In our practice we deal with many rather obvious problems such as fractures and dislocations of the hip. Instability of the hip is a much more subtle condition. Instability occurs when the ball of the hip, the femoral head, is not maintained in a stable way within the hip socket. This can be due to a shallow joint, a condition called hip dysplasia, or due to hyperflexibility of the soft tissues with certain conditions. Instability can also occur from injury to the ligaments of the hip from trauma. The hard thing about instability is that the X-rays and even the MRIs can often look completely normal. Only by stressing and pushing on the femur and reproducing a patient’s feeling can we make the diagnosis of instability.
Like many joints in the body, the hip joint is a “ball and socket” system. The femoral head is the round top of the thigh bone that fits into the acetabular socket. For this system to work, the parts need to work together flawlessly, and there must be sufficient cartilage within the socket to promote smooth movement.
Although hip replacement is major surgery, it is also one of the most routine surgical procedures performed in the U.S. According to the Agency for Healthcare Research and Quality, more than 300,000 Americans received artificial hips last year, giving them new freedom to enjoy both the simple activities of life and the great adventures they have planned for their golden years.
As we all prepare to go through the difficult challenges of the COVID-19 pandemic, there are some bright spots around the world. Those are from countries that have been able to slow down the virus and even eliminate new cases. Based on a number of excellent resources, it turns out that masks, made in the home, and worn in the community may be a big part of that answer. I prepared this video for our community and have shared with a number of government and healthcare experts. Please share it with your friends.