Hip & Thigh
The hip & thigh play an integral role in the function of walking, sitting, standing and bending. It is one of the largest weight-bearing joints in the body. This ball-and-socket joint allows the leg to move and rotate while keeping the body stable and balanced. Florida Orthopaedic Institute’s hip & thigh specialists concentrate on restoring function, preventing and reducing pain in hip-related injuries or conditions.
Technologies and procedures for care and repair of the hip have evolved significantly in recent years, and the hip & thigh specialists at Florida Orthopaedic Institute are among only a handful in the world qualified to provide state-of-the-art therapies and surgery across the broad spectrum of hip treatments. From minimally invasive surgical techniques to total hip replacement, our team of board-certified surgeons diagnoses and treats patients with the right approach at the right time.
Our goal is to first explain to patients every available treatment option and then customize a treatment plan specific to the patient’s need. Factors we consider include the injury, activity goals, job requirements and recovery timeline. If conservative treatment options are not effective, we may offer patients the latest advancements in hip surgery, including total hip replacement.
Total hip replacement is a surgical procedure that removes the damaged cartilage from the hip joint and replaces it with an artificial implant. The goal is to replace the damaged parts of the hip joint, relieve a patient’s pain and get them back to living a normal, active life.
Minimally invasive hip surgery is performed through one or two small incisions, allowing patients to have typically less pain than with a traditional total hip replacement.
Total Hip Replacement with MAKO
For patients suffering from non-inflammatory or inflammatory degenerative joint disease of the hip, MAKO robotic-assisted surgery can be used for Total Hip Replacement.
MAKO technology provides surgeons with patient-specific 3-D models to pre-plan hip replacements. Surgeons guide the MAKO robotic arm during surgery, based on a patient-specific plan. MAKO technology helps with the removal of diseased bone, preserving healthy bone, and assists the surgeon in positioning the total hip implant based on the patient’s anatomy.
Learn more about MAKO total hip replacementThigh Muscle Strains
The thigh has three sets of strong muscles: the quadriceps muscles in the front, the hamstring muscles in the back of the thigh, and the adductor muscles on the inside. The quadriceps and hamstring muscles work together to straighten and bend the leg, while the adductor muscles pull the legs together. The hamstring and quadriceps muscles are particularly at risk for muscle strains because they cross both the hip and knee joints.
A muscle strain (also called a muscle pull or tear) is a common injury, when the fibers in a quadriceps muscles are overstretched. Once the fibers are overstretched to a certain point, muscle tears occur. These can vary from a minor strain to a full thickness muscle tear.
Learn more about Thigh Muscle StrainsHip Muscle Strains
When one of the muscles supporting the hip joint is stretched beyond its limit or is torn, it can cause a hip muscle strain or hip strain. Depending on the extent of the injury, they can be mild, moderate, or severe. Severe strains can limit your ability to move your hip.
Most strains occur during sports activities, but anyone can experience a hip strain just doing everyday tasks.
Many hip strains improve with simple home treatments – severe strains may require physical therapy or other medical treatment.
Learn more about Hip Muscle StrainsPelvic Ring Fractures
Located at the base of the spine, the pelvis is the sturdy ring of bones near to major blood vessels and organs. It is an anchor for the hip, thigh, and abdomen muscles. the pelvic ring protects blood vessels, nerves, and portions of the bowel, bladder, and reproductive organs from injury. Because its location, pelvic fractures can cause extensive bleeding and other injuries requiring urgent treatment.
The majority of pelvic fractures are caused by traumatic, high-energy events, such as car collisions. For high-energy pelvic fractures, surgery is used to reconstruct the pelvis and restore stability to the pelvic region.
Lower-impact events, such as minor falls, may not cause a pelvic fracture. Depending on the severity of the injury, lower-energy pelvic fractures can often be managed with proper care.
Learn more about Pelvic Ring FracturesSenior Strong
The SENIOR STRONG program, created by Florida Orthopaedic’s Dr. Grayson, is designed to proactively provide seniors with key fitness techniques to maintain healthy and active lifestyles through decreasing falls, increasing energy levels. The SENIOR STRONG Program incorporates lower extremity resistance strength exercises, balance exercises, and functional movements and is customized to each patient.
Learn more about Senior StrongThigh Fractures
The thighbone (femur) is located directly below your hip and, due to its length and strength, is difficult to fracture or break. It typically takes a high impact accident to break the thighbone (also known as a Femoral Shaft Fracture.)
