Adult Hip Dysplasia Specialist

The hip is a ball-and-socket joint, one of the largest joints in the human body. It plays a crucial role in supporting the body’s weight and allowing for a wide range of movement. The key components of the hip joint include the femur (thighbone), specifically the femoral head which forms the ball part of the joint, and the acetabulum, a cup-shaped socket in the pelvic bone.

The femoral head fits into the acetabulum, creating a joint that allows for significant mobility while being stable. The surfaces of both the femoral head and the acetabulum are covered with articular cartilage, a smooth tissue that cushions the bones and enables them to move easily. Surrounding the joint is a complex arrangement of ligaments, tendons, and muscles that provide additional support and control the movements of the hip.

In a healthy hip, the femoral head and acetabulum align perfectly, allowing for smooth, pain-free movement. In cases of hip dysplasia, this alignment is disrupted, leading to issues with joint stability and movement.

The diagnosis of adult hip dysplasia involves a series of steps to accurately assess the condition of the hip joint:

Initial Clinical Assessment

A healthcare professional conducts a physical examination to evaluate symptoms, hip mobility, and joint alignment. This assessment includes observing the patient’s walk, range of motion in the hip, and checking for any discomfort or abnormal movements.

Medical History Review

A thorough discussion of the patient’s medical history, including any previous hip problems, family history of hip dysplasia, and developmental milestones, provides important context for the diagnosis.

Imaging

X-rays are the primary tool for diagnosing hip dysplasia. They provide clear images of the hip joint, showing the alignment of the femoral head and acetabulum, and any signs of joint wear or osteoarthritis.

In some cases, additional imaging methods such as Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) scans may be used to gain a more detailed view of the hip joint and surrounding tissues.

Consultation with Specialists

Referral to an orthopaedic specialist with experience in hip dysplasia is often part of the diagnostic process. They can provide a more comprehensive evaluation and discuss potential treatment options.

Non-surgical treatments may provide temporary relief, but they often do not offer a lasting solution, as the joint’s fundamental malformation remains unaddressed.

• Weight Management
  Losing weight is one of the most effective non-surgical approaches. Even a modest reduction in weight can significantly decrease the pressure on the hip joint, thereby reducing pain and slowing the progression of damage.
• Use of Assistive Devices
  Employing a cane or similar assistive devices can help in distributing weight away from the affected hip, offering relief from discomfort.
• Physical Therapy and Exercise
  While these can improve muscle strength and joint flexibility, their role is more about managing symptoms rather than correcting the underlying dysplasia.
• Pain Management
  Medications like NSAIDs can be used for pain relief, but they should be taken as directed and are not a substitute for addressing the structural issues of the hip.