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Learn about the various hip conditions and injuries that we see and treat at SportsIn Orthopaedic in Singapore. Our orthopaedic specialists are available to help you understand your condition and recommend a treatment plan that fits your needs and requirements.

What Is a Labral Tear?

Hip Injuries, Labral Tear, Torn Labrum, SportsIn Orthopaedic

The labrum is a circular O-Ring that surrounds the socket of the hip joint. It deepens and stabilises the hip joint and also maintains fluid lubrication during movement of the hip.

A labral tear is a tear of this O-ring. This may occur if there are underlying structural bony problems in the hip which may damage the labrum during repetitive hip flexion.
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What Are the Symptoms of a Labral Tear?

One may feel a pain deep in the front of the hip, which is more pronounced when bending forwards or bending the hip upwards.
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What Are the Treatment Options Available for a Labral Hip Tear?

Physiotherapy and activity modifications may help reduce the symptoms. In some cases, surgery may be required to repair the tear and address any predisposing structural bony issues. This is usually done as a keyhole procedure.
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What Are Tendon Tears / Tendinopathy?

Tendons are the end portions of muscles that connect to the bone. Tendons may get damaged from overuse, repetitive stress, or sudden strains and sprains.

The common hip tendinopathies include those of the hip abductors (gluteus medius) and the hip flexors (psoas).
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What Are the Symptoms of Tendon Tears / Tendinopathy?

One may experience pain on moving the hip, particularly over the outer or inner sides of the hip.
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What Are the Treatment Options Available for Tendon Tears / Tendinopathy?

Most tendinopathies heal well with rest and physiotherapy. Occasionally cortisone steroid injections may help. In some cases, our doctors may recommend surgery.
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What Is Bursitis?

Hip Bursitis, Hip Injuries, SportsIn Orthopaedic

The bursa is a soft tissue cushion that allows muscles and bones to slide over each other, and bursitis is the inflammation of these bursae. There are numerous bursae located around the hip.

The most common bursitis in the hip is trochanteric bursitis, which is inflammation of the bursa over the side of the hip.
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What Are the Symptoms of Bursitis?

One may experience pain and tenderness over the outer aspect of the hip, particularly with movement.
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What Are the Treatment Options Available for Bursitis?

Most cases of trochanteric bursitis respond well to rest and physiotherapy.

Persistent symptoms often respond to cortisone steroid injections. However, in rare cases, surgical excision of the bursa can also help.
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What Is Snapping Hip?

There are two primary forms of snapping hip. External snapping hip occurs when an iliotibial band, which passes over the outer side of one’s hip and thigh, snaps over the bony prominence on the side of the hip.

Internal snapping hip usually occurs when the psoas tendon snaps over the front part of one’s pelvic bone.
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What Are the Symptoms of Snapping Hip?

One might experience pain and a jumping or snapping sensation as the affected tendon slides and snaps over the bony prominence. This may give rise to pain and discomfort with running and climbing stairs.
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What Are the Treatment Options Available for Snapping Hip?

Rest and physiotherapy to stretch out the tight tendons and bands can help reduce the pain and snapping. In persistent cases, cortisone steroid injections or surgery may be recommended by our doctors.
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What Is Osteoarthritis?

Hip Osteoarthritis, Hip Injuries, Hip Conditions, SportsIn Orthopaedic

Osteoarthritis of the hip occurs when the smooth cartilage in the hip joint wears out, and the raw bone in the hip starts to grind over each other.

This is often associated with bone spurs and depressions in the bone called cysts.
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What Are the Symptoms of Osteoarthritis?

One may experience pain and stiffness in the hip, particularly with walking and moving the hip.
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What Are the Treatment Options Available for Osteoarthritis?

Mild forms of osteoarthritis can be managed with physiotherapy.

Cortisone steroid injections may also be beneficial. In advanced cases with significant pain and poor hip function, surgery in the form of a hip replacement will reliably improve symptoms and quality of life.
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What Is Osteoarthritis?

Osteoarthritis of the hip occurs when the smooth cartilage in the hip joint wears out, and the raw bone in the hip starts to grind over each other.

This is often associated with bone spurs and depressions in the bone called cysts.
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What Are the Symptoms of Osteoarthritis?

One may experience pain and stiffness in the hip, particularly with walking and moving the hip.
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What Are the Treatment Options Available for Osteoarthritis?

Mild forms of osteoarthritis can be managed with physiotherapy.

Cortisone steroid injections may also be beneficial. In advanced cases with significant pain and poor hip function, surgery in the form of a hip replacement will reliably improve symptoms and quality of life.
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What Are Hip Fractures?

Hip fractures occur more commonly in elderly individuals who are suffering from osteoporosis. Osteoporosis is the weakening of one’s bones, such that minor falls and trauma may easily fracture a bone.
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What Are the Symptoms of Hip Fractures?

Patients who fracture a hip will feel pain in the hip which is worse with trying to stand on it or when trying to move the limb. Most patients with hip fractures will be unable to stand or walk.
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What Are the Treatment Options Available for Hip Fractures?

The majority of hip fractures will require surgery to realign and stabilise the bone or replace the joint.

The type of surgery depends on the location and type of hip fracture. Early and appropriate surgery will allow the patient to start walking earlier and restore function and independence.

The long-term effects of leaving a hip fracture untreated often include one being wheelchair-bound and unable to walk, as well as urinary or lung infections and bedsores from prolonged sitting and lying.
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What Are Hip Dislocations?

Hip Dislocation, Hip Injuries, SportsIn Orthopaedic, Orthopaedic Specialist, Orthopaedic Surgeon

Hip dislocations are serious injuries that occur when a large force pushes the top of the thigh bone out of its socket in the hip joint.

This is often associated with fractures and ligament tears in the hip. One may also injure the main nerve passing behind the hip joint, resulting in weakness and numbness of the rest of the limb.
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What Are the Symptoms of Hip Dislocations?

Patients with hip dislocations will experience significant pain and will be unable to move the hip or walk.
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What Are the Treatment Options Available for Hip Dislocations?

Early diagnosis is essential to assess for bony and nerve injuries. A dislocated hip needs to be put back in its socket as soon as possible.

In cases with fractures around the hip, surgery may be required to restore the stability and function of the joint.
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Hip arthroscopy is a keyhole procedure that can help address many issues in the hip joint, thus preventing the joint from deteriorating further. Dr Bernard Lee is one of the few trained hip arthroscopy surgeons in Singapore, who believes that with appropriate treatment, many patients can avoid a hip joint replacement.

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Find out more about
Hip Injuries

  1. Soft tissue injuries
    1. Labral tear
    2. Tendon tears/tendinopathy
    3. Bursitis
    4. Snapping hip
  2. Arthritis
    1. Osteoarthritis
    2. Rheumatoid arthritis
  3. Trauma
    1. Fractures
    2. Dislocations
  1. Hip Arthroscopy
    1. Labral Tears
    2. Osteoplasty
    3. Femoroacetabular impingement
    4. Snapping hip
  2. Degenerative Conditions of the hip
    1. Total hip replacement
    2. Revision total hip replacement
  3. Other conditions in the hip
    1. Core decompression for avascular necrosis
    2. Hemiarthroplasty for femoral neck fractures
    3. Fracture fixation for hip fractures

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