(2018). over time until joint space is narrowed causing constant pain. Subchondral Bone in Osteoarthritis: What's the Connection? But some recent research suggests that there may be changes in the subchondral bone in the earliest stages of osteoarthritis. Before Elvis most audio was rather soft. Treatment for acetabular fractures often involves surgery to restore the normal anatomy of the hip and stabilize the hip joint. Anatomy The hip is one of the body's largest joints. It is a "ball-and-socket" joint. The socket is formed by the acetabulum, which is part of the pelvis. Healthline Media does not provide medical advice, diagnosis, or treatment. Your doctor will perform a thorough examination of your pelvis, hips, and legs. Some types of benign lesions dont require treatment. The problem is that bone spurs do not go away on their own. Does Fascia Blasting Work and Is It Safe? So subchondral sclerosis is a thickening and hardening of bone that happens underneath cartilage in a joint. The bones of your pelvis, including your acetabulum, are very strong. In turn, the bone spurs can create even more friction. There have mild medial n patellofemoral compartment degenerative changes with mild subchondral sclerosis. Verywell Health's content is for informational and educational purposes only. Acetabular fractures occur due to weakened bones, too. (2015). Risk factors for subchondral sclerosis include genetic predisposition, female sex, older age, obesity, previous joint injury, joint malalignment, or abnormal joint shape. Our first order of business when you come in is to positively identify the impingement, which will dictate our next steps. Pelvis xray reads"mild subcondral schlerosis superiorly in roof of both acetabula,no other significant degenerative features or joint space narrowing" have severe left & moderate right hip pain. Learn about important customization inroads that have been made with knee replacement, making it a successful, popular option. The relationship between subchondral sclerosis detected with MRI and cartilage loss in a cohort of subjects with knee pain: the Knee Osteoarthritis Progression (KOAP) study. Its thought that these early changes could be a cause, not a result, of the arthritis. (2010).
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In addition, we are devoted to training future generations of health professionals in our wide range of residency and fellowship programs. This 2005 - 2023 WebMD LLC. Low-impact physical exercise, such as biking on a stationary bike, yoga, and swimming are good ways to keep your joints active. In all cases, the limbus was found to be detached from the bony rim of the acetabulum. Typically sacroiliac pain is a constellation of symptoms and one aspect of the 'minimal sclerosis' probably means nothing. You wont be able to engage in more physical activity for six to 12 months. As soon as your pain begins to improve, stop taking opioids. Mild flattening to the superior aspect of the right femoral head (open arrow) indicates stage 3 disease. on the joint and is a sign of osteoarthritis. There is no cure for subchondral sclerosis. However, the types of cancer that are most likely to spread to your bones include: Other factors that might increase your risk of developing a malignant sclerotic lesion include: To diagnose a sclerotic lesion, your doctor will start by taking your personal and family medical history to identify or rule out any potential causes.
We offer diagnosis and treatment in over 70 specialties and subspecialties, as well as programs, services, and support to help you stay well throughout your lifetime. Find information on why a bone scan is done and what to expect during. 2014;22(4):540-6. doi:10.1016/j.joca.2014.01.006. When cartilage is thinned due to osteoarthritis, the bone often reacts. Magnetic resonance imaging (MRI) is advocated as the best imaging modality to detect these bone marrow lesions (BMLs) ().In addition, MRI is better able to visualize acetabular and femoral cartilage and other soft tissues around These changes are most commonly detected in the later stages of osteoarthritis. Subchondral sclerosis is associated with painful bone spurs, which can reduce the range of motion of the affected joint.
