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Thread: Hip Joint 101

  1. -1
    cuban_refugee's Avatar
    Football On My Mind 24 Hrs Per Day

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    Hip Joint 101

    There's been so many questions and concerns regarding Brandon Marshall's hip surgery that I wanted to give a little insight into our hips. I'm a physical therapist that is a board certified orthopedic specialist.

    Athletes are especially at risk for hip ailments due to the repetitive amount of pivots and cuts they perform while playing. WRs with large frames are at a disadvantage because they generate a great deal of torque at their hips when they are running their routes.

    The most common hip surgeries are:

    1. Arthroscopic acetabular labral debridement: The labrum at the hip joint is a fibrocartilage disc that helps deepen the hip socket and thus allowing for optimal function and stability. There is a tear in the labrum located at the rim of the hip acetabulum. Generally the "frayed" labrum is resected and smoothed to allow the hip to return to motion without any "catching". Doctors are careful to preserve as much of the labrum as possible in order to not disturb too much of the hip continuity in the acetabular socket.

    2. Arthroscopic labral repair: The labrum at the hip joint only has a good blood supply in the outer portion (approx outer 1/3 portion). If the tear occurs in an area with a good blood supply a doctor may be able to suture or repair the labrum. For normal individuals you normally dont do this, but for young people or athletes they prefer to repair the labrum. The recovery after labral repair is a bit more cautious than just a debridement b/c you have to allow for the sutured area to heal.

    In either case, it shouldn't impede the player from resuming full sport within 2-3 months - provided there are no complications. And, the athlete should be allowed to continue a "normal" career. Arthritis is almost inevitable...but most likely after their playing career is over.

    3. The other common hip surgeries (in a normal population, not necessarily athletes) are hip resurfacing and total hip replacements. These surgeries are usually performed in a population age > 35. Besides Bo Jackson, I can't remember any athlete coming back to high-level sport after having a total hip replacement.

    It hasn't been revealed what type of surgery Marshall had, but based on his style of play and my experience with football players. I bet that he had debridement of the acetabular labrum. It may have been a repair, but I doubt it because he has been pretty active right after surgery (I personally wouldn't have someone riding a bike right after a labral repair but it is ok after a debridement - and you guys have seen that Marshall was on the bike a week after surgery).

    My greatest concern for Marshall's hips are if he has laxity or looseness of the joint capsule of his hip joints. Because once the joint capsule is lax, it greatly affects the hip's stability. And, no matter how many squats or leg lifts he does, the stability stays compromised.

    Daniel Navarro, PT, MPT, OCS, MTC
    Atlanta Sport & Spine Physical Therapy
    atlantasportandspine.com
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    RobertHorry's Avatar
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    I understand what you are saying 100% but you might want to simplify it in a conclusion so posters can get the point without reading the entire post.
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    MP-Omnis's Avatar
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    Why thank you sir.

    Quote Originally Posted by RobertHorry View Post
    I understand what you are saying 100% but you might want to simplify it in a conclusion so posters can get the point without reading the entire post.
    If people don't want to read his quality post, they don't need to be in this thread. I'm a pre-med student, but I think he spelled it out pretty well for the layman.
    Joe Philbin says, "Jim Turner was a great coach. He made sure shoes were tied at all times and that no gum wrappers touched the field."
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    RobertHorry's Avatar
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    Quote Originally Posted by MP-Omnis View Post
    Why thank you sir.



    If people don't want to read his quality post, they don't need to be in this thread. I'm a pre-med student, but I think he spelled it out pretty well for the layman.
    Yeah, I know it is. But you cant generalize the forum and say its spelled out in layman terms when your a pre med student yourself. Thus the conclusion would be easier for people to comprehend what the post is saying.
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    lurking's Avatar
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    i enjoyed reading the whole thing.....thanks.
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    josekareh's Avatar
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    Yes, Joints are commonly injured... and even more if you are 6-4 or taller

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    LANGER72's Avatar
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    I think he explained it perfectly. I actually learned something too. Thanks CR.
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    cuban_refugee's Avatar
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    Quote Originally Posted by RobertHorry View Post
    I understand what you are saying 100% but you might want to simplify it in a conclusion so posters can get the point without reading the entire post.
    I had the time and thought that some people may enjoy. Besides, I'm sick of "Atogwe" threads.
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    DeeperImage's Avatar
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    I'm not a doctor or med student and this made sense, so thanks!
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    overworkedirish's Avatar
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    A much appreciated, intelligent, and intelligible post! Thanks.
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