OA of the hip

• OA of the hip - Incidence

  • Older population > 50 years / post intra-articular injury
  • Obesity
  • Insidious onset
• OA of the hip - Pain

  • Groin / anterior thigh and knee
  • Worse on weightbearing tasks
  • Diurnal pattern: Mornings and evenings
• OA of the hip - Loss of range

  • Most ranges: Flexion, extension, rotation, Hard end feel
  • Difficult to put on shoes and socks
  • Pain on FABER, FADIR
• OA of the hip - Crepitus

  • Grating sensation, noisy and painful on movement
  • Articular surface debris, osteophytes
• OA of the hip - Muscle atrophy

  • Muscle atrophy causes:
  • Gluteals: Trendelenburg gait
  • Antalgic gait
• OA of the hip - Treatment:

  • Education
  • Pain control
  • Weight management
  • Maintain ROM
  • Strength
  • Injections
  • Surgery