Diagnosis And Management Of Hip Disease

Presenting recent advances in clinical diagnosis and treatment derived from an increased understanding of the biology of the hip, this unique text examines hip disease and pathophysiology through the lenses of kinematics, biomechanics, anatomy and metabolism. Opening chapters examine the impact of health care organization on hip care and prevalence and burden of osteoarthritis​.Biomechanical considerations of the hip and gait pathomechanics in hip disease are then discussed, followed by chapters covering femoroacetabular impingement, possible links between OA and metabolic syndrome, osteonecrosis, osteoporosis and Paget’s disease. Considerations of risk reduction​ surrounding hip arthroplasty conclude the text, including device and surgical options for THA, hip sepsis and prevention of perioperative infection, and management of venous thromboembolism. Taken together, this represents a new and important context for the discussions and management of hip disease for orthopedic surgeons and researchers alike.

This book is a practice-oriented manual teaching the successful examination technique developed and taught by the author known as "Graf's technique". The book is based on the author's experience of more than 20 years. It is easy to read and provides a real "hands-on" manual giving numerous practical tips. The book includes the fundamentals of hip sonography, static as well as dynamic techniques, anatomical identification of the echograms, typing, a measurement technique and usability check. The book also contains an atlas including a summary of the essential data and demonstrating correct and incorrect sonograms in different variations.

This book represents the most advanced understanding of diagnosis and management of hip dysplasia in the young adult, written by the world’s leading experts and covering advanced imaging and biomechanical studies as well as latest surgical techniques. This is especially timely, as the field of hip preservation surgery is in constant evolution, and it is critical that surgeons and researchers combine their efforts to provide the best evidence-based knowledge to all health care providers evaluating and treating patients suffering from pre-arthritic hip pain. Not only does this book discuss the most up-to-date information on the etiology and natural history of hip dysplasia, as well as pathomechanics and traditional and advanced imaging, it also presents new conceptions of its classification and subsequent management. The focus throughout the book is that hip dysplasia is a problem of instability, where both the bony structure and the soft tissue envelope (i.e., capsule, ligaments and muscles) are at play. Moreover, although corrective osteotomies such as the peri-acetabular osteotomy will remain the dominant treatment option, non-surgical treatments as well as hip arthroscopy are now being increasingly recognized as useful adjuncts in order for our patients to return to their desired activities. Finally, as the longevity of joint replacement surgery has improved dramatically, this should be strongly considered in cases where the outcome of joint preserving surgery is not as predictable. Orthopedic surgeons, sports medicine physicians, physiatrists and physiotherapists alike will find this book a valuable resource when treating the young adult with symptomatic hip dysplasia.

Hip pain is one of the most common reasons for patient visits to orthopedic, physiatrist, primary care and sports medicine offices. Most books that cover this topic review it as a chapter within a larger book on orthopedics as a whole, or they focus on one specific aspect of hip pathology, such as osteoarthritis. This practical text is an evidence-based, user-friendly review of the literature for the breadth of hip pathologies that present to the busy practitioner. Opening with a review of the relevant anatomy, subsequent chapters discuss bursitis and tendonitis, labral tears, impingement syndrome, and osteoarthritis. Additional chapters cover hip pain in the pediatric patient, sports trauma and fractures, and rheumatologic and infectious disease considerations. And while reviewing pathology and its diagnosis and treatment is important, proceeding through real case studies is extremely valuable in bringing the diagnosis and treatment of hip pathologies to life, hence an engaging section of clinical case material rounds out the presentation. Taken together, A Case-Based Approach to Hip Pain will be an ideal resource for musculoskeletal medicine practitioners of all types.

Legg-Calvé-Perthes Disease (LCPD) remains a challenging hip condition to treat. More than a century after its identification, the etiology of LCPD remains unclear and treatment continues to be controversial. The main goal of treatment is to prevent femoral head deformation. Preservation of femoral head sphericity is known to minimize the risk of premature hip pain, stiffness and arthritis. The best ways to achieve these goals remain elusive. This book is replete with up-to-date discussions of history, epidemiology, radiology and classification systems for LCPD. It takes a well-balanced, evidence-based approach to various methods of treatment, from conventional containment femoral and pelvic surgery, to more cutting-edge procedures such as transfemoral head-neck tunneling, hip distraction, hip arthroscopy and intraarticular femoral head reshaping osteotomies, ending with a discussion of the latest biologic and pharmacologic treatment strategies. It is a well-illustrated tome for the various surgical techniques presented. The chapter authors, all experts in LCPD, share their practical, innovative and comprehensive approach to this challenging condition. Legg-Calvé-Perthes Disease will be the definitive reference work on this condition for many years to come.