Because of the structural problems of the hip during hip joint movements of the two main parts of the hip joint is caused by an abnormal contact with each other.
The edge of the head of the joint and the edge of the head of the femur are contacted after a certain angle when the hip is bent to the abdomen. In the normal hip joint, this contact is soft even at the most when the hip joint is pulled toward the abdomen, and at this point of contact there is a cartilage ring (labrum) surrounding the hip joint and softens the contact.
However, if there is a structural problem in the structure of the hip joint, this contact is abnormal during the bending of the hip, excessive contact causes impingement, causing pain and disruption of the joint over time.
The first complaints are sudden pain in the midline with some movements. Over time, pain takes longer. In some patients, there may be a jerk and click-sounding in the groin with pain. The pain increases especially after sports, intensive and heavy work, and can continue for a while at rest. When calcification begins to develop, movement is restricted, pain persists over the years and there may be night pain. After a painful period, a completely painless period may occur.
The inguinal area is a place where many problems such as hernia, gynecological diseases and muscle problems are seen. There are patients with hip compression disease and inguinal hernia – ovarian surgery.
How is it diagnosed?
An experienced orthopedic surgeon recognizes and treats the patient with a high rate of hip stiffness. Direct X-ray films are then required. Direct films reveal the ‘cam’ and ‘pincer’ deformities to a great extent.
Then MR is seen. It should be kept in mind that MR can do wrong if it cannot be done on good machines and some extra soft ware. Even if MRI is performed under appropriate conditions, it is not to be forgotten that 20% of labrum rupture can be omitted. In such cases, the popularity of this method has decreased since it can show a 20% robust labrum tear in the ‘arthro MR’ examination performed by drug injection into the joint.
In patients with hip compression disease and mild burns, ‘pelvic stabilizers’ should be strengthened in centers experienced in sportive rehabilitation. In addition, in a significant number of cases, symptoms may be persistent or transient, with medications from the non-steroidal anti-inflammatory group given as an oral edema.
In cases where complaints are ongoing or suspected, intra-articular injection is performed.