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However, modern diagnosis and treatment of FAI was pioneered by Ganz in 2003, [2] [3] who initially advocated the use of an open surgical dislocation technique for treatment of intra-articular pathology. This involved the use of the 'trochanteric flip' approach to gain access to the hip joint.
The causes of intra-articular snapping hip syndrome seem to be broadly similar to those of the extra-articular type, but often include an underlying mechanical problem in the lower extremity. The pain associated with the internal variety tends to be more intense and therefore more debilitating than with the external variety. [ 4 ]
Damage can occur to the articular cartilage, or labral cartilage (soft tissue, ring-shaped bumper of the socket), or both. [4] The condition may be symptomatic or asymptomatic. It may cause osteoarthritis of the hip. [1] Treatment options range from conservative management to surgery. [5]
Sacroiliac joint dysfunction is an outcome of either extra-articular dysfunction or from intraarticular dysfunction. SI joint dysfunction is sometimes referred to as "sacroiliac joint instability" or "sacroiliac joint insufficiency" due to the support the once strong and taut ligaments can no longer sustain.
Causes of pain around the hip joint may be intra-articular, extra-articular, or referred pain from neighboring structures, such as sacroiliac joint, spine, symphysis pubis, or the inguinal canal. [1] Common etiologies include: Trochanteric bursitis, caused by inflammation of the trochanteric bursa of the outer hip, often affecting both hips
Ultrasound-guided hip joint injection is a joint injection in the hip, assisted by medical ultrasound. Hip and groin pain often presents a diagnostic and therapeutic challenge. The differential diagnosis is extensive, comprising intra-articular and extra-articular pathology and referred pain from lumbar spine, knee and elsewhere in the pelvis.
This distinct radiographic appearance sets it apart from other causes of intra-articular bodies. Number and size of intra-articular bodies can prove helpful as well. SOC typically presents as multiple intra-articular bodies. Few or isolated intra-articular bodies are more consistent with trauma or osteoarthritis. [citation needed]
Minimally invasive hip resurfacing (MIS) is a total or partial hip surgery that can be carried out through an incision of less than 10 cm (4 inches) without imparting great forces on the anatomy or compromising component positioning. [1]