Diseases of the hip

Hip pain is often the cause of hip disease. There is a variety of hip diseases, the causes of which can be, for example, congenital malpositions or inflammations.

Classification of hip diseases

In the following you will find the most common diseases and injuries of the hip divided into:

  • Diseases in childhood due to congenital malpositions
  • Inflammations of the hip
  • Degernerative diseases of the hip
  • Illnesses due to traumatic injuries

Hip dysplasia is a childhood maturation disorder with disturbance of the acetabular roof ossification. In further development, the femoral head can dislocate from the acetabulum = luxate and a hip luxation can develop. Hip dysplasia is a high-risk factor for the development of hip arthrosis (coxarthrosis).

Due to the lack of an acetabular roof (bay window), the transfer of weight from the thigh (femur) to the pelvis becomes unfavorable due to a lack of congruence between the joint partners. Coxitis fugax is also known as hip rhinitis and is an inflammation of the child’s hip joint. Coxitis fugax usually heals without any consequences with an appropriate therapy.

Epiphysiolysis capitis femoris is a detachment and slippage of the head of the femoral neck in the growth plate from the neck of the femur, usually during early puberty. Perthes disease is a circulatory disorder of the child’s femoral head of unknown cause. Bursitis trochanterica is an inflammation of the bursa of the hip.

This lies between the gluteal muscles and the thigh bone. In most cases, the inflammation reaches the periosteum at this point after the bursa. In most cases, the inflammation after the bursa also reaches the periosteum at this point.

Inflammation of a tendon at the hip is an inflammation of the connective tissue connecting a muscle with the bone, which is also called tendon. Tendinitis calcarea is an inflammatory reaction resulting from calcium deposits in the tendons of the hip muscles. The term “hip joint arthrosis” (= coxarthrosis or also coxarthrosis) includes all degenerative diseases in the area of the hip joint, which are caused by illness (e.g.

congenital disorder of the functional unit femoral head – acetabulum or circulatory or metabolic disorders), accident (e.g. femoral neck fracture) or wear and tear. Common to all causal diseases is the increasing destruction of the joint cartilage, which ultimately also affects joint structures (joint capsule, bones) and the associated muscles. By femoral head necrosis are meant all acquired diseases of the femoral head which, due to ischemia (deficient blood supply to the femoral head), lead to a varying degree of, mostly partial, death of the femoral head and which, in their final stage, can develop into coxarthrosis (arthrosis of the hip joint).

If the cartilage of the hip is damaged, the cartilage that is located in the hip joint and ensures pain-free movement is damaged. In a femoral neck fracture, the upper end of the femur breaks just below the head of the femur, usually due to a fall on the lateral hip. An acetabular cup fracture is the fracture of the acetabulum. This forms the acetabulum for the hip joint in which the femur moves.