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Hip Preservation Program at UPMC Orthopaedic Care

If you have hip problems — whether congenital, developmental, or post-traumatic — our Hip Preservation Program:

  • Offers assessments, diagnosis, treatment, and rehabilitation for many hip conditions.
  • Brings together top experts who treat active people of all ages with a broad range of hip disorders.
  • Seeks to preserve the hip while optimizing its function.

Contact the Hip Preservation Program

To schedule an appointment with one of our orthopaedic experts or ask a question about hip preservation services, please call 412-784-5770.

Our Hip Disorder Services

Our knowledge of hip disorders has increased over the past 10 to 15 years.

This new knowledge helps our experts better diagnose and manage these complex conditions. And it further proves the need for aligned care across health care fields and specialties.

Our hip preservation team provides the following orthopaedic services:

  • Skilled clinical evaluation
  • High-resolution imaging
  • Complete nonsurgical care
  • Hip arthroscopy
  • Soft tissue repairs
  • Sports hernia repair
  • Ultrasound-guided injections
  • Platelet-rich plasma (PRP) and biologic injections
  • Careful post-op care

Contact Us to Schedule an Appointment

To schedule an appointment with one of our orthopaedic experts or ask a question about hip preservation services, please call 412-784-5770.

Hip Conditions We Treat

Some the sports injuries and hip conditions we treat daily include:

Hip Conditions We Treat Explained

Avascular Necrosis (AVN or osteonecrosis of the hip)

Avascular necrosis (AVN), or osteonecrosis of the hip, is the result of loss of blood supply to the femoral head (thigh bone). This loss of blood supply can lead to collapsing of the femoral head and loss of motion at the hip. AVN can be the result of a traumatic injury, such as a fracture, prolonged steroid use, inflammatory diseases, or other unknown causes.

AVN can cause pain with weight bearing. This pain is usually located in the groin and may wrap around to the back of the hip.

Treatment may include crutches, physical therapy, or surgery depending on the progression of disease.

Femoroacetabular Impingement (FAI)

Femoroacetabular impingement (FAI) occurs when there are bony abnormalities of the femur (thigh bone) or hip socket (acetabulum). CAM-type impingement refers to excess bone around the head/neck of the femur. Pincer-type impingement refers to excess bone around the socket of the hip.

The extra bone causes the femur and the socket to make contact earlier in the range of motion, resulting in pinching of the cartilage and labrum. Repetitive pinching of the cartilage and labrum can result in tearing of these structures and lead to pain.

Many patients with FAI have no symptoms. If you do have symptoms, you may feel:

  • Catching or locking in the groin
  • Pain in your groin that may wrap around to the back of your hip
  • Reduction in range of motion of your hip

Treatment may include activity modifications, physical therapy, or surgery.

Acetabular Dysplasia (Hip Dysplasia)

Hip dysplasia is a congenital disorder that results in an incorrectly shaped hip socket. Often, the hip socket does not fully cover the head of the femur (thigh bone) creating an unstable hip.

Treatment may include activity modifications, physical therapy, or surgery.

Sports Injuries We Treat Explained

Labral Tears

The labrum is a rim of fibrocartilage that sits around the hip socket (acetabulum). It helps to make the hip joint more stable by providing a sealing effect between the femur (thigh bone) and socket (acetabulum). Additionally, it provides cushioning to the hip joint.

Labral tearing can be caused by injury, such as repetitive motions, or from bony abnormalities, such as femoroacetabular impingement (FAI).

Many individuals with hip labral tears have no symptoms. If you do have symptoms, you may feel:

  • Catching or locking in the groin
  • Pain in your groin that may wrap to the back of your hip
  • Reduction in range of motion of your hip

Treatment may include activity modification, physical therapy, injections, or surgery depending on your specific presentation.

Hip Sprain and Tendonitis/Tendonosis

There are many different muscles that surround the hip. Strains occur from overstretching or overuse of the muscles, as well as from rapid stretching (i.e. from a fall). Strains can be mild, moderate, or severe.

Tendonitis refers to inflammation of a tendon (connecting muscle to bone) and can cause significant pain. In most cases, tendonitis results from overuse of the muscle. The inflammation can cause pain with stretching motions, swelling, warmth surrounding the area, tenderness, and redness.

Tendonosis refers to degeneration and tearing of the tendon. This results in pain with stretching motions, as well as pain with use of the involved tendon.

Most strains and tendonitis can be resolved with physical therapy, NSAIDs, and activity modifications.

Athletic Pubalgia (Sports Hernia)

Sports hernia, also known as athletic pubalgia or core muscle injury, is a soft tissue injury in the groin or lower abdominal area. Most often, this injury occurs with sports that involve twisting and sudden changes of direction and results in a strain or tear of the inner thigh muscles or lower abdominal muscles.

Pain from a sports hernia is located in the groin or lower abdominal area. You may feel a resolution of symptoms with a period of rest, but they rapidly return with activity. It may also worsen with sit-up type activities.

Treatment includes activity modifications, NSAIDs, physical therapy, injections, and surgery.

Contact Us to Schedule an Appointment

To schedule an appointment with one of our orthopaedic experts or ask a question about hip preservation services, please call 412-784-5770.

Our Hip Program Experts

Hip joint disorders require the input of many health care specialists to help you fully return to an active lifestyle.

At the Hip Preservation Program, our team includes:

  • Orthopaedic surgeons
  • Primary care sports medicine physicians
  • Physical medicine and rehabilitation physicians
  • Physical therapists
  • Rheumatologists
  • Radiologists
  • Physician’s assistants

Our surgeons have expertise in:

The UPMC difference in hip care

The Hip Preservation Program provides you with the best possible treatment methods to ease pain and improve hip function.

At UPMC, we perform groundbreaking research and clinical trials, so you have access to the latest hip care through our program.

Our orthopaedic surgeons and support staff guide you through:

  • Diagnosis
  • Non-surgical treatment
  • Surgical treatment
  • Rehabilitation
  • Aftercare

This unified system lets you receive complete hip care, from start to finish.

The Hip Preservation Program is located at:

UPMC St. Margaret
200 Medical Arts Building, Suite 4010
200 Delafield Road
Pittsburgh, PA 15215

Contact Us to Schedule an Appointment

To schedule an appointment with one of our orthopaedic experts or ask a question about hip preservation services, please call 412-784-5770.