![]() ![]() A fracture could be an underlying cause, so be sure. The main thing is not to underestimate any type of pain, especially acute pain, as being soft tissue damage when getting a diagnosis. There are numerous other methods to help in the prevention of hip injury. Make sure to have proper shoes that are in good condition to reduce chances of slipping and falling. Smoking and excessive drinking reduce bone density, along with causing other health problems, so don’t do it. This will also aid in balance and minimize falling. Continue to exercise so that strong bones and muscles are built. Slow bone-loss by ensuring adequate amounts of calcium and vitamin D are in the diet. Doctors concluded that acute hip pain following a high impact sport or activity, needs to be assessed as a possible joint injury rather than just soft tissue damage. The patient, however, has not yet returned to the squash court. After immobilization for a week, and lengthy rehabilitation and monitoring, pain free movement of the hip was regained. After the initial examination, a CT scan was performed and a minimally displaced fracture of the acetabulum was discovered. An active club player for four years, her level of physical activity had not changed recently. She was in fit condition, and denied any previous hip injury or pain. When the 47-year-old patient lunged for a corner shot, acute hip pain set in suddenly. A female squash player, with no history of fall or injury, sustained an acetabular fracture. ![]() This injury is far less common, and sometimes goes undiagnosed causing greater problems down the road.Ī situation of this happening was described recently in the Journal of Medical Case Reports. An acetabular fracture is when the socket is cracked or fractured. ![]() Cases of acetabular fractures have also been reported. Surgery may be required to handle this type of injury. Most hip fractures are the result of the ball being fractured or cracked. The hip joint consists of the ball, the top of the femur, or thigh bone, and the acetabulum, the socket, which is part of the hip bone. Eventually, such occurrences can cause an injury of some type, possibly a fracture, absent good alignment and muscle strength of the lower limbs. The same could be true for basketball or baseball. In tennis, if a player trips and falls, or runs into the wall or net, even the constant stress of sprinting and planting the foot to stop, can cause injury to the hip and wear down the joints. Open and Wimbledon champion Lleyton Hewitt’s battle with hip pain and injury is well documented. Yet, most people don’t know these injuries can afflict athletes in other sports, as well. It is often preferred to have two 3.5 mm screws instead of larger fragment fixation to provide additional torsional stability to the anterior portion of the ischiopubic segment.Hip injuries are common in high-impact sports such as football. In difficult cases, particularly obese patients, cannulated screws may be beneficial. The entry corridor for the screw applied through the Kocher-Langenbeck approach is generally 1-2 cm anterior (lateral) to the apex of the sciatic notch.ģ.5, 4.5 or 6.5 mm screws can be used. Therefore, the anterior column screw entry point is placed percutaneously, or must be modified for the exposure. The exposure offered by the Kocher-Langenbeck approach is limited cranially and anteriorly by the superior gluteal neurovascular pedicle. The starting point for the anterior column screw applied through the Kocher-Langenbeck exposure (1) is different than that applied through the extended iliofemoral (2). It is aimed anteriorly towards the root of the superior pubic ramus. The anterior screw is placed obliquely from above the greater sciatic notch across the fracture. A washer is not usually necessary and allows the screw to sit flush with the bone such that subsequent plate fixation is not compromised. Insert a screw of the appropriate length. Use an oscillating drill to protect the soft tissues. Continue with the 2.5 mm (3.2 mm) drill bit, aimed towards the anterior column. It offers less robust fixation, but is more easily inserted.Ĭreate a gliding hole with a 3.5 mm (4.5 mm) drill bit, depending upon chosen screw size. The trajectory of the screw will be from the postero-superior aspect of the acetabulum towards the antero-inferior aspect, but will be shorter than a screw placed along the entire anterior column. Most transverse fractures are oblique, exiting higher on the inner table of the pelvis than on the outer table such that a lag screw inserted above the fracture line will compress the fracture along its length.Ī 3.5 mm (or 4.5 mm) cortical screw will be used. Lag screw fixation of the transverse fracture ![]() After obtaining anatomical reduction of the transverse fracture, there are two options for initial fixation. ![]()
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