Insufficiency Fracture Hip Treatment

Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement dr.

Insufficiency fracture hip treatment.

After the injured hip or pelvic bone has begun to heal a physical therapist at nyu langone s rusk rehabilitation can teach you exercises to help preserve the range of motion and strength in the joints and muscles surrounding the injury. Treatment depends on the location of the fracture the degree of displacement the number of other fractures and the age of the person. You must stay off the affected leg using crutches if necessary and rest the hip for at least four to six weeks. Activity modification analgesics and bracing are the mainstays of non surgical treatment.

Pain can be treated with hot and cold treatments and medication. Leg lifts and hamstring stretches for instance can prevent muscles from weakening or becoming stiff while you avoid putting weight on the fractured hip. In recent years less invasive operations have been developed. Sif cartilage defect size band length ratio and fracture diameter morphology can predict progression.

Sif frequently coexist with synovitis cartilage loss and bone marrow oedema pattern. Subchondral insufficiency fractures because this type of lesion abruptly increases the load on the subchondral bone due to loss of the meniscus ability to absorb impact 9 11. Treatment for hip fracture usually involves a combination of surgery rehabilitation and medication. Femoral head subchondral insufficiency fractures sif frequently require total hip arthroplasty tha.

This new understanding raised questions regarding the need for and indication of treatments for subchondral insufficiency fracture. While treatment of these injuries is frustrating and inconvenient it is not as invasive as the treatment of a hip fracture which almost always requires surgery and therefore every effort should be made to prevent further injuries. Secondary goals of treatment include prevention of further insufficiency fractures and progressive deformity. Up to thirty percent 30 of patients may not respond to non surgical treatment 2.

According to various suggestions. Doctors most often recommend nonsurgical treatment for compression type fatigue fractures.