Ganz Osteotomy

  • In this episode: Ganz Osteotomy also known as a PAO (peri-acetabular osteotomy) is a type of hip surgery that works to increase the depth of the hip socket. This is usually done as a result of hip dysplasia and is often discovered when an adolescent athlete has torn their hip labrum.

  • Chip Review @ (17:36): Stacy’s Pita Thins – Garlic & Herbs (Thank You Michael Seeb)

  • Trivia question of the week @ (15:38): What is the longest continental mountain range in the world?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

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Brief overview of the episode: 

              Ganz osteotomy is a hip sparing procedure that is done to correct hip dysplasia. In our practice it is most often discovered in adolescent athletes that begin to experience hip pain without a known cause. Often the hip pain is from a torn hip labrum and there is usually femoral-acetabular impingement present as well.

            The Ganz procedure, also known as peri-acetabular osteotomy, will move the relative position of the hip socket (acetabulum) so that it better covers the femoral head. This procedure involves separating the socket from the rest of the pelvis, re-orienting it and then using a few screws to hold it in place until the bone heals.

            Often times the Ganz is done in conjunction with femoral osteotomy as well as hip labrum repair/reconstruction. These procedures are sometimes done all during one surgery. Recovery time is upwards of 1 year.                       

 

Other episodes you might enjoy:

Stress Fractures: Episode 43

Stress Fractures: Episode 43

Core/Abdominal Wall: Episode 35

FAI/Hip Labrum: Episode 21

 

FAI/Hip Labrum: Episode 21

  • FAI (Femoral Acetabular Impingement) is becoming a common diagnosis. This is a bony change that causes the hip labrum to tear and fray. Both cause pain and loss of sport ability.
  • We review Kettle Brand Spicy Queso Potato Chips, compliments of Judy Kay.
  • Trivia question of the week: The Bullfinch Pub in Boston is better known by what name?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

 

Today we are going to be covering hip labrum pain, hip labrum tears, hip labrum reconstruction, femoral acetabular impingement (FAI), which all full under the same heading. Then we are going to be reviewing Kettle Brand Spicy Queso Chips, compliments of Ms. Judy Kay.  Thank you Mrs. Kay.

 

So we are going to start with labrum tears. So the labrum sits around the outside of your hip joint. It helps to deepen the joint; it helps improve stability around there. It is also chock full of pain fibers. It is kind of like a gasket. I learned that from Dr. Parker. You learned gaskets from Dr. Parker?

 

When you have irritation to that you will feel pinching, you will feel pain.  Most of the time pain with either be in the front of your hip or into your groin.

Very common with people who are super flexible or single limb athletes as we call them if you do a lot of j ump, pushing off or landing on one leg. This is a pretty common injury. Although I think it is often, and this is speculation on my part, miss diagnosed. I has become one of those fade diagnosis. Everyone with anterior hip pain, now all of a sudden has FAI.

 

A lot of that has to do with the fact that there is now a surgery for it. The surgery is relatively routine. That has only been in the last 10 years. I remember treating a your lady 20 years ago. For hip impingement and there was not really any surgery at the time that could be done for it other then a complicated open procedure or a potential joint replacement. Neither one of those was a valiant option at the time. So we treated it conservatively and low and behold it got better.

 

We definitely see that a fair amount where you have a small tear and not need surgery. Even if you get diagnosed with a labrum tear, see it on imaging. If it is small enough you can treat it by stabilizing the joint. Treating it with physical therapy working on strength, balance, stability and range of motion.

Hip Pain: Episode 15

Hip pain has many causes that change throughout the life span. Hip pain in a teenager often has a totally different cause then hip pain in middle age or as a senior citizen.

  • In honor of Halloween we are reviewing: Zapp’s Voodoo potato Chips
  • Trivia question of the week: What is the northern most point of the British Empire?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to get additional information related to hip pain throughout the week.

Today we are discussing hip pain, fairly broadly. Talking about some of the common diagnosis we see there. And we are going to do a nice review of Zapp’s Voodoo potato chips. Sounds Yummy. I’m pretty excited. Who brought these in? You did? Yeah I did. Yeah Yeah, I got these. I’ve had them before they are delicious and tasty.

 

Most hip pain that we see is going to fall under two categories. Does it cause groin pain? Or does it cause outside of the hip pain? So those two areas have pretty different causes. Yes. Outside of the hip is going to be much more common with bursitis, muscle strain, perhaps physical trauma some kind of bruising. We tend to see it a lot when people have a limp and they start counter balancing or changing the way they walk. It’s called Trendelenburg (https://www.physio-pedia.com/Trendelenburg_Gait). Nice, you get this overuse irritation on the outside of the hip and that could be tendonitis or bursitis or a variety of tendons.

 

A lot of that is treated similarly in terms of physical, manual therapy to the outside of the hip. Modalities to the outside of the hip. Working on, above all things again, glut med strength and external rotator group strength and that is going to cover most of your hip pain that you feel on the outside of your hip. IT band is another big one.

 

We also have groin pain. Groin pain is much more indicative of joint wear and tear. So that is going to be osteoarthritis changes in there. Or we are going to see something of the soft tissue pathology in there. So FAI, which is femoral acetabular impingement. That is a topic that is going to need it’s own show to fully cover. But to kind of briefly cover.

 

It’s one of those diagnoses that has kind of become very popular lately since they have been able to treat it with a scope now. So it is actually a surgical problem. 20 years ago if somebody had a hip impingement problem, you just kind of rode it out until you could get a hip replacement. Now it is something that is treatable. FAI femoral acetabular impingement syndrome is something we see a lot in single limb athletes. Athletes who tend to land or jump off of one leg; dancers, cheerleaders, volleyball players. Like Christiaan said it’s a topic that will require a session of its own because there are so many different ways to diagnose and treat conservatively.

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