The Hip Joint

For centuries, orthopaedic surgeons have been managing the pain, limp, and gait disturbance that develop in association with various traumas and diseases of the hip joint. The hip is a ball-and-socket joint that has a good range of movement, but it is stable and rarely dislocates, even after high-impact trauma, and can withstand repeated motion and a fair amount of wear and tear. However, despite its durability, it is not indestructible. With age and use, the cartilage can wear down or become damaged. Overuse of muscles and tendons of the hip, for example, in athletes, leads to hip pain due to muscle strain or tendonitis. Other factors that can cause pain and lead to progressive arthritic changes include the abnormal anatomy a person is born with, conditions that develop during the growth and development of bones, and trauma as well as wear and tear due to ageing. The diagnosis and management of hip injuries have evolved substantially with advances in hip arthroscopy and diagnostic tools such as MRI and new, minimally invasive techniques.

This book provides a detailed account of the hip joint’s anatomy and biomechanics and serves as a practical guide for the diagnosis and treatment of hip diseases and injuries at all ages. The book covers recent trends in orthopaedic surgery of the hip joint, including the latest advances in revision total hip arthroplasty (THA), computer-assisted navigation for THA, resurfacing of the hip joint, neoplastic conditions around the hip, and indications, complications, and outcomes of hip arthroscopy. The chapters are written by experts who have contributed greatly to the understanding of problems of the hip joint. The book will be appreciated by undergraduate and postgraduate students, experienced hip surgeons, medical doctors, and practicing consultants in orthopaedics.

Table of Contents

Embryology and Anatomy of the Hip Joint

K. Mohan Iyer

Biomechanics of the Hip Joint

Ram Ravishankar

Clinical Examination of the Hip Joint

K. Mohan Iyer

Imaging of the Hip Joint

Rajesh Botchu and Ram Vaidhyanath

Disorders of the Hip in Children and Adolescents

K. Vinodh, Sughran Banerjee, K. Mohan Iyer, Vijaya Kumar Kempanna, Robert Jennings, and Sharad Goyal

Injuries around the Hip Joint, Including Periprosthetic Fractures

K. Mohan Iyer, Vijaya Kumar Kempanna, Sharad Goyal, Shibu Krishnan, and Gurdeep Singh Biring

The Adult Hip and Its Disorders

K. Mohan Iyer

Total Hip Arthroplasty

Sharad Goyal, Edward A. O. Lindisfarne, David Ball, and Ardeshir Bonshahi

Girdlestone Arthroplasty

K. Mohan Iyer

Osteotomies around the Hip Joint

K. Mohan Iyer

Hip Resurfacing

Michael C. Moss, Sharad Goyal, and Gyanendra Kumar Singh

Minimally Invasive Total Hip Replacement

Dayanand Manjunath and Deepak Shivanna

Computer Navigation in Hip Arthroplasty

Wasim Khan

Neoplastic Conditions around the Hip

Ram Vaidhyanath and Rajesh Botchu

Arthroscopy of the Hip

Gurdeep Singh Biring

Dr K. Mohan Iyer did his MCPS (1971) from the College of Physicians and Surgeons, Mumbai, India; MBBS (1971) from the University of Mumbai; D’Orth. and FCPS Orth. (1975) from the College of Physicians and Surgeons; MS Orth. (1978) from the University of Mumbai; and M. Ch. Orth. (1981) from the University of Liverpool, UK. During this time, he wrote three theses on fractures of the patella, excision arthroplasty of the elbow, and excision of the trapezium for carpometacarpal arthritis of the thumb.

From 1971 to 1972, Dr Iyer was with K.E.M. Hospital, Mumbai, India, on a resident-rotating internship. His other nonorthopaedic appointments were as resident house surgeon in general surgery (1973–1974), K.E.M. Hospital, and as SHO (1976), East Birmingham Hospital, UK. His orthopaedic appointments were as resident house surgeon in orthopaedics (1973) and resident registrar orthopaedics (teaching post; 1974–1976), K.E.M. Hospital, and as registrar in orthopaedics (1976–1977), Dryburn Hospital, Durham, UK, in addition to numerous other locum consultant and specialist registrar jobs.

Dr Iyer has presented numerous papers at state, national, and international conferences in Singapore and Bangkok. He was in charge of the teaching program in orthopaedics for undergraduate students and an examiner for the MBBS degree at the University of Bangalore, India. He has also carried out a wide range of operative work on all kinds of major fractures, as well as arthroscopy of the knee, spinal surgery, and elbow and total hip replacements, and has published numerous articles and book chapters. He has done original research work, as can be seen on his website kmohaniyer.com, and has been instrumental in devising a modified posterior approach to the hip joint, which he has been following from 1981 till today.