Like when the tissue of an organ is replaced by connective tissue. Causes and risk factors. So in this case it would be the hardening of the audio. These ligaments help provide both function and stability to the hip joint, allowing it to move without falling out of the socket. In other cases, youll need to work with your doctor to treat the underlying cause. Depending upon the location of your fracture, your doctor will make an incision along the front, side, or back of your hip. Most acetabular fractures are treated with surgery. My mr report says "there was observed increases minimal subchondral sclerosis at sacroiliac joint forming surfaces of bone." Sclerosis refers to an unusual increase in the density or hardness of a tissue in the body. Why Doesn't the U.S. Have at-Home Tests for the Flu? Subchondral sclerosis is a thickening of bone that happens in joints affected by osteoarthritis. It can be associated with painful joint symptoms and bone spurs. When symptoms are severe, joint replacement surgery may be appropriate for certain joints. Arthrosis of the hip leads to a degeneration of the cartilage of the coxo-femoral joint, the point where the femur articulates with the acetabulum, the hip cavity that houses the head of the femur. She is the author of "The Everything Health Guide to Arthritis.". If the fracture is due to high-energy trauma, there may also be injuries to the head, chest, abdomen, or legs. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. The injury to surrounding soft tissues, such as muscle, tendons, nerves, and skin. Your doctor may prescribe a blood thinner to help prevent blood clots from forming in the deep veins of your legs. If you have an acetabular fracture, you should see your healthcare provider right away. Feel pain across your back? We will review it in the next few hours. Sclerosis is the term used to describe where there has been wear & tear to a bone, and the body has attempted to make the bony area stronger by de Are prp and stem cell therapy txmt options for rapidly occurring gr. Your healthcare provider will examine your pelvis, hips and legs. Joyce MJ, et al.
The sclerosis represents apposition of new bone on dead trabeculae. Sclerosis is the medical term for the stiffening of a structure. Treatment for subchondral sclerosis may include exercise, physical therapy, and anti-inflammatory medications. Talk to your healthcare provider about the best treatment and recovery plan for you. All types of cancer can metastasize and spread to your bones. When this happens, bone grows where it should not be and can cause stiffness not directly related to the condition of the hip socket cartilage. Stage 4 Severe. The socket is formed by the acetabulum, which is part of the pelvis. Both benign and malignant sclerotic lesions are usually classified by their number and size: Benign sclerotic lesions are more common than cancerous ones and tend to be smaller as well. These infections may develop near the skin surface around an incision or deep in the surgical wound. Subchondral bone and cartilage affect each other. As with any chronic condition, consult with your healthcare provider to determine the best course of treatment for your condition. Intended audience Figures What cartilage disorders occur in the hip? Your healthcare provider may recommend early physical therapy to begin moving your hip again. where is the number for OH in the periodic table? Mayo Clinic Staff. Its commonly linked to diseases that affect normal bone function or structure. WebCan acetabular sclerosis be treated? These studies provide images of dense structures, such as bones. Conservative treatments in coxarthrosis: By Carol Eustice Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. 2005-2023 Healthline Media a Red Ventures Company. Dr. Thomas Mahoneyanswered 37years experience Talk now Time: While painful, these should resolve on their own within 1-2 cycles. Corticosteroid infiltration can provide pain relief and reduce An acetabular fracture is a painful injury usually caused by a high-impact accident, but it sometimes occurs due to weakened bones caused by osteoporosis. This means getting up out of bed and doing as much as feasible within specific weight-bearing limitations. They usually require a surgical procedure to thoroughly cleanse the wound as well as a longer course of antibiotics, usually 4 to 6 weeks.
It supports motion and sensation in the leg and foot. Carol Eustice is a writer who covers arthritis and chronic illness. Subchondral sclerosis is a thickening of the bone beneath the cartilage in joints. Exercise can help build strength and endurance in your hip. However, by far the most common injuries occur on the side of the acetabulum. But, there are steps you can take to slow the progression of underlying osteoarthritis and reduce painful symptoms. Unfortunately, there is no treatment for this condition. Medications are often prescribed for short-term pain relief after surgery. My mri of lumbar spine.mild right sacroilitis with subchondral sclerosis with fatty bone marrow. Acetabular fractures are painful injuries that usually require surgery. Acetabular fractures are sometimes caused by weak or insufficient bone. But subchondral sclerosis may go along with a worsening of the joint pain that comes with arthritis. Sclerotic bone tumors and tumor-like lesions. Ankylosing Spondylitis vs. Osteoarthritis: What Are the Differences? If your pain is moderate, we may also recommend a corticosteroid injection to help reduce the inflammation to bring you relief. There are no treatments specifically for subchondral sclerosis, but there are for osteoarthritis. For a long time, the sclerosis was thought to be a result of the osteoarthritis. During recent years the acetabular labrum has gained increased interest because its degeneration frequently is found in association with early osteoarthritis of the hip. For these, please consult a doctor (virtually or in person). While some people return to normal functioning, many people dont return to the same level of activity they participated in before. For osteoarthritis symptoms, prescription medications may help provide relief. Osteoarthritis (OA) and rheumatoid arthritis (RA) are other contributing factors to JSN.
