The hip joint is the second biggest joint in the human body. Hip joint wear and tear or arthritis of the hip (coxarthritis) is a painful disease of the hip joint and the surrounding tissue like ligaments, capsule, tendons, bursa and muscles. Arthritis of the hip can cause different symptoms.
Hip arthritis can cause pain in hip, groin, buttocks and legs. Subject to its progress, pain can emerge due to strain or in rest. Pain is also often connected with an increasing limited range of motion. The limited range of motion may lead to other symptoms like back pain or knee pain. Additionally, patients do also often suffer from stiffness combined with gait disorder. The possible regular walking distance may also significantly decrease due to pain, limited range of motion and the other aforementioned symptoms.
Symptoms of hip arthritis in short:
Avascular necrosis of the femoral head without signs of a significant cartilage wear may also cause similar symptoms. It is a local circulation disorder of the femoral head mainly without identifiable causes.
Arthritis of the hip can have different causes. It may occur as a result of severe strain, circulation or metabolic disorders like gout or diabetes, hip injury like femoral bone fracture, or inflammations. Besides these factors, age, natural wear and tear and genetic aspects play a role. Is the function between femoral head and acetabulum (socket of the hip) impaired by congenital disorders, it can also result in hip arthritis. An unhealthy lifestyle in combination with overweight seems to increase the risk of hip arthritis development or the worsening of an existing arthritis of the hip.
By means of an examination and X-raying, hip arthritis can be detected. The best method to differentiate between different injuries of the hip is MRI.MRI enables us to visualize very different structures during one examination like muscles, ligaments, tendons, cartilage and bones. If it is necessary, we do also apply a well-tolerated contrast agent to improve the visibility of certain structures.
If hip arthritis distinctively lessens the quality of life, e.g., by causing pain, limited range of motion, or if it becomes a real handicap in daily life, often surgery is indicated.
Since arthritis often encompasses the whole joint, cartilage reconstruction therapy is not very promising, but hip replacement becomes necessary.
At an early state of the disease, the CORE decompression (drilling the femoral head) in combination with infusions of vasoactive drugs is a suitable therapy. But hip replacement surgery is inevitable in many cases by replacing the hip joint by a hip joint endoprosthesis.
Different operation techniques and hip joint endoprostheses are in use to meet the individual necessities of the each patient to grant best care possible. A crucial role play patients´ activity, bone quality, general health condition and personal goals but also other factors like allergies.