{"id":6456,"date":"2020-01-16T13:16:21","date_gmt":"2020-01-16T12:16:21","guid":{"rendered":"https:\/\/federicogiardina.com\/arthrosis-of-the-hip\/"},"modified":"2025-10-06T17:38:09","modified_gmt":"2025-10-06T15:38:09","slug":"arthrosis-of-the-hip","status":"publish","type":"page","link":"https:\/\/federicogiardina.com\/en\/arthrosis-of-the-hip\/","title":{"rendered":"Arthrosis of the hip"},"content":{"rendered":"\n

Arthrosis of the hip: what is it?<\/h2>\n\n

The main disease that can afflict the hip is osteoarthritis of the hip<\/strong> or coxarthrosis<\/strong>.<\/p>\n\n

The hip is a joint<\/strong> that serves as a junction between two bones: the femur<\/strong> and the acetabulum<\/strong> (hollow of the pelvic bone); its movement is only possible if, between these two bones, there are lubricated surfaces that allow it to slide. <\/p>\n\n

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Osteoarthritis of the hip is a degenerative process that affects the joint: the movement that results from the mutual sliding of the surfaces of the acetabulum and femoral head is impaired by wear and tear of the cartilage<\/strong>. Thus, an inflammatory state<\/strong> occurs that not only causes pain but also results in progressive tissue destruction. <\/p>\n\n

Arthrosis of the hip: the causes <\/h2>\n\n

There are several causes<\/strong> regarding hip osteoarthritis.<\/p>\n\n

The most common cause leading to “natural” cartilage’s wear isprimary arthrosis<\/strong> (without a known preponderant cause), which is more or less promoted by anatomical changes or malformations of the joint<\/strong> such as femoro-acetabular impingement (FAI). <\/p>\n\n

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The second most frequent cause, which mainly affects the elderly and the female sex, is the outcomes of fracture of the proximal femur<\/strong> (the portion of the bone closest to the body trunk) particularly due to epiphyseal necrosis resulting from it.<\/p>\n\n

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Other causes may be degenerative joint disease<\/strong> related to rheumatoid arthritis or other autoimmune forms (seropositive or seronegative), aseptic osteonecrosis of the primary or secondary femoral epiphysis (e.g., following corticosteroid therapy), or post-traumatic arthritic <\/strong> forms (outcomes of fracture-luxations of the hip and\/or acetabulum);post-traumatic arthrosis<\/strong> is, often, consequent to serious traffic accidents.<\/p>\n\n

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Finally, arthrosis secondary to childhood diseases<\/strong> such as congenital hip dysplasia, Perthes disease, or outcomes of epiphysiolysis should not be forgotten. Rare causes may be bone neoplasms located close to the coxofemoral joint. <\/p>\n\n

Hip screening: can it be done?<\/h2>\n\n

To date, there are no screening programs that can anticipate the hypothesis of hip osteoarthritis development until before the onset of symptoms. <\/p>\n\n

Even in known situations such as coxofemoral pathologies of childhood or an altered morphologic anatomy (as in the case of FAI), the patient can at best be recommended to maintain a proper weight-bearing: weight, in fact, along with age, are the two main risk factors for the development of hip osteoarthritis.<\/p>\n\n

Arthrosis of the hip: the initial symptoms<\/h2>\n\n

The symptoms of hip osteoarthritis<\/strong> can be many, including:<\/p>\n\n