What to do for hip joint bone spurs?

The presence of bone spurs in the hip joint is one of the causes for hip pain. One of the causes of hip joint pain is called femoroacetabular impingement (FAI) which is often believed to be an early precursor for hip arthritis and characterized by the formation of bone spurs surrounding the ball and socket hip joint. One of the measures in managing FAI involves removal of the bone spurs surrounding the affected joint.

Close look on hip joint bone spurs

The hip joint is a ball and socket joint and bone spurs can develop on both the ball and the socket of the hip. These bone spurs are called as the pincer or cam lesions of the hip.

Cam lesion

This develops once the bone spur is on the ball of the hip joint. An X-ray result with a cam lesion reveals a ball that does not appear as round as normal with a bump on the side.

Pincer lesion

Hip bone spurs

In case the pain is an issue, the treatment includes rest, anti-inflammatory medications and cortisone injections.

This is a bone spur that radiates out from the socket of the hip joint. It prevents the ball from moving freely.

Some individuals who have been diagnosed with FAI can both have pincer and cam lesions while others have one or the other. Most cases of FAI also have labral tears on the hip.

Management

Individuals who have been diagnosed with FAI can initially start with simple measures. In case the bone spurs are seen on the X-ray results, but does not trigger any symptoms of hip pain, treatment is not needed. In case the pain is an issue, the treatment includes rest, anti-inflammatory medications and cortisone injections.

Stretching of the hip joint intensifies the distress because the bone spurs could not be relaxed with the help of stretching. In case the simple measures could not provide adequate relief, a surgical procedure that involves removal of the bone spurs called as osteoplasty might be considered by the doctor.

Hip arthroscopy

This procedure is considered common and involves arthroscopic removal of the bone spurs. The advantage of performing osteoplasty arthroscopically is its minimally invasive nature and allows inspection of the hip joint cartilage. The disadvantage of this procedure is that it is technically difficult and oftentimes hard to ensure full removal of the bone spurs.

Open osteoplasty

With this alternative, it involves the creation of an incision over the front part of the hip and eliminate the bone spurs under direct view. The benefit is that the process can be aggressive in ensuring that the bone spurs are extensively removed.

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