A family history of hip dysplasia increases the risk of the condition, suggesting a genetic component to its development.
Adult Hip Dysplasia Specialist In Singapore
Dr Wang Lushun
Senior Consultant Orthopaedic Surgeon
MBBS (Singapore)
MRCS (Edin)
MMed (Ortho)
FRCS (Ortho) (Edin)
- Fellowship-trained orthopedic surgeon
- Internationally recognised, more than 1500 surgeries performed
What is Adult Hip Dysplasia?
Adult hip dysplasia is a condition where the hip joint is improperly formed, leading to instability and pain. The condition involves an inadequate coverage of the femoral head by the acetabulum, causing increased stress on the joint. If left untreated, this can lead to discomfort, limited mobility, and osteoarthritis.
Symptoms of Adult Hip Dysplasia
The symptoms of adult hip dysplasia can vary widely among people, often depending on the severity of the condition and the level of activity. Common symptoms include:
Pain and discomfort
Pain in the hip joint, groin, thigh, or knee, which may worsen with activity and improve with rest.
Stiffness
Limited range of motion in the hip joint, leading to stiffness, especially after periods of inactivity or in the morning.
Limping
Altered gait or limping due to discomfort or weakness in the hip joint.
Sound or sensation
A clicking, locking, or popping sensation in the hip joint during movement.
Osteoarthritis
In advanced cases, osteoarthritis due to the abnormal wear and tear on the joint can be a significant symptom, leading to chronic pain and mobility issues.
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Causes and Risk Factors
Adult hip dysplasia is a condition that originates primarily from developmental issues during infancy or childhood, which may not fully manifest until adulthood. Here are key factors contributing to the condition:
Genetic predisposition
Gender
Women are more likely to develop hip dysplasia than men, which may be associated with differences in pelvic anatomy and hormone levels influencing joint laxity.
Environmental factors
Conditions during infancy, such as swaddling with legs extended and together, can exacerbate the risk of developing hip dysplasia.
Joint abnormalities
Any congenital or developmental abnormalities in the hip joint structure can predispose a person to hip dysplasia in adulthood.
Physical activity and lifestyle
Certain activities and lifestyle choices may contribute to the worsening of symptoms in people predisposed to hip dysplasia.
Diagnosis
Key steps in the diagnostic process include:
Clinical evaluation and patient history
A comprehensive examination is conducted to assess the hip’s range of motion, stability, and pain levels, alongside a review of the patient’s symptoms, previous hip issues, and family history of hip dysplasia.
Imaging studies
X-rays
X-rays are essential for visualising the hip joint, showing the extent of socket coverage over the femoral head and detecting signs of arthritis.
Magnetic Resonance Imaging (MRI)
MRI provides detailed images of the hip joint’s soft tissues, including the cartilage and labrum, offering insight into their condition.
Arthroscopy
In certain cases, a diagnostic arthroscopy may be performed to directly observe the hip joint’s internal condition, allowing for a more precise damage assessment.
Non-surgical Treatment Options
Non-surgical treatment options are often recommended as initial management strategies or for those for whom surgery is not an option. Key non-surgical treatments include:
Physical therapy
Tailored exercise programs aim to strengthen the muscles around the hip joint, improve flexibility, and enhance joint stability.
Pain management
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. In some cases, prescription medications may be necessary.
Lifestyle modifications
Adjusting daily activities to avoid movements that exacerbate hip pain, alongside weight management strategies to reduce stress on the hip joint.
Assistive devices
Using canes, walkers, or other assistive devices can help alleviate pressure on the hip and improve mobility.
Injections
Corticosteroid injections into the hip joint can temporarily relieve pain and inflammation.
Surgical
Interventions
The choice of surgery depends on several factors, including the severity of dysplasia, the presence of osteoarthritis, and the patient’s age and activity level. Common surgical options include:
Periacetabular Osteotomy (PAO)
PAO involves cutting and reorienting the acetabulum to provide better femoral head coverage. This procedure is often recommended for younger patients with minimal arthritis.
Total Hip Replacement (THR)
In patients with advanced osteoarthritis or those who are older, THR may be considered. This involves replacing the hip joint with artificial components to relieve pain and improve function.
Arthroscopic Surgery
For patients with less severe dysplasia or those with labral tears, arthroscopic surgery may be used to repair or clean out damaged tissue.
Hip Resurfacing
A less common alternative to THR, hip resurfacing involves replacing the surface of the femoral head and the acetabulum with metal components, preserving more of the bone.
Treatment for hip dysplasia can significantly improve the patient’s quality of life, but it comes with risks and potential complications, which should be thoroughly discussed with a medical specialist.
