{"id":693,"date":"2019-06-26T17:54:05","date_gmt":"2019-06-26T15:54:05","guid":{"rendered":"http:\/\/167.71.32.174\/?p=693"},"modified":"2022-08-02T10:36:33","modified_gmt":"2022-08-02T08:36:33","slug":"huefte","status":"publish","type":"post","link":"https:\/\/sportambulatorium.wien\/en\/huefte\/","title":{"rendered":"Hips"},"content":{"rendered":"<h4>Hip arthroscopy <\/h4>\n\n\n\n<p>While arthroscopy is already used as a matter of course for knee or shoulder joints, arthroscopy of the hip joints is still rather rare. Hip arthroscopy has the advantage of being a minimally invasive procedure, with only three small incisions required. The alternative involves opening up the entire joint (to do this, a bone must be sawed, the hip dislocated, and the bone rescrewed after the operation), which obviously involves much greater postoperative pain. <\/p>\n\n\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1920\" height=\"1200\" src=\"http:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-scaled.jpg\" alt=\"Nicht wenige L\u00e4ufer, aber auch Fu\u00dfballspieler leiden unter unklaren  H\u00fcftschmerzen, die sich von der Leiste nach hintern Richtung Ges\u00e4\u00df  ziehen. \" class=\"wp-image-4289\" srcset=\"https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-scaled.jpg 1920w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-300x188.jpg 300w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-1024x640.jpg 1024w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-768x480.jpg 768w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-1536x960.jpg 1536w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-2048x1280.jpg 2048w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-18x12.jpg 18w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-100x63.jpg 100w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-862x539.jpg 862w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/vitor-pinto-ArKnEs4PkhA-unsplash-1-edited-1200x750.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/figure>\n\n\n\n<p><br>The following hip problems can be treated well with arthroscopy: <\/p>\n\n\n\n<p><strong> Femoroacetabular Impingement (FAI): <\/strong><br>Runners and football players often suffer from hip pain of unknown origin that radiates from the groin back towards the buttocks. This can often make internal rotations with a flexed hip very painful. The most common cause of such symptoms is femoroacetabular impingement (FAI). The cause of FAI is an incongruence of the acetabulum and femoral head that causes pronounced friction, leading to labrum injury and\/or rapidly progressing cartilage damage.  <\/p>\n\n\n\n<p> The incongruence can have two root causes: \n<\/p>\n\n\n\n<p>1) the femoral head is not as round as it should be. This is known as cam impingement (see image)&nbsp;<br>2) a pronounced covering of the acetabulum (this can be congenital, or may develop over decades). This is called pincer impingement (see image).\nMost patients (86%), however, suffer from a mixed type of impingement, with cam impingement being predominant in young athletes and due to the head of the femur being subobtimally positioned genetically.\nDiagnosis: Clinical examination, MRI, possibly also a CT exam\nTreatment: For cam impingement, the transition of the head to neck of the femur can be arthroscopically  reshaped by ensuring that just the right amount of bone is removed.\nFor pincer impingement, projecting sections of the acetabulum must be removed, something that can be difficult to carry out using arthroscopy. <br>Most patients (86%), however, suffer from a mixed type of impingement, with cam impingement being predominant in young athletes and due to the head of the femur being subobtimally positioned genetically. <br>Diagnosis: Clinical examination, MRI, possibly also a CT exam <br>Treatment: For cam impingement, the transition of the head to neck of the femur can be arthroscopically reshaped by ensuring that just the right amount of bone is removed. <br>For pincer impingement, projecting sections of the acetabulum must be removed, something that can be difficult to carry out using arthroscopy. \n<\/p>\n\n\n\n<p><strong> Floating bodies:<\/strong><br>Caused either as a result of cartilage injury or due to degeneration of the joint, pieces that are freely floating around the joint can become wedged and cause severe pain. These pieces can usually be easily recovered using arthroscopy.\n<\/p>\n\n\n\n<p><strong> Labrum Injuries:<\/strong><br>The labrum is a cartilaginous strengthening ring in the acetabulum and can either be torn by an injury (frequently seen in ball sport athletes) and\/or due to overstraining (such as in the case of femoroacetabular impingement). Depending on the extent of the injury, the labrum can be smoothed or in some cases even completely reattached. <\/p>\n\n\n\n<p><strong> Coxa saltans (snapping hip):<\/strong><br>It is generally young female athletes who are afflicted by this uncomfortable and painful snapping sensation in the hip. The cause is often a prominent osseous protuberance slightly beneath the femoral head (which the iliopsoas tendon runs across) that can either be milled or a groove incised into the affected muscle using arthroscopy. Another cause of a snapping hip can be an injury to the labrum. <\/p>\n\n\n\n<p><strong> Cartilage damage:<\/strong><br>Cartilage damage in the hip caused by injury can be treated very well using arthroscopy. See also cartilage.\n<\/p>\n\n\n\n<h4 id=\"prothese\"><br>Hip Replacement <\/h4>\n\n\n\n<p>Bei ausgepr\u00e4gten Abnutzungen des Knorpels (Arthrose) und entsprechender klinischer Symptomatik (v.a. Schmerzen beim Aufstehen, Gehen, oder auch Schmerzen in der Nacht) ist die Implantation einer H\u00fcftprothese unumg\u00e4nglich.\u00a0<br>Die entsprechende Abkl\u00e4rung erfolgt durch die klinische Untersuchung, R\u00f6ntgenbilder, ev. auch MRI.\u00a0<br>Das Einsetzen der H\u00fcftprothese erfolgt inzwischen schon um vieles schonender als noch vor zehn Jahren. Es sind inzwischen\u00a0minimal invasive\u00a0Techniken verf\u00fcgbar, durch die Muskelsch\u00e4den weitgehend minimiert werden k\u00f6nnen.<\/p>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"x-resp-embed x-is-video x-is-youtube\"><iframe loading=\"lazy\" title=\"Operation H\u00fcftgelenkstotalendoprothese (H\u00fcft-TEP)\" width=\"742\" height=\"417\" src=\"https:\/\/www.youtube.com\/embed\/VIInneS43bw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n\n\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  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.mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style>","protected":false},"excerpt":{"rendered":"<p>W\u00e4hrend die Arthroskopie (also  Gelenksspiegelung) des Kniegelenkes oder der Schulter bereits standardm\u00e4\u00dfig eingesetzt wird &#8230;<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Die H\u00fcfte | Univ.Prof. Dr. G\u00e4bler SPORTambulatorium<\/title>\n<meta name=\"description\" content=\"Die H\u00fcfte \u27a4 H\u00fcftarthroskopie | H\u00fcft-Prothese | Kontaktieren Sie uns f\u00fcr Ihren Ersttermin.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sportambulatorium.wien\/en\/huefte\/\" 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