If you continue to use this site we will assume that you are happy with it. A degeneration or wear and tear of articular (joint surface) cartilage usually accompanied by an overgrowth of bone (osteophytes), narrowing of the joint space, sclerosis or hardening of bone at the joint surface, and deformity in joints. The body tries to repair the damaged bone. It also covers how it's diagnosed and treated. Using advanced imaging, such as X-rays and CT scans, we can locate the problem to determine the extent of the damage. DOI:10.1186/ar4405. A sclerotic lesion is an unusual hardening or thickening of your bone. The relationship between subchondral sclerosis detected with MRI and cartilage loss in a cohort of subjects with knee pain: the Knee Osteoarthritis Progression (KOAP) study. This video demonstrates the use of arthroscopy to remove a bone spur on the acetabulum (called a pincer lesion). If your goal is to resume sports or fitness activities, your doctor will guide you in a gradual progression to more vigorous activities. In some cases, the acetabulum is so damaged that repair or reconstruction is unlikely to provide a good long-term result. In addition, both benign and malignant sclerotic lesions can weaken your bone, making it more likely to fracture. Akamatsu Y, Kobayashi H, Kusayama Y, et al. Is Climbing stairs bad for hip arthritis? The bones may produce small, scalloped growths, called osteophytes or bone spurs, to compensate for the deteriorated cartilage. What is supa-acetabular sclerosis on the hip ? Boston Medical Center has a long tradition of providing accessible and exceptional care for everyone who comes through our doors. For example, patients with severe osteoporosis, heart disease, or other medical concerns may not be able to tolerate surgery. Subchondral bone is bone that sits underneath cartilage in a joint. Keep reading to learn more about the possible symptoms of sclerotic lesions and how theyre treated. Acetabular fractures usually require surgery to repair. Being overweight and having muscle weakness contributes to JSN. Learn more here. It could be coming from your latissimus dorsi. But, there are steps you can take to slow the progression of underlying osteoarthritis and reduce painful symptoms. If your fracture is stable and the bones are in place, surgery may not be necessary. Li G, Yin J, Gao J, et al. harden. This article looks at the symptoms and causes of subchondral sclerosis.
While bone sclerosis in general can be related to other conditions, sclerosis of the subchondral bone in joints is linked to osteoarthritis. Does subchondral sclerosis protect progression of joint space narrowing in patients with varus knee osteoarthritis? Depending upon the direction of the force, the head of the femur is sometimes pushed out of the hip socket, an injury called hip dislocation. Bone tumors are masses of abnormal cells within the bone.
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When the fracture is caused by high-energy impact, patients often experience extensive bleeding and have other serious injuries that require urgent attention. Your doctor will consider many factors, including your age and activity level, in determining whether total hip replacement is the most appropriate treatment. It is the thickening of the bone in response to increased stress This hip pain develops slowly and worsens over time, although sudden onset is also possible. Theyre also vulnerable to deterioration and injury. Your hip is a ball-and-socket joint. no significant joint effusioneffusion .means ? The severity of your fracture depends on the following factors: Open or compound fractures (when bone fragments stick out of the skin) are particularly severe because infection can occur in both the bone and the wound. Acetabular fractures vary. So, acetabular sclerosis means that the muscle tissues around the hip joint are stiffening. The ball is the femoral head, which is the upper end of the femur (thighbone). This joint is what lets you walk. Your doctor may delay your surgery a few days to make sure your overall condition is stable and you are prepared for the procedure. During surgery, the displaced bone fragments are first repositioned (reduced) into their normal alignment. Acetabular fractures can occur on your left or right. WebSclerosis is a process characterised by hardening or stiffening of tissue (s). Acetabular fractures are much less common than most hip fractures. any impact on outcome with your diagnosis and are still being evaluated for other treatment indications. Your knees are workhorse joints, and impressively designed. This can slow the normal blood flow in your legs and increase your risk for a blood clot.
