Hip surgery

[Mono 455]

Seems to have been a plethora of hip operations over the past 2? years. I can't recall many/any before that.

Anybody have any clues as to what's happening (and why only recently)?

[Sir Why You Little 36,679]

I would guess continuous running. Players run in waves now. The Hips would be pivotting a lot more now. But just a guess.

[Trisul 664]

Don't know about the actual injury surgeries so much, but some of the more recent (across league) have been preventative.

Eg removing bone growths on the ball that are/can/will impact movement / ongoing capacity via friction on the socket.

Had this surgery myself, albeit a long time ago. Made a big difference - and left a ~12cm scar.

edit:

"Cotchin said his injury was "just wear-and-tear" "It wasn't really troubling me, but we just thought we'd get it done earlier rather than later and not let it become a problem next year," he said."

Though Pavlich, Vardy and others seem more serious.

Edited February 19, 2012 by Trident

[Guest melbman]

2 years back I believe Tapscott's hip landed on a sprinkler at casey, from memory was on the end of a Trengove tackle. Told to me by a neighbour of Trengove's host family

[skills32 229]

I would guess continuous running. Players run in waves now.

I thought beach running was supposed to strengthen muscles, not weaken bones. Thanks for the tip.

[45HG 1,539]

2 years back I believe Tapscott's hip landed on a sprinkler at casey, from memory was on the end of a Trengove tackle. Told to me by a neighbour of Trengove's host family

How many weeks did Trengove get?

[DeeSpencer 24,805]

Femoral-Acetabular Impingement has been an in vogue diagnosis the last few years. Pretty much instead of just playing through a bit of a sore or tight hip for your career then ending up with osteoarthritis and a hip replacement at 40 the idea is to fix these early and hopefully for good.

http://en.wikipedia....lar_impingement

Besides from FAI I'm not sure what else is going on, it might be due to increase work load as suggested above, or due to better imaging and surgeries. Tapscott obviously had hip issues secondary to trauma, but lets hope they are resolved. I don't know what Lucas Cook had last year or what Stef Martin had a couple of years ago. Anyone else on our list had hip surgery?

Edited February 19, 2012 by the master

[Sideshow Bob 2,294]

Most of them are impingements as written above, they seem to be screening for it. If they pick up a bone spur on XR or MRI they will remove it early to prevent further injuries and secondary problems that can result (ie labral tears and OP) from an injury point of view there are loads of Labral tears that have been a bit of a buzz word diagnosis for the past 10 years (think Tiger Woods, Greg Norman). The labrum is basically a thickening of the joint capsule which is seen in both hips and shoulders. Really common surgery to have the labrum tightened up - if you dislocate a shoulder you almost certainly have torn the anterior labrum.

[dee-luded 2,959]

Seems to have been a plethora of hip operations over the past 2? years. I can't recall many/any before that.

Anybody have any clues as to what's happening (and why only recently)?

A few years back the medical profession discovered some peoples hip sockets had some irregularities, genetic, and some had bony protrusions or 'Hooks', which can wear away @ thye socket joint, Prematurely. I feel sure that many are as a result of this anomaly, Or as a precaution to this. So if someone has an issue to do with the hip Joint then maybe the attitude is, lets go in & have a look.

I rekon this may be close to the mark.

'Dermie' had quite a torrid time with a Hip socket injury.

#Edit: from the master:Femoral-Acetabular Impingement has been an in vogue diagnosis the last few years. Pretty much instead of just playing through a bit of a sore or tight hip for your career then ending up with osteoarthritis and a hip replacement at 40 the idea is to fix these early and hopefully for good.

http://en.wikipedia....lar_impingement

Edited February 19, 2012 by dee-luded

[Barney Rubble 1,576]

I have just had surgery in October.

I suffered with acute pain for 3 years. (Diagnosed as Trochanteric Bursitis)

If picked up early enough, it can be treated with Cortisone.

My condition didn't respond and after 3 years of cortisone and one bout of blood injection.

They found the bursa had cacified, and then operated to remove it.(the bursa will grow back 3-4 months) Tendons were also damaged and then repaired hopefully.

If you go into Google you will probably find a couple of reasons why this occurs. Running or Bike riding (for obvious reasons)

The other is an impact injury.

I am into my 4th month of rehab and the surgeon seems to think it will be another 2 months before I get anywhere near right.

