First Report on Nine Cases of "Frozen" HipAdhesive capsulitis also known as "frozen" shoulder is a common problem, especially among middle-aged women. According to this study it looks like a âfrozen hipâ or adhesive capsulitis of the hip is also a problem in this group.
Nine cases of hip adhesive capsulitis were identified. Patients were followed for more than a year after treatment. Eight were women who had a good result. The one male had degenerative hip changes and no improvement with treatment. Treatment was with hip manipulation under anesthesia followed by arthroscopic exam.
Manipulation is done by placing the patientâs foot on the opposite knee in a figure-4 position. The patient is lying down on his or her back with the affected hip and knee bent. Gentle pressure is applied until the adhesions are broken. Too much pressure can cause a hip fracture. Gentle stretching of the hip and leg is done while the patient is still anesthetized.
The author reports seeing typical findings of adhesive capsulitis during arthroscopic exam. Besides fibrous debris in the joint, there were tears in the cartilage. In some cases there were also tears of the rim called the labrum. One patient had a torn ligamentum teres. This is the ligament that holds the femur (thigh bone) in the hip socket.
This is the first report of hip adhesive capsulitis. The authors suggest it's more common than once thought. Early identification of the problem may allow more conservative treatment with physical therapy. Surgery may be needed in more advanced cases.
J. W. Thomas Byrd, MD, and Kay S. Jones, MSN, RN. Adhesive Capsulitis of the Hip. In Arthroscopy. January 2006. Vol. 22. No. 1. Pp. 89-94.
|*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.|
|All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.|