There are numerous causes of hip pain in the active adolescent and adult population, including but not limited to:
- A loose body, like a piece of cartilage, inside the hip joint itself.
- Impingement of the femur bone and the hip socket. This is when there is extra bone that forms on either or more often both locations in response to stress which can result in pain as well as decreased range of motion.
- A tear of the labrum (the elastic tissue surrounding the socket of the hip joint) which is very commonly seen in combination of impingement.
- Snapping of tendons over the hip joint capsule itself or occasionally more on the outside of the hip involving the iliotibial (IT) band
- Greater trochanteric bursitis which is inflammation in an area on the outside of the hip that is normally present to decrease friction of the surrounding tissues
- Strains of the muscles surrounding the hip joint, including the hip flexors and groin.
- Pain actually generated in the lower back, which radiates to the hip area.
The vast majority of these conditions can be treated non-surgically using methods like rest, anti-inflammatory medication, occasionally local injections as well as physical therapy.
However, when you are dealing with a loose body floating around in the joint time can be of the essence. The longer it is left unattended, the more damage it may do to the remaining healthy cartilage. In these cases, the loose body should be removed sooner rather than later using a minimally invasive procedure called hip arthroscopy (“What is Arthroscopy?”). When appropriate, hip arthroscopy can also be used to repair tears of the labrum or to correct impingement by removing the excessive bone.
In cases where hip pain cannot be resolved using non-surgical techniques, hip arthroscopy offers a great, minimally invasive alternative to open hip surgery which allows for a smooth and speedy recovery in the majority of cases.
Dr. B. Christian Balldin is an orthopaedic surgeon, specializing in sports medicine, at The San Antonio Orthopaedic Group. His fellowship training at The Steadman Clinic in Vail, CO included training in hip arthroscopy. To learn more about Dr. Balldin, please visit his web page here. To schedule an appointment with Dr. Balldin, please call 210.281.9595.
The anterior cruciate ligament (ACL) is one of the four major ligaments of the knee. ACL tears are very common in sports where athletes are expected to change direction and pivot frequently such as in football, basketball and soccer.
There are a high number of sports-related ACL injuries across the board, but this seems to be especially true in women’s basketball and women’s soccer. Numerous studies have tried to explain this phenomenon and, though there is no complete consensus, some proposed explanations include:
- Women have slightly different and narrower anatomy in the area of the knee where the ACL runs making it prone to impingement and thus injury.
- There is difference in the balance of the musculature surrounding the knee between male and female athletes.
- Female athletes show different landing dynamics of the knee when jumping and cutting.
- Hormonal differences may make the ACL more prone to rupture in women.
Another contributing factor to ACL injury is overuse. Year round play, which is becoming more and more common in today’s environment, makes athletes more prone to ACL tears and to sports injuries in general. In baseball, we see elbow or shoulder injuries because of too many pitches as early as little league. In football, basketball, and soccer, we see a high number of ACL injuries. During the season, it is crucial to get the all important rest that allows the body to rejuvenate and avoid overuse injuries.
Athletes need to make sure they are in good physical condition prior to starting the season, engage in proper warm-up and cool-down activities and implement certain exercises within their training regimen to decrease their chances of ACL tears. Multiple studies have looked at implementing exercise programs to make the body more aware of how to land and change direction safely. While in use, these programs showed a decrease in number of ACL tears, but the effect appeared to dissipate when the exercises were not performed any longer.
Due to the nature of certain sports, we will never be able to prevent all sports-related ACL tears, but following these guidelines may help you sidestep an injury.
Dr. B. Christian Balldin is an orthopaedic surgeon, specializing in sports medicine, at The San Antonio Orthopaedic Group. To learn more about Dr. Balldin, please visit his web page here. To schedule an appointment with Dr. Balldin, please call 210.281.9595.
TSAOG is very pleased to welcome Dr. B. Christian Balldin to our practice! He starts this Monday, August 27th!
Dr. Balldin is an orthopaedic surgeon who has completed additional fellowship training in sports medicine at the Steadman Clinic in Vail, Colorado.
He will be treating all orthopaedic conditions, with the exception of the spine, for patients aged 3 years and up.
Dr. Balldin’s special interests include:
- Sports-related injuries and cartilage restoration procedures
- Arthroscopy of the shoulder, elbow, hip, knee and ankle
- Complex knee ligament reconstructions
- Fracture and trauma care
- Joint replacements of the shoulder, hip and knee
To schedule an appointment with Dr. Balldin, please call 210.281.9595.
To learn more about Dr. Balldin’s background and training, please visit his webpage here.
Recruiting rising stars in orthopaedics is one more way TSAOG makes your health our mission.