A diseased head will be flattened or egg-shaped. A healthy joint has a round regular surface. The shape of the femoral head or "ball" portion of the ball and socket joint. The presence of bone spurs (osteophytes), the amount of spurring and the location in the joint and soft tissue.ģ. This is what is commonly called "bone on bone"Ģ. The decrease in joint space or cartilage compared to a healthy young joint. The radiologist will grade the Xray or MRI according to the following changes.ġ. The radiology report for an Xray or an MRI will use the following criteria to report a grade of degenerationg. Xray of the hip and MRI imaging studies are currently the best way to determine the degree of degenerative joint disease (DJD) due to osteoarthritis. Is there an accurate way to determine the status of my hip using Xray, MRI, etc? These patient's Xrays often show the cartilage on the the "ball" and the "socket" of the hip joint has an adequate amount of cartilage, they have limited osteophytes (calcification of ligaments, tendons, joint capsule and the "socket" of the joint), and they still have significant range of motion even though they've been told that surgery is their best option. In our experience, approximately 75% of these patients do not need hip replacement surgery. Many patients diagnosed with "bone on bone" have been told they need to have a total hip replacement. How do I know if my hip pain is from advanced degeneration of the hip joint? I've been told I have "bone on bone." This will usually come along with excessive joint pain, loss of mobility, and an overall decreased of quality of life. Simply put, hip replacement surgery may be the only option when degeneration joint disease is so advanced that the ball and socket of the hip joint is so deformed that it causes a “frozen” or “locked” hip. Research indicates unnecessary replacement surgeries cost $8.3 annually How do I determine if I need surgery? These surgeries cost Americans approximately $8.3 billion per year. Is my hip replacement surgery necessary?Ī recent article in the Journal of the American Medical Association estimates that up to one-third of the hip and knee replacement surgeries performed annually are unecessary. Journal article projected annual hip replacement surgeries. Annual hip replacements are predicted to increase from the current level of 500,000 procedures in 2020 to 850,000 procedures in 2030 and an estimated 1,400,000 total hip replacements in 2040. Total annual hip replacement surgeries in the US are increasing at an alarming rate. How many hip replacements are performed annually? This article is intended to help you objectively determine whether you really need a new hip or if you should pursue a non-surgical option based on your individual circumstances. Their experience and the success or failure of the procedure has very little relevance to your situation and whether or not surgery is the right option for you. You have been told your hip joint is "bone on bone." Do you need hip replacement surgery?Ĭhances are you have a friend, co-worker, or relative that has had a hip replacement surgery recently.
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