Learn more about Thigh FracturesOsteoporosis
Osteoporosis is a condition in which bones become weak and brittle. It is very common, with more than 3 million US cases per year. In the U.S., 1 in 2 women and 1 in 4 men over the age of 50 will break a bone because of osteoporosis-caused bone weakness.
The body constantly absorbs and replaces bone tissue. With osteoporosis, new bone creation doesn’t keep up with old bone removal. Treatment can help, but Osteoporosis can’t be cured. Many people have no symptoms until they have a bone fracture.
Learn more about OsteoporosisAvascular Necrosis (Osteonecrosis) of the Hip
Osteonecrosis is when the hip bone tissue dies due to a lack of blood supply. Also known as Avascular Necrosis, it is often associated with injuries, long-term steroid use and drinking too much alcohol.
Early stages may be symptom-free but people can experience pain in the hip, buttocks, groin, knee, or thigh. Eventually the affected joint can hurt when weight is put on it or when lying down. It is also common for patients to collapse or limp.Treatment can help, but the condition can’t be cured.
Avascular Necrosis (Osteonecrosis) of the HipHip Arthroscopy
Hip arthroscopy allows doctors to view the hip joint without making a large cut through the skin and other soft tissues. This surgical procedure is used to diagnose and treat a wide range of hip problems and the surrounding soft tissues.
A small camera, called an arthroscope, is inserted into the hip joint displaying images on a video monitor. Your surgeon uses these images to guide miniature surgical instruments.
Both the arthroscope and surgical instruments are small so very small incisions are used, rather than the larger incisions needed for open surgery. This minimally invasive approach results in less pain for patients, less joint stiffness, and often shortens the time it takes to recover and return to favorite activities.
Hip ArthroscopyHip Dislocation
A hip dislocation is an injury in which the hip bone is displaced from its normal position. Hip dislocations are rare, with fewer than 200,000 cases in the US per year, and are most often the result of severe trauma.
Motor vehicle accidents are a common cause of hip dislocation, but other common causes include falls from a height and catastrophic sports injuries. The condition may occur as a result of congenital looseness in the joint in infants.
Hip DislocationHip Fractures
A hip fracture is a break in the upper quarter of the thighbone, near the hip joint. Hip fractures are common, with more than 200,000 cases in the United States every year.
In some, they can cause life-threatening complications. People over age 65 are most at risk because bones weaken and the risk of falling increases with age. Maintaining bone density and avoiding falls help prevent hip fractures.
Symptoms include severe hip or groin pain and the inability to move after a fall. Hip fractures almost always requires surgery and physical therapy.
Learn More About Hip FracturesHip Hemiarthroplasty
Generally used to treat a fractured hip, a hip hemiarthroplasty is a surgical procedure that replaces half of the hip joint. Arthroplasty refers to “joint replacement” and hemi refers to “half.”
The head of a damaged thigh bone (femur) is replaced with an implant designed to stabilize the femur and restore hip function. Only the ball is replaced in this procedure unlike total hip replacement in which both the ball of the femur and the hip socket are replaced.
Learn More About Hip HemiarthroplastyLabral Tears Of The Hip (ACETABULAR LABRUM TEARS)
A labral tear of the hip is an injury of the hip labrum, located in the pelvic bone. The hip labrum is a tough, crescent-shaped cartilage structure lining the rim of the hip socket (called the acetabulum).
Also known as the acetabular labrum, the hip labrum should not be confused with the labrum of the shoulder (called the glenoid labrum).
Besides cushioning the hip joint, the labrum acts like a gasket to help hold the ball at the top of the thighbone securely within the hip socket.
The hip labrum can become torn or even detached from the acetabular socket for a variety of reasons, such as repetitive motions, traumatic injuries, sudden impact on the hips, and other conditions of the hip that are especially susceptible to labral tears.
Learn More About Labral Tears Of The HipOsteoarthritis of the Hip
Osteoarthritis of the hip, also called degenerative arthritis, is a gradual breakdown of hip joint cartilage – the tough, flexible connective tissue that protects the ends of bones in the joints. Bony growths called “bone spurs” can also form in the joint. This type of arthritis is also called degenerative joint disease.
Osteoarthritis is common in the hip because the hip bears the weight of the body. Pain from osteoarthritis can keep you from being as active as you like.
Learn More About Osteoarthritis Of The HipTOTAL HIP REPLACEMENT – ANTERIOR APPROACH
Total hip replacement with an anterior approach is a surgery done from the front of the hip. They are also called mini, modified, minimally invasive, or muscle-sparing operations.
Anterior hip replacement surgery offers several advantages, including less damage to major muscles, less post-operative pain, faster recovery, and fewer post-surgical precautions.
