Hip Trauma or Injury

Breaks in the Hip Bone Leading to Severe Pain, Immobility, and the Need for Immediate Treatment

Hip trauma or injury occurs when the hip joint or the surrounding structures are damaged due to a sudden impact, fall, or high-energy event. The hip is a complex joint that supports the body’s weight and provides stability during movement. When injured, it can lead to significant pain, difficulty walking, and reduced mobility. Hip trauma can range from minor soft tissue injuries to severe fractures that require immediate medical attention. Early diagnosis and treatment are crucial to restoring function and preventing long-term complications.

CAUSES OF HIP TRAUMA OR INJURY

Hip trauma can be caused by various incidents, many of which involve a direct blow or force to the hip joint.

Common causes include:

Falls: Falling directly onto the hip, particularly in older adults, can lead to fractures or dislocations. Slips and falls are one of the leading causes of hip injuries.
Motor Vehicle Accidents: High-speed collisions or impacts can cause significant damage to the hip, including fractures or joint dislocations.
Sports Injuries: High-impact sports, such as football, rugby, or skiing, can lead to hip trauma, especially during sudden changes in direction, collisions, or falls.
Direct Trauma: Any direct blow or blunt force to the hip from an accident, workplace injury, or heavy object can cause damage to the hip joint and surrounding tissues.

TYPES OF TRAUMATIC HIP INJURIES

Hip injuries can affect the bones, ligaments, tendons, and muscles in and around the hip joint.

The most common types of hip trauma or injury include:

Hip Fractures: A break in the upper part of the femur (thigh bone) where it connects to the hip joint. Hip fractures are particularly common in older adults due to weakened bones (osteoporosis) and can result from even minor falls.
Hip Dislocations: A dislocation occurs when the ball of the femur is forced out of the hip socket, typically due to a high-impact injury such as a car accident. This injury requires immediate medical attention to realign the joint and prevent long-term damage.
Labral Tears: The labrum is the cartilage that surrounds the hip socket, providing stability and cushioning. Trauma or injury can cause the labrum to tear, leading to pain and instability in the hip joint.Soft Tissue Injuries: Damage to the muscles, ligaments, or tendons around the hip, such as strains or sprains, can occur due to overextension, impact, or sudden movements.
Pelvic Fractures: In some cases, the bones of the pelvis may be fractured during trauma, leading to pain and difficulty moving the hip.

SYMPTOMS OF HIP TRAUMA OR INJURY

The symptoms of hip trauma can vary depending on the severity and type of injury but often include:

Severe pain: Pain in the hip, groin, or thigh is common after a traumatic injury and may worsen with movement.
Swelling and bruising: Swelling around the hip or thigh is typical following a traumatic injury, often accompanied by bruising.
Inability to walk or bear weight: Depending on the severity of the injury, you may find it difficult or impossible to put weight on the affected leg or walk without assistance.
Visible deformity: In the case of a dislocation or fracture, the hip or leg may appear deformed or out of alignment.
Reduced range of motion: You may experience stiffness or difficulty moving the hip joint, especially with more severe injuries.

DIAGNOSIS OF TRAUMATIC HIP INJURIES

When you consult with Dr Liddell, he will assess your hip for signs of injury, including pain, swelling, and range of motion. A thorough physical examination and review of your medical history will help identify the type and severity of the injury.

Imaging tests are typically required to confirm the diagnosis and determine the extent of the damage:

X-rays: X-rays are commonly used to diagnose fractures, dislocations, and other bone injuries around the hip.
CT scan: In cases of complex fractures or if more detailed images are needed, a CT scan may be performed to provide a clearer view of the bones and joint.
MRI: An MRI is often used to assess soft tissue damage, such as labral tears, ligament injuries, or muscle strains, and to provide a comprehensive view of the hip joint.

HIP TRAUMA TREATMENT OPTIONS

Treatment for hip trauma depends on the severity of the injury and the specific structures affected:

Non-Surgical Treatments

For minor injuries or less severe fractures, non-surgical treatments may be sufficient to promote healing and relieve pain.

Common non-surgical treatments for traumatic hip injuries include:

Rest and Activity Modification: Avoiding activities that place stress on the hip and allowing time for the injured structures to heal is critical.
Immobilisation: In cases of minor fractures or soft tissue injuries, a brace or sling may be used to stabilise the hip and prevent further injury.
Physiotherapy: A targeted physiotherapy program will help restore strength, flexibility, and mobility to the hip after injury. This is essential for regaining full function and preventing future issues.
Medications: Anti-inflammatory drugs and pain relievers can help manage pain and reduce swelling.

Surgical Treatments

For more severe injuries, surgery may be required to repair the damage and restore function to the hip.

Common Surgical Treatments for traumatic hip injuries include:

Hip Fracture Repair: In cases of hip fractures, surgery may involve using metal plates, screws, or rods to stabilise the broken bones and promote healing.
Hip Replacement Surgery: In some cases, particularly with severe fractures or dislocations, a partial or total hip replacement may be necessary to restore mobility and alleviate pain.
Labral Tear Repair: If a labral tear is causing pain and instability, minimally invasive arthroscopic surgery may be performed to repair the cartilage and restore hip function.

Hip trauma or injury can have a significant impact on your ability to move and perform daily activities. Early diagnosis and appropriate treatment are essential for preventing long-term complications and restoring function to the hip joint. Dr Liddell will work with you to create a tailored treatment plan that aims to alleviate pain, improve mobility, and support your recovery.