Rehabilitation and Physical Therapy
Rehabilitation for adult hip dysplasia aims to reduce pain, improve joint function, and enhance quality of life through:
Pain Management
Using ice, heat, and electrical stimulation to manage pain.
Exercise
Strengthen muscles around the hip and improve flexibility to support the joint and maintain motion.
Balance Training
Enhancing stability and gait through balance exercises.
Aquatic Therapy
Performing exercises in water to ease joint stress.
Lifestyle Adjustments
Modifying activities to minimise hip strain and using assistive devices as needed.
Education
Providing information on managing symptoms and promoting joint health.
Monitoring
Assessing progress to adjust therapy plans accordingly.
Potential Complications and Management
Complications from adult hip dysplasia may include:
- Osteoarthritis: Progressive joint wear leading to pain and stiffness.
- Hip Labral Tears: Damage to the cartilage surrounding the hip joint, causing discomfort and mobility issues.
- Chronic Pain: Persistent pain affecting daily activities and quality of life.
- Joint Instability: The sensation of the hip feeling loose or unstable.
Dr Wang Lushun
Senior Consultant Orthopaedic Surgeon
MBBS (Singapore)
MRCS (Edin)
MMed (Ortho)
FRCS (Ortho) (Edin)
Internationally Recognised & Double Fellowship-Trained Surgeon With Over 18 Years of Experience
- Bachelor of Medicine & Bachelor of Surgery (MBBS),
National University of Singapore - Member of The Royal College of Surgeons (MRCS),
Edinburgh, United Kingdom - Master of Medicine in Orthopaedic Surgery (MMed),
National University of Singapore - Fellow of The Royal College of Surgeons in Orthopaedics and Traumatology (FRCS), Edinburgh, United Kingdom
As a Senior Consultant Orthopaedic Surgeon and former Head of the Hip and Knee Division in Ng Teng Fong Hospital, he has won awards for superior patient outcomes (value driven), service quality and enhanced recovery programmes. His patients include current and former national athletes and sporting professionals.
Why Choose
Dr Wang Lushun?
Trusted
Leadership on Orthopaedic Advisory Boards
Skilful
Double Fellowships at Centres of Excellence
Experienced
Senior Consultant with Over 18 Years of Experience
Can I Use Medisave For My Treatment?
Yes, you can use funds from your Medisave account to offset the cost of your treatment.
Reach out to us today to learn more about payment options.
Patient-Centred Orthopaedic Care
We are dedicated to your recovery and well-being. Every patient deserves the freedom that comes with active living. Whether you're an athlete sidelined by an injury or a weekend hobbyist desperate to return to your passion, our mission is to help you regain your mobility and independence.
Personalised Approach For Positive Outcomes
Our clinic prioritizes time dedicated to understanding each patient’s injuries and needs. Dr Wang strongly believes that personalised care & patient management will lead to better outcomes & positive experiences.
Minimally Invasive Techniques For Faster Recovery
Dr Wang’s extensive experience with minimally invasive procedures allows for less scarring, lower risk of complications and faster recovery compared to traditional surgical methods.
Aftercare Focused On Restoring Mobility & Well-Being
As an avid sportsperson, Dr Wang understands the time and patience required to regain mobility and return to active living. After your procedure is completed, Dr Wang will make sure your recovery is smooth and comfortable.
Insurance
We accept all patients, with or without insurance plans. Additionally, we are on the specialist panels of these Health Networks/Insurance Plans. Please contact us if you have any queries and we will be happy to assist you in checking with your insurance provider.
Our Clinic Locations
3 Mount Elizabeth, #13-14
Mount Elizabeth Medical Centre
Singapore 228510
820 Thomson Road, Mount Alvernia Hospital, #05-51, Medical Centre D, Singapore 574623
Frequently Asked Questions (FAQs)
Can hip dysplasia affect both hips simultaneously?
Hip dysplasia, known as bilateral hip dysplasia, can affect both hips simultaneously, although the severity may vary between each hip.
Will I be able to participate in sports after treatment for hip dysplasia?
Participation in sports post-treatment depends on the severity of the dysplasia, the type of treatment received, and the person’s recovery. Many can return to low-impact sports with proper rehabilitation and medical guidance.
How does pregnancy affect adult hip dysplasia?
Pregnancy may exacerbate symptoms of hip dysplasia due to increased weight and pressure on the hips, changes in posture, and the release of relaxin hormone that loosens ligaments. It’s important to consult a medical specialist for appropriate management during pregnancy.
At what age is hip dysplasia typically diagnosed in adults?
Adult hip dysplasia is often diagnosed in people in their late teens to early adulthood. It can be identified at any age, especially when pain or mobility issues prompt a medical evaluation.