While anterior hip replacement may offer some advantages, there are also potential limitations or disadvantages.
If you are considering hip replacement surgery, speak with a Florida Orthopaedic Institute surgeon about the potential advantages and disadvantages in the context of your specific circumstances, such as the type of hip arthritis, anatomy, overall health, and lifestyle.
LEARN MORE ABOUT TOTAL HIP REPLACEMENT-ANTERIOR APPROACHHIP FLEXOR STRAINS
Hip flexor strains typically cause pain in front of the hips with lifting the leg, sprinting, kicking, changing directions, with your leg straight behind you, or simply sitting for a while.
A muscle strain is also called a pulled muscle and occurs from microscopic tears within the muscle tissue. This usually happens from overstretching or when the demand imposed on the muscle is greater than its capacity.
Most hip flexor strains can be managed with gentle exercises and home remedies. Typically, only the severest cases require surgery.
LEARN MORE ABOUT HIP FLEXOR STRAINSAreas of Focus
- Hip & Thigh
- Avascular Necrosis (Osteonecrosis)
- Hip Arthroscopy
- Hip Dislocation
- Hip Flexor Strains
- Hip Fractures
- Hip Hemiarthroplasty
- Hip Muscle Strains
- Labral Tears Of The Hip (Acetabular Labrum Tears)
- MAKO Total Hip Replacement
- Osteoarthritis of the Hip
- Osteoporosis
- Pelvic Ring Fractures
- Senior Strong
- Sports Hernias (Athletic Pubalgia)
- Thigh Fractures
- Thigh Muscle Strains
- Total Hip Arthroplasty
- Total Hip Replacement - Anterior Approach
The following Florida Orthopaedic Institute physicians specialize in Hips & Thighs:
Replacing Hips, Changing Lives
Watch one patient’s story and learn about Florida Orthopaedic Institute’s hip replacement program.
Common Hip & Thigh Conditions
- Avascular Necrosis (AVN) of the Hip
- Bursitis of the Hip (Trochanteric Bursitis)
- Degenerative Joint Disease of the Hip (Osteoarthritis of the Hip)
- Femoral Fractures
- Hip Dislocation
- Hip Fracture
- Labral Tears of the Hip
- Loose Bodies in the Hip
- Muscle Strain Injuries of the Hip
- Muscle Strain Injuries of the Thigh
- Osteoarthritis of the Hip
- Pediatric Femoral Fractures
- Perthes Disease
- Preventing Hip Fractures
- Slipped Captial Femoral Epiphysis (SCFE)
- Snapping Hip Syndrome
- Transient Osteoporosis of the Hip
Common Hip & Thigh Procedures
- Arthroscopic Surgery for Femoral-Acetabular Impingement (FAI)
- Computer-Assisted Hip Replacement Surgery
- Core Decompression for Avascular Necrosis of the Hip
- Femur Fracture Fixation with Dynamic Hip Screw
- Femur Fracture Fixation with Intramedullary Rod
- Fluoroscopic Guided Hip Injection
- Hip Arthroscopy
- Hip Fracture Treatment with Surgical Screws
- Internal Screw Fixation for Slipped Capital Femoral Epiphysis (SCFE)
- Large Bearing Metal-on-Metal Mini Total Hip
- Mini Total Hip Replacement
- Partial Hip Resurfacing (Wright)
- Periacetabular Osteotomy
- Revision Hip Surgery
- Revision Hip with Allograft
- Surgical Dislocation and Debridement for FAI
- Total Hip Replacement and Resurfacing
Specialties
- Achilles Tendinitis - Achilles Insertional Calcific Tendinopathy (ACIT)
- Achilles Tendon Rupture
- Achilles Tendonitis
- ACL Injuries
- ALIF: Anterior Lumbar Interbody Fusion Surgery
- Ankle Fracture Surgery
- Ankle Fractures (Broken Ankle)
- Ankle Fusion
- Arthritis & Adult Reconstruction Surgery
- Arthroscopic Chondroplasty
- Arthroscopic Debridement of the Elbow
- Arthroscopic Rotator Cuff Repair
- Artificial Disc Replacement (ADR)
- Aspiration of the Olecranon Bursa
- Avascular Necrosis (Osteonecrosis)
