Insufficiency Fracture Hip Treatment

Activity modification analgesics and bracing are the mainstays of non surgical treatment.

Insufficiency fracture hip treatment.

This new understanding raised questions regarding the need for and indication of treatments for subchondral insufficiency fracture. Doctors most often recommend nonsurgical treatment for compression type fatigue fractures. Pain can be treated with hot and cold treatments and medication. Treatment of osteoporosis is difficult but should be initiated in an effort to prevent other insufficiency fractures.

Physicians do not commonly tell patients about the possibility of joint collapse or subchondral insufficiency fractures that may lead to earlier total hip or knee replacement dr. Subchondral insufficiency fractures because this type of lesion abruptly increases the load on the subchondral bone due to loss of the meniscus ability to absorb impact 9 11. You must stay off the affected leg using crutches if necessary and rest the hip for at least four to six weeks. With care the fractures tend to heal by themselves.

Treatment depends on the location of the fracture the degree of displacement the number of other fractures and the age of the person. After the injured hip or pelvic bone has begun to heal a physical therapist at nyu langone s rusk rehabilitation can teach you exercises to help preserve the range of motion and strength in the joints and muscles surrounding the injury. Secondary goals of treatment include prevention of further insufficiency fractures and progressive deformity. Sif cartilage defect size band length ratio and fracture diameter morphology can predict progression.

Treatment for hip fracture usually involves a combination of surgery rehabilitation and medication. While treatment of these injuries is frustrating and inconvenient it is not as invasive as the treatment of a hip fracture which almost always requires surgery and therefore every effort should be made to prevent further injuries. In recent years less invasive operations have been developed. Sif frequently coexist with synovitis cartilage loss and bone marrow oedema pattern.

Leg lifts and hamstring stretches for instance can prevent muscles from weakening or becoming stiff while you avoid putting weight on the fractured hip. A hip fracture usually is treated with surgery.