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

 

Rotator Cuff Injury: Episode 18

  • Rotator Cuff Injury is common and becomes more likely as we age. The good news is most are non-surgical.
  • In honor of Thanksgiving we are reviewing Trader Joe’s Turkey Stuffing and Seasoned Kettle Chips
  • Trivia question of the week: What is the only sea without any coasts?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional information related to Rotator Cuff injury throughout the week.
  • Thanks for listening!!

We are going over rotator cuff injury and we are also going to be reviewing Trader Joe’s Turkey Stuffing and Seasoned Kettle Chips. All the flavors of Thanksgiving in each potato chip, I gotta’ tell ya’ they tried cause it looks like a feast. It does you can smell it from here, we have the bag open already. If I had smellification I would be able to smell it.

 

Smellification, that would be a cool tool. I’ve been low on the smellification lately. Smellification that is like the Richie Rich thing, you ever see that with Macaulay Culkin, back in the day. Sure haven’t. Well the smellinator 5000 saved them, because it smelled TNT which they then threw out the window. So the parents didn’t die. Gotcha. He was the dude from Home Alone. Yes. Yeah. Anyway we digress. I was going to say the same thing, we digress. Weeeird. That is so weird, isn’t that weird.

 

So rotator cuff incidence, fairly high, 17% of the population has a full thickness tear. The good news. It’s kinda like the disks, the slipped disk. Your disks can’t slip, but that is a whole other story. You can have a rotator cuff tear, and it’s completely asymptomatic. And this grossly affects the population as it ages. So individuals over 60 years of age make up 30%. 30% of 60 year olds or older have a rotator cuff tear, under 60 only about 6%. Ok. If I said that correctly. Yeah, that sounds about right.

 

This is defiantly something that we see more in the aging population. Some of that may have to do with the fact that there could be some postural incidences. As we tend to slouch a little more and we have a type I or II acromion that creates impingement and that can dig into the rotator cuff and just gradually fray away at it. Which will eventually lead to a partial thickness tear and then full thickness tear.

That acromion type is basically a little hook or a slightly bigger hook so it almost acts to kind of carve into it. It’s almost like a nail carving into a rope. Eventually, with that kind of friction over time it’s going to tear. It will.

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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