1. What is Hip Joint Synovial
This condition is seen in young patients between the
ages of 20-45 years. The inner
lining of the hip joint starts to abnormally produce
excess cartilage and bone like
tissue. Normally this lining produces a lubricating
fluid. These cartilage-like loose
bodies within the hip joint initially irritate and
then abrade the cartilage of the
joint. Cartilage is the protective covering over the
joint surface. Loss of this
protective covering leads to arthritis and damage of
the hip joint.
2. What are the symptoms?
Patients have pain in the hip, difficulty in walking,
stairs, sitting cross-legged,
squatting and other activities of daily living. In
early cases patients are apparently
normal but cannot walk long distances and complain
of a particular heaviness of the
3. What is the treatment?
Hip arthroscopy i.e surgery through small puncture
wounds around the hip is needed.
All the loose bodies and the joint lining is
removed. This surgery avoids the
traditional method where a big incision was taken,
splitting the muscles and doing the
4. What is the hospital stay and the recovery
The stay in hospital is 2-3 days and patients can
start walking with walker as soon
as pain is tolerable. Usually patients are able to
get back to office within 2-3
5. Is there a chance of recurrence?
Yes, rarely this condition may recur but there it can
6. Why does this condition occur?
The cause of this condition is not known. Many
researchers have tried to find a cause
but could not.
7. What are loose bodies?
These are free pieces of bone or cartilage, which lie
within the hip joint. They are
like pebbles in a flowing river. They move within
the joint with joint movement. A
foreign body in the eye irritates the eye and the
eye turns red and painful. Similarly
a loose body in a joint irritates and over a long
period of time causes destruction
and arthritis of the joint.
8. How does a loose body come in the hip
Usually a loose body enters the hip joint after a
significant hip joint injury like
road accident or fall from height, which causes a
fracture of either bone of the hip
joint. The other cause is synovial
9. What are the symptoms and treatment for
The symptoms, treatment and recovery are similar to
what has been given for synovial