus is a systemic autoimmune disorder that can affect any part of the body, including the hip joint. If lupus strikes the hip, inflammation and damage to the joint can occur. Lupus can occur in people of all ages but it is most common in women aged 15 to 35.

    • Pain and swelling
    • Popping noise in the knee
    • The knee literally giving out from under you
    • Loss of motion of the knee
    • Tenderness along the joint line
    • Discomfort while walking
  • Inability to bear weight on affected knee Around fifty percent of all ACL injuries include damage to other structures of the hinge joint, such as the articular cartilage or the meniscus. Directly after an anterior cruciate ligament tear, knee pain can be severe but gradually subside, with symptoms reappearing soon after. If left untreated, a torn ACL can cause serious and permanent damage

General Anatomical Overview

  • The hip is one of your body's largest weight- bearing joints.

  • It consists of two main parts:

  •                    a ball (femoral head) that fits into a rounded socket (acetabulum) in your pelvis.

  • Ligaments connect the ball to the socket and provide stability to the joint

  • The bone surfaces of your ball and socket have a smooth durable cover of articular cartilagethat cushions the ends of the bones and enables them to move easily.

  • •    All remaining surfaces of the hip joint are covered by a thin, smooth tissue called synovial    

  •      membrane. In a healthy hip, this membrane makes a small amount of fluid that lubricates and

  •      almost eliminates friction in your hip joint.

  • •    Normally, all of these parts of your hip work in harmony, allowing you to move easily and   

  •         without pain.
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Arthritis Symptoms

Regardless of the type of arthritis, symptoms of hip arthritis include:
  • Pain in the hip joint that may include pain in the groin, outer thigh, or buttocks

  • Pain that is typically worse in the morning and lessens with activity

  • Difficulty walking or walking with a limp

  • Pain that worsens with vigorous or extended activity

  • Stiffness in the hip or limited range of motion

Ankylosing spondylitis

Ankylosing spondylitis is a chronic inflammation of the spine and sacroiliac joint (the joint where the spine meets the pelvis) which can sometimes cause inflammation of the hip joint. Ankylosing spondylitis can occur in people of all ages, including children, and typically starts in a person between the ages of 17 and 35. It is more common in men than women. It is typical for people with ankylosing spondylitis to experience flares, when the condition is worse, followed by periods of remission with mild to no symptoms .

Diagnosis

  • Your medical history, including where you experience pain and if you limp at times

  • A physical examination, in particular to see how well you can move the hip

  • Radiographs or X-rays to determine if there are any abnormalities in the joint

  • Blood tests to determine antibodies that may be associated with a specific type of arthritis.

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