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Muscles that help with balance need to be strengthened, or stretched to prevent a hip labrum tear. Exercises include strengthening the gluteus by abducting the hip whilst lying on the side with legs together. The top leg is raised keeping the knee and hip straight; especially effective where there is an anterior pelvic tilt. [11]
Hip replacement surgery can be performed from three main directions, each with advantages and disadvantages The classical approach is the posterior, and requires dissection of the gluteus maximus and other large muscles of the back of the thigh to access the acetabulum.
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis.Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, [5] certain hip fractures, benign and malignant bone tumors, [6] arthritis associated with Paget's disease, [7] ankylosing spondylitis [8] and juvenile rheumatoid arthritis. [9]
Incisions for hip resurfacing (posterior approach) have been well documented to stretch in excess of 20 cm in length. Hip resurfacing has been described as a more complicated procedure in comparison to hip replacement , and the operative technique described by Derek McMinn FRCS Ed, for posterior hip resurfacing shows operative incision similar ...
The pelvic bone, also known as the innominate bone, is formed by three bones fused together: the ilium, ischium, and pubis. The musculature of the hip is divided into anterior hip muscles and posterior hip muscles. The major nerve supply that runs through the hip joint is the femoral nerve and the sciatic nerve. [16]
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