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Treated Hip Conditions

Dr. Anthony Quinn, Dr. Brent Milner, Dr. Brian Laman, Dr. Justin Steinert, and Dr. Jeremy Zebroski comprise the Hip Team at Sheridan Orthopedic Associates. This team is one of the most respected in all of Wyoming and combines decades of experience in both non-surgical and surgical treatments for conditions of the hip. The Hip Team at Sheridan Orthopedic Associates collaborates on each patient’s diagnosis to establish the most effective treatment plan.

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Hip Bursitis

Bursitis is an inflammation of the bursa (a fluid filled sac near the joint) on the outer side of the hip. This condition is the most common cause of hip pain and may cause difficulty doing daily activities such as walking and sitting.

Trochanteric bursitis can have many causes including a traumatic incident, such as a slip and fall. However, chronic overuse, improper posture and sports injuries can result in symptoms as well. Rheumatoid arthritis, gout, psoriasis and thyroid disease can also bring about this condition. In rare cases, bursitis is the result of an unrelated infection.

Signs and Symptoms of Trochanteric Bursitis can include:
● Pain in the hip, thigh or buttock
● Pain when lying on affected side of hip
● Sensitivity to touch
● Increased pain when going from seated to standing position
● Increased pain after periods of activity
● Pain when walking or climbing stairs

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Hip Labrum Tears

The labrum of the hip is the cartilage that surrounds the ball and socket joint of the hip and helps provide lubrication so the joint can function properly. The labrum also acts as a shock absorber preventing damage to the joint. Athletes who engage in contact sports or those that require long episodes of running are at heightened risk of Hip Labral Tears.

Labral Tears of the Hip generally occur in two forms: degenerative tears and traumatic tears.

Degenerative Labral Tears
Degenerative Labral Tears occur over time as a result of wear and tear. Microtraumas cause small tears in the cartilage the begin to weaken the labrum. Eventually, these tears compromise the integrity of the labrum until the labrum tears. This is most often seen in athletes or those who are in the early stages of arthritis of the hip.

Traumatic Labral Tears
Traumatic Labral Tears occur as a result of a sudden impact or injury to the labrum. Sudden impacts or injuries can be a result of falls, sports injuries or an unnatural and forceful motion of the hip.

Signs and Symptoms of Hip Labral Tears can include:
● Hip pain
● Groin pain
● A “clicking” or “popping” sound in the hip
● Limited range of motion in the hip
● Pain that intensifies during or after activity

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Hip Arthritis

Osteoarthritis is the most common form of arthritis in the hip and is also known as “degenerative joint disease”. Osteoarthritis occurs when the cartilage covering the bones and joints of the hip begins to break down causing pain and inflammation in the hip. Several factors can contribute to the likelihood of Hip Osteoarthritis including, genetic predispositions, unhealed fractures and weight. There is no single test for Hip Osteoarthritis. Diagnosis may include an evaluation of medical history as well as a physical exam. Depending upon the severity of the symptoms, X-rays and/or blood test may be needed to confirm Hip Osteoarthritis.

An important thing to note is that symptoms tend to appear in “flare ups”. This means that those with this condition may not have constant symptoms and may note “good weeks and bad weeks”. However, despite the ebb and flow of Hip Osteoarthritis, the condition may still be progressing.

Signs and Symptoms of Hip Osteoarthritis can include:
● Hip pain
● Change in gait and stride
● Limited range of motion
● Joint pain or swelling
● Pain during or after activity
● The feeling of bones “rubbing” together

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Hip Impingement Syndrome

The hip joint is where the thighbone and pelvis meet in a ball and socket joint. In a normal hip, the ball glides smoothly inside the socket and allows the hip to be flexed in multiple directions. However, in some instances, the socket it damaged and interferes with the smooth gliding motion causing what is known as Hip Impingement.

This condition may not cause symptoms for several months or years however, the damage to the hip joint may still be occurring. For this reason, this condition is believed to be one of the most significant contributors to Hip Arthritis.

Symptoms of Hip Impingement Syndrome may include:

  • Pain in the groin when the hip is flexed
  • Stiffness in the hip, thigh or groin
  • Pain or inability to rotate the hip outward

Dr. Anthony Quinn, Dr. Brent Milner, Dr. Brian Laman and Dr. Jeremy Zebroski comprise the Hop Team at Sheridan Orthopedic Associates. This team is one of the most respected in all of Wyoming and combines decades of experience in both non-surgical and surgical treatments for conditions of the hip. The Hip Team at Sheridan Orthopedic Associates collaborates on each patient’s diagnosis to establish the most effective treatment plan.