Orthopaedic Specialists provides a dedicated service to patients with hip problems

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Orthopaedic Specialists’ hip expert, Mr Sebastian Dawson-Bowling is a leading orthopaedic surgeon who specialises in treating disorders of the hip.

Patients from the UK and overseas seek his advice, particularly in cases of failed hip replacements, an area in which he has particular expertise. This has led him to develop a dedicated unit to review and treat patients with these and other complex hip problems.

Mr Dawson-Bowling believes in effective and empathetic communication with patients prior to surgery as being essential to providing the best possible outcome.

His NHS practice is at The Royal London Hospital, where he treats major trauma patients and those with complex hip and knee problems.

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Hip anatomy

The hip joint (or acetabulofemoral joint) is where the head of the femur (thighbone) fits into the rounded socket of the pelvis, which is called the acetabulum.

Both the femoral head and the acetabulum are lined with cartilage which helps to cushion the bones and enables the surfaces to glide smoothly against one another. The labrum is a strong piece of cartilage that lines the outer edge of the acetabulum. A synovial membrane surrounds the hip joint and produces synovial fluid which helps to lubricate and provide nutrients to the joint.

Ligaments connect the femur to the pelvis and tendons connect the bones to the surrounding muscles, including: the gluteal muscles located on the buttocks; the adductor muscles on the inner thighs; the quadriceps on the front of the thigh; the hamstrings on the back of the thigh; and the iliopsoas muscle which extends from the lower back to the upper femur.

The hips are designed to be simultaneously strong and flexible. Among the movements performed by the hips are flexion and extension to move the legs backwards and forwards; abduction and adduction to move the legs out to one side and inward; and rotation to point the toes inward or outward and then move the leg in the same direction.

hip anatomy

Hip conditions

mans hip

Hip bursitis

Hip bursitis (also called trochanteric bursitis) affects the hip joint. The bursa are fluid-filled sacs that cushion the muscles, ligaments..

hip pain

Hip cartilage injuries

Cartilage is the tough, flexible tissue that covers the surface of the joints, including the hip. It cushions the joints, acting as a shock..

hip-pain-elderly-woman

Hip fracture

A hip fracture is a serious injury that is particularly common among older people. Bones tend to become weaker and more brittle with age..

mans hip

Hip impingement (FAI)

Hip impingement occurs when a problem inside the hip joint interferes with its smooth motion, preventing the ball from gliding smoothly..

hip of woman

Hip sprain

A hip sprain is caused by tearing or stretching the ligaments that surround the hip, joining one bone to another. This is different to a..

Hip treatments

Hip arthroscopy

Hip arthroscopy is a minimally invasive (keyhole) procedure that is used to examine inside the hip joint, and to diagnose and treat..

older lady with hip pain

Hip replacement

Hip replacement – also called hip arthroplasty - is a surgical procedure to replace damaged sections of the hip joint with artificial..