Stage 1 Minor. There is no cure for subchondral sclerosis. with songs like Hound Dog and Jailhouse Rock audio really began to An acetabular fracture is a break in your hip socket. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. what is the usual treatment? Because of the complex anatomy of the pelvis, a CT scan is commonly ordered for acetabular fractures. Learn why its important to know how severe your injury is and what to do after that first twinge of pain. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. What is subchondral sclerosis osteophytosis? Your doctor may use a combination of these medications to improve pain relief, as well as minimize the need for opioids. Some surgical treatments for advanced The outcome varies depending on the severity of the fracture, type of fracture, any other injuries sustained, your age, health history and smoking status. A bone scan is an imaging test used to help diagnose problems with your bones. Acetabular fractures are severe injuries, and they also come with a likelihood of complications. Your doctor may prescribe medication to relieve pain, as well as an anti-coagulant (blood thinner) to reduce the risk of blood clots forming in the veins of your legs. It takes eight to 12 weeks for an acetabular fracture to heal. What is subchondral sclerosis in the knee.? By using our website, you consent to our use of cookies. These structures can occasionally be damaged as the result of an injury to the acetabulum. In fact, a 2014 study suggests that it may be protective against cartilage loss and narrowing of the space in your joint. WebTreatment of hemorrhagic cyst ovary? Some surgical treatments for advanced osteoarthritis, including joint replacement surgery or an osteotomy in which an area of bone is removed, may lead to the removal of bone affected by subchondral sclerosis. Chronic knee pain, inflammation, and limited mobility arent sustainable, especially in the long run. Bone tumors and tumor-like conditions of bone. Multiple sclerosis, or MS, is a chronic disorder of the central nervous system, which includes the brain and spinal cord. Low-impact physical exercise, such as biking on a stationary bike, yoga, and swimming are good ways to keep your joints active. There is no cure for subchondral sclerosis. ( isolated insufficiency fracture ). The Relationship Between Subchondral Sclerosis Detected with MRI and Cartilage Loss in a Cohort of Subjects with Knee Pain: The Knee Osteoarthritis Progression (KOAP) Study. Complications such as hip arthritis can arise due to the cartilage that surrounds your hip socket. This condition is called avascular necrosis. It can also occur when there's a deterioration of joint cartilage, which can make a person shorterespecially if the knee, hip, or spine are affected.
Also visit this website totaljoints/info.com. Potential treatments include: antibiotics for osteomyelitis radiofrequency ablation, which uses heat to reduce pain medications to reduce high blood pressure If you suspect youve developed femoral acetabular impingement, please dont hesitate to give us a call, so we can get to the bottom of the problem. Laboratory and Biorepository Research Services Core. However, in this phase the treatment is generally conservative, without surgery. Physical therapy also helps you maintain your range of motion while we deal with your FAI. Does subchondral sclerosis protect progression of joint space narrowing in patients with varus knee osteoarthritis? Does Knee Creaking Mean You'll Develop Arthritis? Next, theyll likely use a combination of imaging tests to get a better look at your bones. You can do a lot to keep them strong and healthy. Intra-articular infiltrations. One of the earliest well documented cases of audio sclerosis is At Boston Medical Center, research efforts are imperative in allowing us to provide our patients with quality care. Strategies you can use to keep your joints as healthy as they can include getting regular low-impact exercise and participating in physical therapy.
that of Elvis Presley. What are 4 main causes of voter apathy What are 4 solutions. 617.638.8000. Acetabular fracture types are classified by pattern and severity. The bone surfaces of the ball and socket are covered with articular cartilagea smooth, slippery substance that protects and cushions the bones and enables them to move easily. This technique greatly reduces tissue damage and risk of infection, while also helping you recover more quickly. The ball-and-socket joint allows movement between your thigh bone and your pelvis.
What Are Schmorls Nodes, and Should I Be Concerned About Them? He Current treatment modalities range from conservative measures to open surgical intervention. In severe cases that limit activity, a total hip replacement may be the best option to relieve symptoms. The symptoms of subchondral sclerosis are similar to the most common ones from osteoarthritis, such as: The changes in bone linked to subchondral sclerosis show up on MRI and X-ray scans. Thats essentially what happens with a femoral acetabular impingement (FAI), which can be a painful and frustrating condition to manage. Guide to Building a Profitable eCommerce Website, Self-Hosted LMS or Cloud LMS We Help You Make the Right Decision, ULTIMATE GUIDE TO BANJO TUNING FOR BEGINNERS. The evidence for a relation between hip OA for construction workers is limited and there is insufficient or no evidence that climbing stairs or ladders causes hip OA.
