ShoreOrtho Sports Performance & Injury Prevention Tips
A Monthly Blog Series
Damon A. Greene, MD
Board Certified Orthopaedic Surgeon
Shore Orthopaedic University Associates
The hip acts as foundation and pivot point for the entire body joining the upper and lower halves. It is just as important for walking as it is for core strength and supporting the upper body.
The hip is a ball and socket joint. The head of the ball (femoral head) fits into the socket (the acetabulum). If you imagine a cup the labrum is a thick ring of cartilaginous tissue that surrounds the top of the cup. The labrum has many functions from shock absorber but is two main functions are to confer increased stability to the cup and provide semi airtight seal that helps to keep the synovial fluid in the joint which provides lubrication between the femoral head and acetabulum. The labrum has also been shown to have a collection of nerves and sensory organs which can signal pain if the labrum is damaged. The blood supply to the labrum is very limited which unfortunately limits its ability to heal.
Labral tears are difficult to diagnose, partially because of the many muscles and other structures that are near the hip joint. They are often misdiagnosed as common groin strains and it is not uncommon for the diagnosis to be missed for many months after the labrum is torn
Labral tears are common in athletes and occur when the collagen rips. There are many symptoms of a labral tear. The main symptoms are hip and groin pain. However other symptoms include:
- “Catching” feeling in the hip
- Decreased strength
- Decreased range of motion
- Locking of the hip
By Christopher C. Hanson, PT, MPT, DMT, OCS, FAAOMPT
Most golfers are weekend warriors and if there is extra time in anyone’s schedule for golf activities, more times than not this is allocated to swing training. As the last few articles have discussed, physical fitness is equally important. In order to have a world class swing, the function of one’s musculoskeletal system also needs to be equipped. Golf is a sport that requires strength, power, coordination and mobility; no one of these is more important than the other. This weekly dive into the physical care of a golfer’s body will discuss the importance of hip mobility and stability in all golfers.
In the golf community the importance of spinal mobility and strength is well documented. There have been numerous social media campaigns since the start of this golf season showing new creative ways to improve spinal mobility and strength. However, absent from these posts have been ways to improve hip strength and mobility; negating altogether the connection between the hip and the spine.
The hip and the spine are intricately related. If one has movement issues in one area, it can transmit increased forces along the kinetic (movement) chain. In the presence of hip mobility issues the body increases motion in other joints. The body is almost too good at this compensation and creating more (too much) movement in order to allow someone to function in a way that seems correct. In the presence of limited hip mobility there may be an excessive forces through the lumbar spine. This can happen at different points in the swing. Limited hip mobility can create issues in the back swing, during the initiation of swing and during the follow through. This also relates to other sporting activities as well.
By BRIAN IANIERI
Staff Writer | Posted: Monday, September 1, 2014
Hip and knee replacements have come a long way in Dr. Stephen Zabinski’s career as an orthopedic surgeon.
But one advancement is something unheard of 20 years ago — patients getting hip replacements in an ambulatory surgical center in the morning and returning home early in the afternoon.
This approach avoids possible days-long recoveries in a hospital and rehabilitation center, ultimately making it more cost effective for health care reform, he said.
Zabinski, vice president of Shore Orthopaedic University Associates, has performed these types of surgeries for more than three years and has been doing them at the Jersey Shore Ambulatory Surgical Center in Somers Point for about six months on certain patients.
“It really achieves all the goals we want to provide better care to patients in a safe way that’s more cost effective,” said Zabinski, who is the director of the Division of Orthopedic Surgery at Shore Medical Center and President of the Jersey Shore Ambulatory Surgical Center. Continue reading
Gregory Gregory, Somers Point, NJ
Physician: Stephen J. Zabinski, MD
Gregory’s Story: Update
Gregory has become a trusted authority on hip replacement among family and friends. He has few limitations and continues to enjoy “Stand Up” fishing, recently catching a 168 lb. tuna, hiking, deer hunting that involves climbing trees and spending lots of time with his three very active grandchildren, all under 10 years old.
Gregory’s first experience with Shore Orthopaedic University Associates was about six years ago when his nephew who played football for Mainland Regional High School went in for a hip flexor and he thought maybe that’s what he had. So he scheduled an appointment for himself, Dr. Zabinski took one look at Gregory’s X-ray and told him he needed a complete hip replacement. The doctor went on to show Gregory what a good and bad hip looked like. It was recommended to have the procedure done as soon as possible. Continue reading
Larry Mintz, Esq.
Physician: Stephen J. Zabinski, MD
“I was amazed at the fast recovery compared to my traditional hip replacement.”
Direct Anterior Hip Replacement vs. Traditional Hip Replacement
Larry Mintz had a Traditional Hip Replacement about ten years ago on his left side. In October of 2012 he underwent another surgery, Direct Anterior Hip Replacement on his right side.
Larry has always been very active enjoying many activities such as golf, skiing, going to the gym and ballroom dancing with his wife Robin. When it started to become hard to enjoy these activities, even difficult to get into the car, he quickly realized he needed to do something about it. This time he chose to have Direct Anterior Hip Replacement, compared to the traditional hip replacement he had the first time, and the difference was remarkable.