Tiff-Dysplasia: January 2010

Thursday, January 7, 2010

HAPPY NEW YEAR!!!!

It has been way too long since I have updated last, things have been so crazy over the Holidays that I have been away from the house most of the past month.

I had my last Ortho visit December 11th and he told me I can be CRUTCH FREE!!!
He also wrote me my prescription for P.T I started P.T December 18th and I have been three times. Who knew stuff that was sooooo easy before surgery would be so incredibly hard and painful but I guess that comes with the territory.

My next Ortho appt is January 15th (my 27th Birthday!!!!!). We will begin discussing my next surgery at that appointment we are shooting for October for my right hip so hopefully that will be feasible with my job and his schedule.

The Holidays with mine and Wesleys family was awesome.

I spent Christmas Eve with Wesley, we opened our gifts to each other and Wesley spoiled me so incredibly much I had an AWESOME Christmas!!! That night we ate dinner at his Grandparents and opened gifts.
Christmas morning we opened gifts with Wesleys parents and brother, then ate lunch with his the rest of his extended family.
After that we headed to my parents house to do Christmas with my family.
It was a nice Christmas thats for sure.

The following Monday we headed to Charlotte to Bass Pro Shops to spend our Christmas money. I got lots of goodies from Bass Pro and Eddie Bauer!!!

I am looking forward to returning to work on February 1st I really miss my co-workers a lot. Hopefully it will not be too hard to get back into the swing of things. I know the hardest adjustment will be waking up early as I usually sleep till around 11 or 12... ;)

Things with Wesley are going AMAZING he makes me so incredibly happy and I can truly be myself around him. He has been by my side since day one of this journey and continues to lift my spirits daily!!!!

I promise to update again soon, probably after my next Ortho appt on the 15th.
Until then HAPPY NEW YEAR TO ALL!!!!!

HELPFUL DEFINITIONS

Hip dysplasia
Hip dysplasia is a congenital condition in which the ball and socket joint don't fit together the way they should. In my case, the socket is too shallow, which causes uneven pressure on the joint, a premature breakdown of cartilage and early osteoarthritis.
PAO surgery
involves cutting the pelvis in a few places and screwing it back together in a way that makes the socket joint less shallow and more accepting of the ball joint. It's meant to preserve the hip and prevent further arthritis and pain. A PAO is not a hip replacement, which is not ideal for people my age because they only last 10 years or so and require additional surgeries for revisions.
Femoroacetabular impingement (FAI)
previously termed acetabular rim syndrome, is a major factor in early development of osteoarthritis of the hip. This syndrome is caused by abnormal contact between the osseous protrusions of the acetabulum and the femur during hip joint movement.1 In patients with femoroacetabular impingement, repetitive microtrauma from the osseous impingement leads to recurring irritation, degenerative changes of the labrum, and ultimately irreversible cartilaginous damage. Femoroacetabular impingement tends to involve young, active patients and can be debilitating. Femoroacetabular impingement is often bilateral, but may be symptomatic on only one side. Femoroacetabular impingement is diagnosed and classified into two types, pincer and cam, by the clinical and radiologic presentation. However, most cases of femoroacetabular impingement are a combination of the two subtypes.Pincer impingement is caused by acetabular overcoverage with normal femoral head sphericity. The pincer effect is the linear contact between a normal neck and an overcovering acetabular rim, which can lead to labral damage. Pincer impingement is more common in middle-aged women with abnormalities of acetabular morphology.
Hip Labral Tear
The other name of hip labral tear is Acetabular Labral Tear. Labral tears frequently takes place in the front and top segments of the labrum. Hip labral (labrum) tear is a medical condition within the hip where a sort of cartilage takes place. The damage to the cartilage inside the socket of the hip joint makes your thighbone less stable inside the joint. Because of this complication the fluid may leak from the joint which may result with a friction in your hip. The cartilage is important for the hip joint for stability. The cartilage cushions the hip joint providing mobility to a person by giving autonomy and flexibility for movement.
Heterotopic Ossification
is the process by which bone tissue forms outside of the skeleton. Heterotopic ossifications will develop in 10% to 80% of cases with varying severity after surgery or trauma to the hip and lower legs. About every third patient who has to face heterotopic ossification following total hip arthoplasty (replacement) or severe fracture of the long bones of the lower extremities will develop pain and dysfunction resulting from extensive heterotopic ossification. Heterotopic ossification jeopardizes functional outcome, impairs rehabilitation and is costly because of secondary surgical procedures. Pain first arises a few days after surgery with calcified structures appearing as blurred contours on x-rays at 3 to 6 weeks postoperatively. Patients with heterotopic ossification after a previous hip arthoplasty are at greatest risk of developing additional heterotopic ossification, with incidence between 50% and 90%