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IT's Hip - what's going on?

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Elrod is Back
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Re: IT's Hip - what's going on? 

Post#161 » by Elrod is Back » Tue Aug 22, 2017 8:46 pm

Curmudgeon wrote:I spoke with an orthpaedic surgeon I know well. She is in fact a hip specialist. She said that surgery is by no means the best option in many cases. Surgery can clean up cartilage but can't replace it. Microfracture surgery can get cartilage of a sort to regrow in knees, but it isn't the same as the original stuff, and many surgeons have stopped using this procedure.

Surgery or no surgery, the key is to strengthen the muscles around the damage. She said that with proper rehab an athlete can get back to 100% or close to it. How long the hip stays that way is another issue.


Thanks for doing this legwork.
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Re: IT's Hip - what's going on? 

Post#162 » by Captain_Caveman » Tue Aug 22, 2017 9:18 pm

Curmudgeon wrote:I spoke with an orthpaedic surgeon I know well. She is in fact a hip specialist. She said that surgery is by no means the best option in many cases. Surgery can clean up cartilage but can't replace it. Microfracture surgery can get cartilage of a sort to regrow in knees, but it isn't the same as the original stuff, and many surgeons have stopped using this procedure.

Surgery or no surgery, the key is to strengthen the muscles around the damage. She said that with proper rehab an athlete can get back to 100% or close to it. How long the hip stays that way is another issue.


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Re: IT's Hip - what's going on? 

Post#163 » by Johnny Bball » Tue Aug 22, 2017 9:50 pm

exculpatory wrote:
ddb wrote:this hip injury scares me. Just seems like the type of injury that could flare back up early in the season and become an issue all year long.


Yup.

It would appear that the labral tear & associated inflammation have gradually improved.
However, as I have stated multiple times, he allegedly has underlying & UNCORRECTED congenital FAI - which will predispose him to another labral tear - ESPECIALLY after significant usage.
Perhaps his minutes need to be reduced INDEFINITELY going forward to decrease this risk - and to hopefully have a relatively healthy IT during crunch time in the RS & during the POs???
I wish an orthopedist who knows this stuff like I know endocrinology/acute internal Medicine would contribute to this thread. Help please???


Yeah that's what I wondered about, having an impingement and just not having surgery. NHL ahtletes have starting having minor hip surgeries in the off season when they find an FAI with no labral tear or anything, just pain, so that they don't have bigger issues later. Its a quick recovery apparently that way. I think Jamie Benn of the Stars had that done and one other palyer there. Different doctors doing different things is all, I guess.


Edit; Found the old article I remember reading.

https://www.cbssports.com/nhl/news/stars-f-jamie-benn-undergoes-second-hip-surgery-in-a-week/

It’s part of a philosophical change the Stars are embracing, one they believe will give them healthier players in the long run. Benn has suffered from femoroacetabular impingement (FAI), or bone spurs that form on the head of the femur. The spurs irritate and can cut the labrum in the hip socket, and that can cause pain. Benn battled through the pain with shots, off days and grit, but the surgeries should help prevent that going forward.
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Re: IT's Hip - what's going on? 

Post#164 » by reload141 » Tue Aug 22, 2017 10:05 pm

Hopefully it won't be our problem.
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Re: IT's Hip - what's going on? 

Post#165 » by exculpatory » Tue Aug 22, 2017 10:21 pm

Johnny Bball wrote:
exculpatory wrote:
ddb wrote:this hip injury scares me. Just seems like the type of injury that could flare back up early in the season and become an issue all year long.


Yup.

It would appear that the labral tear & associated inflammation have gradually improved.
However, as I have stated multiple times, he allegedly has underlying & UNCORRECTED congenital FAI - which will predispose him to another labral tear - ESPECIALLY after significant usage.
Perhaps his minutes need to be reduced INDEFINITELY going forward to decrease this risk - and to hopefully have a relatively healthy IT during crunch time in the RS & during the POs???
I wish an orthopedist who knows this stuff like I know endocrinology/acute internal Medicine would contribute to this thread. Help please???


Yeah that's what I wondered about, having an impingement and just not having surgery. NHL ahtletes have starting having minor hip surgeries in the off season when they find an FAI with no labral tear or anything, just pain, so that they don't have bigger issues later. Its a quick recovery apparently that way. I think Jamie Benn of the Stars had that done and one other palyer there. Different doctors doing different things is all, I guess.


Edit; Found the old article I remember reading.

https://www.cbssports.com/nhl/news/stars-f-jamie-benn-undergoes-second-hip-surgery-in-a-week/

It’s part of a philosophical change the Stars are embracing, one they believe will give them healthier players in the long run. Benn has suffered from femoroacetabular impingement (FAI), or bone spurs that form on the head of the femur. The spurs irritate and can cut the labrum in the hip socket, and that can cause pain. Benn battled through the pain with shots, off days and grit, but the surgeries should help prevent that going forward.


That is right on point!
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Re: IT's Hip - what's going on? 

Post#166 » by exculpatory » Tue Aug 22, 2017 10:26 pm

Elrod is Back wrote:
Curmudgeon wrote:I spoke with an orthpaedic surgeon I know well. She is in fact a hip specialist. She said that surgery is by no means the best option in many cases. Surgery can clean up cartilage but can't replace it. Microfracture surgery can get cartilage of a sort to regrow in knees, but it isn't the same as the original stuff, and many surgeons have stopped using this procedure.

Surgery or no surgery, the key is to strengthen the muscles around the damage. She said that with proper rehab an athlete can get back to 100% or close to it. How long the hip stays that way is another issue.


Thanks for doing this legwork.


Curm:

The interventions you describe are for osteoarthritis - a very late complication of FAI.

Did you specifically ask the hip orthopod about surgical treatment to remedy the congenital FAI which is predisposing IT to labral tears?

Read the post just above by Johnny Bball.
SamIam 2010: Truth's ability to play so incredibly efficiently is so UNDERAPPRECIATED. Bballcool 2012: Amazing how great Pierce has been for so long. Continues to defy age! KG 2013: P is original Celtic. Wherever he goes, we go. This is The Truth's house.
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Re: IT's Hip - what's going on? 

Post#167 » by UHar_Vinnie » Wed Aug 23, 2017 2:37 am

I guess IT will be taking his hip to Cleveland.
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Re: IT's Hip - what's going on? 

Post#168 » by ConstableGeneva » Wed Aug 23, 2017 4:50 am

reload141 wrote:Hopefully it won't be our problem.

No longer our problem. Danny is a bad man.
░N░0░0░D░S░ ░I░N░ ░B░I░O░
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Re: IT's Hip - what's going on? 

Post#169 » by reload141 » Wed Aug 23, 2017 4:50 am

CrowderKeg wrote:
reload141 wrote:Hopefully it won't be our problem.

No longer our problem. Danny is a bad man.


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