What is subchondral fracture hip?
Subchondral insufficiency fracture (SIF) is the fracture occurring in femoral head without any trauma and usually presents with hip pain [1,2]. The two categories of patients commonly affected are young military recruits and old patients with poor bone stock.
What causes a subchondral fracture?
Subchondral insufficiency fractures (SIF) are a type of stress fracture which occurs below the cartilage on the weight bearing surface of a bone. SIF occur when normal physiological forces are repeatedly applied to an area of bone compromised by non-tumorous disease, resulting in fracture.
How are subchondral insufficiency fractures treated?
Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks.
How do you fix a subchondral fracture?
Treatment and prognosis Low-grade subchondral fractures in particular, if there is no collapse of the subchondral bone plate, can be treated conservatively with restricted weight-bearing 2,3 and non-steroidal anti-inflammatory drugs. Prostaglandin I-1 and/or bisphosphonates might be considered 5.
What is bone chondral?
A chondral defect refers to a focal area of damage to the articular cartilage (the cartilage that lines the end of the bones). An osteochondral defect refers to a focal area of damage that involves both the cartilage and a piece of underlying bone.
What does a hip stress fracture feel like?
Most patients with stress fractures of the hip feel pain in the front of the groin while standing and moving. Rest usually makes the pain go away. Patients may limp. Strenuous activities, such as running and climbing stairs, may be so painful the patient must stop doing them.
How is a pelvic insufficiency fracture treated?
Generally, sacral insufficiency fractures are treated conservatively with relative rest, analgesia and physical therapy. Early ambulation may reduce the complications and significant morbidity and mortality associated with prolonged immobility. Percutaneous sacroplasty is a variation of percutaneous vertebroplasty.
What is chondral fracture?
Chondral fractures are a form of cartilage injury with disruption of the articular cartilage usually as a result of rotational injuries or direct blows 1 leading to a focal chondral defect with the fragment remaining in situ or displaced and loose 2.
What is the treatment for chondral defects of the hip?
Chondral Defects of the Hip Treatment. Non-Surgical. In less severe cases, surgery for chondral defects of the hip can be avoided and patients are able to manage their pain with non-steroidal, anti-inflammatory medications, ice, and exercises as prescribed by a physical therapist.
What are the treatment options for chondral nerve damage?
Non-Surgical Treatment: Some patients are able to live with the symptoms associated with chondral damage. They are able to manage pain with non-steroidal anti-inflammatory drugs (NSAIDs), ice, physical therapy, hip joint injections (steroid and platelet-rich plasma) and by avoiding activities contributing to flare-ups of pain.
How do you fix a chondral fracture?
Chondral fractures are usually treated arthroscopically or operatively. If they are suitable for rescue and technical fixation, they can be repaired with a variety of implants including bioabsorbable pins, darts screws and sutures 5,6.
What causes chondral damage in the hip?
Normal wear and tear that comes with aging is a common culprit for chondral damage in the hip. Damage to the articular cartilage within the hip can also occur as a result of a direct blow to the hip joint, such as with a fall or a traumatic accident (i.e. motor vehicle accident).