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Orthopedic Surgery and Trauma Service

Hip

About the Hip Center

Hip Center at Weill Cornell Orthopaedics focuses on a whole spectrum of hip disorders ranging from soft tissue injuries to hip fractures. The Center provides a multidisciplinary approach, with a team that includes orthopaedic surgeons, radiologists, neurosurgeons and physiatrists who provide care. When surgery is needed to repair soft tissue tears in the hip, we are able, in many cases, to perform arthroscopic (minimally invasive) procedures.

Our Physicians for Hip

Conditions we treat include:

  • Cartilage injury to the hip joint (a common sports injury); articular cartilage injuries/labral tears.
  • Femoroacetabular impingement (FAI), a condition in which the femoral head (the rounded ball at the end of the upper femur or thighbone), the acetabulum (the socket of your hip joint), or both are shaped somewhat abnormally.
  • External snapping hip syndrome, a feeling that the hip is dislocating, which is often caused by joint laxity. The laxity results in the tightening of muscles surrounding the joint, to stabilize the pelvis and results in the iliotibial band snapping over the greater trochanteric (prominence on the femur) located on the outside of the hip.
  • Internal snapping hip – which is a condition where a very tight Psoas tendon (hip flexor) snaps over the hip joint, typically over the rim of the socket.
  • Hip instability, subluxation or dislocation.
  • Chronic bursitis
  • Tears of the gluteus medius/minimus muscles located on the outside of the hip – very important in stabilizing the pelvis.

Diagnosis

We use MRI, CT and x-rays, along with a clinical exam, to diagnose hip problems. Often, patients will receive an injection of a corticosteroid into the hip joint to determine if the problem is coming from inside the joint. If the problem is coming from inside the joint, the injection should provide pain relief. If it is coming from outside the joint (such as from the back) the injection will not relieve the pain. Other injections into soft tissue are also used as both diagnostic tests and therapeutic treatments, for instance – trochanteric bursal and hamstring tendon injections for bursitis and tendonitis, respectively.

Treatments

Physical Therapy

Physical therapy aims to strengthen muscles, increase flexibility, maintain the range of motion of the joint, and decrease inflammation.

Deep Tissue Therapy

Deep tissue active release therapy is a state-of-the-art soft tissue system/movement-based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves.

Arthoscopic (Minimally Invasive) Surgery

Arthoscopic (minimally invasive) surgery is performed within the hip joint through small incisions, using an arthroscope (camera) to visualize the structures within. Arthroscopic procedures are often done on an outpatient basis. Arthroscopy often can be used for many procedures including repairing the labrum (the cartilage lining the socket of the hip joint), treating femoracetabular impingement, (FAI), snapping hip syndrome and repairing of the gluteus medius/minimus tendon(s).

Open surgery is needed in some cases, such as for cartilage restoration procedures (also known as cartilage transplants), or the microfracture technique, in which small holes are created where there is cartilage damage, stimulating the joint to release local stem cells which fill in the cartilage defect with tissue. Small cartilage defects that require microfracture can be performed arthroscopically.

Contact

Orthopedic Surgery, NewYork-Presbyterian/Weill Cornell
Directions
(212) 746-4500
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