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Incision made in the front of the hip (anterior approach) can cut a nerve running down the thigh leading to numbness in the thigh and occasionally chronic pain at the point where the nerve was cut (a neuroma).
The anterior approach accesses the hip joint from the front, with less large muscle dissection but due to the proximity of the femoral artery, corresponding vein, and main nerve bundle for the leg lying just medial to the acetabulum the surgeon must exercise caution and maintain suitable landmarks.
It is composed of strong, fibrous material and assists in controlling excessive motion. This is done by limiting mobility of the joint. The anterior cruciate ligament is one of the four main ligaments of the knee, providing 85% of the restraining force to anterior tibial displacement at 30 and 90° of knee flexion.
Most modern anatomists define 17 of these muscles, although some additional muscles may sometimes be considered. These are often divided into four groups according to their orientation around the hip joint: the gluteal group; the lateral rotator group; the adductor group; and the iliopsoas group .
Femoroacetabular impingement (FAI) is a condition involving one or more anatomical abnormalities of the hip joint, which is a ball and socket joint. It is a common cause of hip pain and discomfort in young and middle-aged adults.
Heterotopic ossification. Heterotopic ossification around the hip joint in a patient who has undergone hip arthroplasty. Heterotopic ossification (HO) is the process by which bone tissue forms outside of the skeleton in muscles and soft tissue. [1]
The tensor fasciae latae works in synergy with the gluteus medius and gluteus minimus muscles to abduct and medially rotate the femur. The TFL is a hip abductor muscle. To stretch the tensor fasciae latae, the knee may be brought medially across the body (adducted).
The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities
The hip should be examined for: Masses; Scars; Lesions; Signs of trauma/previous surgery; Bony alignment (rotation, leg length) Muscle bulk and symmetry at the hip and knee; Measures. True leg length – Greater Trochanter of the femur or Anterior Superior Iliac Spine of pelvis to medial malleolus of ipsilateral leg.
The iliofemoral ligament is a thick and very tough triangular capsular ligament of the hip joint situated anterior to this joint. It attaches superiorly at the inferior portion of the anterior inferior iliac spine and adjacent portion of the margin of the acetabulum ; it attaches inferiorly at the intertrochanteric line .