Evaluation of the Hip

The hip is a true ball and socket joint. The hip joint is held in place with ligaments, tendons, and muscles. It is surrounded by a series of bursae which are fluid filled sacs designed to cushion the area. Hip pain may arise from the joint itself, the femur, the pelvic bone, the pelvis, blood vessels and nerves near the hip joint, and even the abdomen. It is important to differentiate true hip pain from other types of pain in the hip region. True hip pain is felt towards the front, in the groin region. It may radiate down the front of the thigh. Physical examination can point to the correct diagnosis. The skilled physician will evaluate range of motion as well as those factors which reproduce the pain. The diagnosis of hip disease usually requires the use of radiologic imaging. The imaging studies include plain films, arthrography, computed tomography (CT) scanning, ultrasound, nuclear imaging, and magnetic resonance imaging (MRI).

Recurrent Traumatic Glenohumeral Instability Associated with Glenoid Bone Defect : 3 Case Report

PURPOSE: Capsulolabral reconstruction in a traumatic anterior instability of the glenohumeral joint is successful not only for the prevention of recurrent instability but also for the restoration of function. MATERIALS AND METHODS: However, a capsulolabral procedure alone cannot guarantee a successful result when there is severe bone loss of the glenoid. RESULTS: We report the surgical technique and results of capsulolabral repair and extraarticular bone block with an autogenous iliac crest graft performed on three cases (all male, average age 28 years, minimum follow-up 12 months) with traumatic anterior instability associated with more than 30% glenoid bone loss.