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06.08.2014

Extreme fatigue after hip surgery, ear ringing one ear - PDF Review

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Stress fractures of the hip once most commonly affected military personnel who marched and ran day after day.
The femoral neck has to withstand extreme force even during normal activities, such as standing still. A displaced stress fracture is a very serious problem in a young adult because it may lead to damage to the blood vessels going into the upper end of the hip bone.
Patients with fatigue stress fractures of the hip are also likely to have muscle and tendon injuries and swelling of the synovial lining (the lubricated lining) of the hip joint.
Doctors think that putting extreme stress on the bone over and over again causes stress fractures of the hip. Fatigue fractures are related to both the amount of exercise and how fast people increase their exercise program.
Most patients with stress fractures of the hip feel pain in the front of the groin while standing and moving.
The magnetic resonance imaging (MRI) scan is especially useful in telling fatigue fractures from other types of injuries with similar symptoms. When the ends of the bones show a large displacement, surgeons aren't in total agreement about which surgery is best. To avoid problems with AVN, other surgeons feel that older, less active patients should have part or all of the hip joint replaced. The procedure to replace both the ball and the socket with an artificial joint is called total hip arthroplasty. Treating a stress fracture without surgery requires patients to strictly avoid putting weight down on the foot of the injured leg when they are standing or walking.


Your surgeon will probably have X-rays taken every few weeks to make sure the bones are lined up and healing. During your recovery, you should follow your surgeon's instructions about how much weight you can put down while standing or walking. After you return home from the hospital, your surgeon may have you work with a physical therapist for two to four in-home visits. The therapist's goal is to help you maximize hip strength, restore a normal walking pattern, and help you do your activities without risking further injury to your hip. Today, stress Fractures of the Hip are more common in athletes, especially distance runners. You must stay off the affected leg, using crutches if necessary, and rest the hip for at least four to six weeks.
If the fracture is not at risk for displacing, surgeons may have patients use crutches to keep strain off the hip during standing and walking.
If your surgeon recommends surgery for a stress fracture of the hip, several large metal screws will be inserted through the femoral neck to hold the fractured bones in place while the fracture heals.
With the help of a special X-ray machine called a fluoroscope, the surgeon can insert the metal screws into the proper position while watching the X-ray image on a TV screen. Most surgeons agree that younger, active patients benefit if surgery is done to save the femoral head. If the socket of the joint is healthy, the surgeon may decide to replace only the ball portion of the joint, a procedure called Hemiarthroplasty.
Some surgeons allow their patients to use crutches and touch only their toes down on the injured side.


When your surgeon sees that the bones are healing, you'll be able to put more weight on your foot as you stand and walk. The aim of most surgical procedures for a fractured hip is to help people get moving and walking as quickly as possible. Treatments are used to help you begin walking with crutches or a walker, to help you access the bathroom, and to gradually improve your hip motion and strength. When a stress fracture occurs in the hip, it usually involves the femoral neck, the short section of bone that connects the head of the femur to the main shaft of the bone.
A physical therapist may direct your rehabilitation to help you improve strength and flexibility in the hip and to make sure you are able to safely resume your activities. Your therapist will make recommendations about your safety, review your hip precautions, and make sure you are placing a safe amount of weight on your foot when standing or walking.
Fatigue fractures are usually caused by new, strenuous, very repetitive activities, such as marching or distance running. A stress fracture is more likely to occur after an increase in how far, how often, and how hard a person goes.
Because these effects can be so devastating, most surgeons recommend surgery if they feel that the stress fracture is in danger of displacing.




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