| bombshellzzzzz |
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I regularly ran 60-70mpw for years until I got hurt. I had a sacral stress reaction and some hip pain (buttock area behind the hips), had my pelvis XRAY'ed, etc. I then was diagnosed with bilateral mild hip dysplasia and told that I should only do sprint triathlons from now on and give up competitive distance running. Well it seems my diagnoses was WRONG! Hip dysplasia, for those of you who don't know, is a condition where the femur isn't fully covered the way it should be in the hip socket(acetabulum), which leads to premature wear/tear and eventual hip arthritis&hip replacement. I discovered that I in fact do not have any hip dysplasia at all because I wasn't positioned properly when they took the X-Ray. While I still have pain in the low back and hips, I'm relieved to know that hip dysplasia is not the cause now and won't be in the future. I'm curious to know how common a hip dysplasia misdiagnoses is, as from what I've now read it seems as though the patient needs to be positioned properly in order to get an optimal view of the hip angles (center-edge angle, etc.).... |
| here boy |
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What are you a goddamn Mastiff or something? |
| ||M|| |
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No. You mostly hear about it with dogs, but Some adults get this if it goes undetected in first 2 years of life. It can be caused by swaddling babies too much or being born in breech position (thats my undetstanding). And once baby is 2 years old it's unfixable without a pretty extensive surgery called a PAO. A few people have been told to give up running and all impact activities if they have it, since it is improper weight loading in the labrum and can lead to hip replacement at young age if left untreated. |
| bombshellzzzzz |
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bump |
| pwr3 |
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Hip dysplasia has an incidence of 1:100 children at birth, however 90% of these cases resolve through maturation or conservative treatment. The remaining 10% may eventually develop hip pain, early onset oseteoarthritis, laxity, subluxation/dislocation. Treatment of choice for these patients is a PAO (periactebaular osteotomy) From a paper I wrote: Results showed significant symptoms associated with acetabular dysplasia were insidious onset of symptoms (p<0.001); moderate to severe symptoms (p<0.001); pain located in the groin (p<0.001), anterior thigh (p<0.05), lateral hip (p<0.05), or posterior buttock (p<0.001); quality of pain described as sharp (p<0.001), aching (p<0.001), and activity related (p<0.001); mechanical symptoms of snapping/popping (p<0.001), and subluxation (p<0.05); symptoms aggravated by running, walking, standing (p<0.001); as well as symptom relief with rest (p<0.001), and narcotics (p<0.001). The results of the clinical evaluation also revealed that patients were evaluated by an average of 3.3 health care providers over the course of 41.6 months prior to establishment of the correct diagnosis. From time of onset of symptoms until diagnosis of acetabular dysplasia averaged 61.5 months (range, five months to twenty-nine years). Following surgery the mean Harris Hip scores improved from 66.4 initially to 91.7 at time of most recent follow-up (p<0.001). Radiographic results showed consistent deformity correction and improved femoral head coverage. I can provide more info if you want, but I'm not sure I can answer your original question about how often an injnury is misdiagnosed as hip dysplasia- more often it seems hip problems are labeled something else for a long time before dysplasia is discovered. |
| 1-900-blonde |
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are you sure you are not talking about hip impingement (very common and can lead to arthritis), also called femoroacetabular impingement?? |
| fdsafsafsdfd |
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There are really only a few doctors in any particular state who can properly analyze the morphology of a runner's hip (and decide whether it's dysplasic). Don't let some hack tell you to quit running. I second the idea to look into femoroacetabular impingement, though. |
| AwkwardTurtle |
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I am not a doctor and there are probably others here that can provide more scientific insight than me, but don't listen to all of the responses posted here as some are not correct and don't know what they are talking about. There is a chance that you could have some type of dysplasia that was not treated until now as you might have a very mild case. The likelihood, though, is that you are being misdiagnosed and might have something else going on. My son was diagnosed with DDH (dislocation) at birth. He is now 17-months old and is about to go in his 5th spica cast (half-body cast) and go through a femoral and pelvic osteostomy. We caught his early and hope that this upcoming surgery is his last and that he will be well on his way to a normal life, but we are also realistic that DDH is something you treat for years. Regardless of the actual issue, go to an ortho immediately who is very well-versed in hips. If you are having hip pain, get it treated. you don't want to be a 30-something having a hip replacement. I'm not sure how old you are, but it might be in your best interest to find a pediatric ortho who specializes in DDH. Ped ortho doctors are often better suited to treat hip issues, especially if your body is still maturing, as they see kids starting at birth who have mild to severe hip issues. In other words, they know this stuff inside and out. Should you have any questions, feel free to drop me an e-mail. My wife and I have learned more than we would have liked to know on dysplasia and would be happy to answer any questions should they arise. Cheers, AT |
| bombshellzzzz |
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Thanks. But I have zero hip pain. The physiatrist I saw is just obsessed with hips (likely because he happens to work in a hip center), so when I had a sacral stress reaction and a tight psoas, he diagnosed me (incorrectly) with mild bilateral hip dysplasia. That's a effin serious diagnosis and not something a distance runner should take lightly. So I went to see a world expert on hip dysplasia in St Louis, who told me that I have no dysplasia at all, not even mild. |
| bombshellzzzz |
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I believe some of my hip pain wasn't true hip pain, but came from inhibited glutes and a super tight psoas, but I'm not sure. |