- Back Surgery Types
- Bankart Repair
- Basal Joint Surgery
- Bicep Tendon Tear
- Bicep Tenodesis
- Bioinductive Implant
- Broken Collarbone
- Bunions
- Bursitis of the Shoulder (Subacromial Bursitis)
- Calcific Tendinitis of the Shoulder
- Carpal Tunnel Syndrome
- CARTIVA® Implant For Big Toe Joint Arthritis
- Charcot Joint
- Chiropractic
- Colles’ Fractures (Broken Wrist)
- Community Outreach
- ConforMIS Knee Replacement
- Cubital Tunnel Syndrome
- De Quervain's Tenosynovitis
- Degenerative Disc Disease
- Diffuse Idiopathic Skeletal Hyperostosis (DISH)
- Discitis
- Dislocated Shoulder
- Dupuytren’s Disease
- Elbow
- Elbow Bursitis
- Elbow Injuries in Throwing Athletes
- Epidural Injections for Spinal Pain
- Finger Dislocation
- Flexor Tendonitis
- Foot, Ankle & Lower Leg
- Fractures Of The Shoulder Blade (Scapula)
- Fractures Of The Tibial Spine
- Functional Nerve Transfers of The Hand
- Ganglion Cysts
- General Orthopedics
- Glenoid Labrum Tear
- Golfer's Elbow
- Growth Plate Injuries Of The Elbow
- Hallux Rigidus - Cheilectomy
- Hand & Finger Replantation
- Hand & Upper Extremity
- Hand & Wrist
- Hand Nerve Decompression
- Hand Skin Grafts
- Hip & Thigh
- Hip Arthroscopy
- Hip Dislocation
- Hip Flexor Strains
- Hip Fractures
- Hip Hemiarthroplasty
- Hip Muscle Strains
- Hyperextension Injury of the Elbow
- Iliotibial Band Syndrome
- Interventional Pain Management
- Interventional Spine
- Intraarticular Calcaneal Fracture
- Knee & Leg
- Kyphosis
- Labral Tears Of The Hip (Acetabular Labrum Tears)
- Lateral Collateral Ligament (LCL) Injuries
- Lisfranc Injuries
- LITTLE LEAGUER'S ELBOW (MEDIAL APOPHYSITIS)
- MACI
- MAKO Knee Replacement Surgery
- MAKO Total Hip Replacement
- Mallet, Hammer & Claw Toes
- Medial Collateral Ligament Injuries
- Meniscus Tears
- Metatarsalgia
- Minimally Invasive Spine Surgery
- Morton’s Neuroma
- Muscle Spasms
- NAVIO Surgical System
- Nerve Pain
- Neuromas (Foot)
- Olecranon Stress Fractures
- Orthopaedic Total Wellness
- Orthopedic Trauma
- Osteoarthritis of the Hip
- Osteoporosis
- Outpatient Spine Surgery
- Partial Knee Replacement
- Patellar Fracture
- Pelvic Ring Fractures
- Peripheral Nerve Surgery (Hand) Revision
- Pinched Nerve
- Plantar Fasciitis
- Podiatrist or Orthopaedic Physician?
- Primary Care Orthopedics Sports Medicine
- PROstep™ Minimally Invasive Surgery for Bunions
- Quadriceps Tendon Tear
- Revascularization of the Hand
- Reverse Total Shoulder Replacement
- Revision Knee Surgery
- Rheumatoid Arthritis (RA) of the Shoulder
- Rheumatoid Arthritis Of The Hand
- Robotics
- ROSA® Knee Robotic Surgical Assistant
- Sciatica
- Scoliosis
- Senior Strong
- Shin Splints
- Shoulder
- Shoulder Arthritis
- Shoulder Arthroscopy
- Shoulder Replacement
- Shoulder Socket Fracture (Glenoid Fracture)
- SLAP Tears & Repairs
- Spinal Fusion
- Spine
- Spondylolisthesis and Spondylolysis
- Sports Hernias (Athletic Pubalgia)
- Sports Medicine
- Sprained Ankle
- Sudden (Acute) Finger, Hand & Wrist Injuries
- Targeted Muscle Reinnervation (TMR)
- Tendon Transfers of The Hand
- Tennis Elbow
- Thigh Fractures
- Thigh Muscle Strains
- Total Ankle Replacement
- Total Hip Arthroplasty
- Total Hip Replacement - Anterior Approach
- Total Knee Replacement
- Triceps Tendonitis
- Trigger Finger
- UCL (Ulnar Collateral Ligament) Injuries
- Ulnar Neuritis
- Valgus Extension Overload
- Verilast
- Vertebroplasty
- WALANT (Wide Awake Local Anesthesia No Tourniquet)
- Whiplash and Whiplash Associated Disorder (WAD)
- Wrist Arthroscopy
- Wrist Fractures
- Wrist Sprains
- Wrist Tendonitis