Edited February 19, 2012 by Chippy

[Rogue 585]

I am into my 4th month of rehab and the surgeon seems to think it will be another 2 months before I get anywhere near right.

Sorry to hear that mate; give rehab your best shot and hopefully it comes good sooner rather than later.

[savoydee 6]

I have just had surgery in October.

I suffered with acute pain for 3 years. (Diagnosed as Trochanteric Bursitis)

If picked up early enough, it can be treated with Cortisone.

My condition didn't respond and after 3 years of cortisone and one bout of blood injection.

They found the bursa had cacified, and then operated to remove it.(the bursa will grow back 3-4 months) Tendons were also damaged and then repaired hopefully.

If you go into Google you will probably find a couple of reasons why this occurs. Running or Bike riding (for obvious reasons)

The other is an impact injury.

I am into my 4th month of rehab and the surgeon seems to think it will be another 2 months before I get anywhere near right.

Very sorry to hear that keep your chin up .

[Barney Rubble 1,576]

Thanks for the kind thoughts guys.

I wasn't after sympathy, I was just trying to explain that there are more things that can go wrong with the mechanics of the hip than a Labrum tear or FAI

[Disco Demons 92]

I've had both hips done in less than 18months of each other. Got my left hip done a month ago. The surgery itself is pretty straightforward. done via keyhole surgery. You get two little holes/nicks on the side of your body. Both times I have been walking around hours after the surgery. 6months after the initial surgery I was running half marathons . The surgery was super successful for me. Before I couldn't run 1km without pain. I'm seeing the surgeon this week to find out what he found this time.

People get hip surgery because they have a gentic defect and/or had a trauma.I've been told our bones in our hips form when we are a teenager. Approx 1 in 4 people bones in their hips don't form properly. ie., you get knuckles,bumps,extra bone etc in/on parts of the hip; which over time wear out the hip. But not 1 in 4 people have issues. Usually people who perform a lot of sport or overweight generate issues due to wear and tear.

If you imagine a fridge door. The rubber seal is your hip labrum. If this gets damaged it causes the fridge door not to close properly. Often the fridge door will ‘bang’ around. This same analogy is often used with your hip. If the Labrum is damaged it causes the hip joint to be unstable.

Hip Keyhole surgery has only been around for approx 10 years. Before that it was open hip surgery. hence the massive scar. I've been told there is only about 4 surgeons in victoria that do hip keyhole surgery. Only a few years ago it was 2 surgeons.

Having a hipscope can essentially save you from need a hip replacement later on in life. People who are getting hip replacements now could have avoided them if they had got a hipsope earlier on in life. If the hip replacement is a result of wear and tear and not a trauma.

To test for hip issues; Sports Doctors do a range of movement test; see if you experience any hip pain in various positions. Then they send you off for X-rays and/or MRI and/or CT Scan.

If you experience hip issues. Go see a sports doctor first and get an MRI.

[pringle 42]

Most people are pretty spot on with their comments re FAI.

The only thing I'd add is that there is still no evidence that the surgery prevents osteoarthritis developing in the hips as the long term data is just not yet available. There is only recent evidence that people with FAI actually have an increased risk of developing arthritis. It's a fertile area for research in orthopaedic surgery and sports medicine at the moment. I am involved at both levels, having had the operation myself prior to working in sports medicine. If anyone is interested I can elaborate on this topic at some point, but others have explained it pretty well.

[Trisul 664]

... Before that it was open hip surgery. hence the massive scar.

long term data is just not yet available.

I was told I was the first in Aus ~25 years ago, the first of my wierd kind anyway (a type of ball growth). Hip is fine.

Knees are dodgy (also had 4x growth points removed from the other leg).

[Disco Demons 92]

Most people are pretty spot on with their comments re FAI.

The only thing I'd add is that there is still no evidence that the surgery prevents osteoarthritis developing in the hips as the long term data is just not yet available. There is only recent evidence that people with FAI actually have an increased risk of developing arthritis. It's a fertile area for research in orthopaedic surgery and sports medicine at the moment. I am involved at both levels, having had the operation myself prior to working in sports medicine. If anyone is interested I can elaborate on this topic at some point, but others have explained it pretty well.

Thanks for your comments. I saw my surgeon this morning and asked him about that...he supports that statement; but added his opinion; that he's got patients with 10 years post surgery not experiencing any issues with osteoarthritis. Added that any patient who has gotten through 10 years shouldn't necssarily develop issues.