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Need to work with your doctor may use a combination of imaging tests to get a better at... As bisphosphonates, to compensate for the Flu Aching burning sensations experienced a lot with multiple get useful helpful. Condition to manage arthritis ( RA ) are other contributing factors to JSN your hip protective cartilage... Surgery to restore the normal blood flow in your joint your fracture is stable the... Strength and endurance in your hip found in association with early osteoarthritis of the beneath! Your joints as healthy as they can include getting regular low-impact exercise and in... Reconstruction is unlikely to provide cushion to the hip is one of a tissue in the wound. Cell therapy txmt options for rapidly occurring gr a good long-term result, inflammation and... Of treatment for subchondral sclerosis is the upper end of the acetabulum, are very strong bone that in. Small, scalloped growths, called osteophytes or bone spurs do not go away on their own 1-2! Joints as healthy as they can include getting regular low-impact exercise and participating physical. Or breathe talk to your cartilage, giving it the nutrients necessary to provide a long-term. P > What are 4 solutions may produce small, scalloped growths, called osteophytes or bone can. That can result in organ failure early stages, subchondral sclerosis at sacroiliac joint forming of. There was observed increases minimal subchondral sclerosis, or treatment slow the normal flow... That of Elvis Presley a long tradition of providing accessible and exceptional for... With knee replacement, making it more likely to fracture may delay your a... Rapidly occurring gr do a lot with multiple get useful, helpful and relevant Health + wellness information and changes. Slow the progression of underlying osteoarthritis and reduce painful symptoms at the symptoms and spurs... The joint and is a thickening of the bone. to surrounding soft tissues, such as X-rays and scans... Blood flow to your bones medications may help provide both function and stability to the aspect... Cases, the damaged acetabular sclerosis treatment and articular cartilage are removed and replaced with artificial (! Might prescribe medications, such as bones greatly reduces tissue damage and of. Dont lead to shocka life-threatening condition that can result in organ failure socket is formed by the acetabulum called... Are painful injuries that usually require surgery get a better look at your bones and healthy cushion... Produce small, scalloped growths, called osteophytes or bone spurs do not go away on their own 1-2... Treatment modalities range from conservative measures to open surgical intervention ( 2018 ) in. There was observed increases minimal subchondral sclerosis protect progression of underlying osteoarthritis and reduce painful symptoms making a... Joint impaction, subchondral acetabular bone cysts may not be necessary chronic of... Of bed and doing as much as feasible within specific weight-bearing limitations factors. Of the hip nerves, and skin you have everything you need to work with your bones surgical.. Underlying cause, in this phase the treatment is generally conservative, without surgery stem therapy. Research indicates that smoking can slow the normal blood flow to your....Malignant lesions on your spine can put pressure on nerves, causing a numbing or tingling sensation. (2017). You can learn more about how we ensure our content is accurate and current by reading our. In most cases, this sign is found in inflammation (ossifying or reactive osteitis) and as a consequence of osteoarthritis. Cleveland Clinic is a non-profit academic medical center. However, you will still need non-surgical treatment from a healthcare provider. If there is significant blood loss, it may lead to shocka life-threatening condition that can result in organ failure. Building a Cloud Computing Career with Amazon AWS Certified Developer Azure Cognitive Services and Containers: 5 Amazing Benefits for Businesses, Running Your Own Electronics Accessories Ecommerce Store. For some patients, partial weight bearing may be allowed after 6 to 8 weeks. Osteomyelitis is often caused by: Its rare for a malignant sclerotic lesion to start in your bone. Benign tumors of the bone: A review. In this procedure, the damaged bone and articular cartilage are removed and replaced with artificial parts (prosthesis). Lesions in the neck might make it harder to swallow or breathe. Osteoarthritis Cartilage. Over time you will learn other exercises to help you build strength and endurance so that you are better able to perform your daily activities. 1985 Jan;59(1):1-15.
Benign bone tumors [Abstract]. You may also feel weakness in your leg. Subchondral Bone Cysts in People With Osteoarthritis. Long-term complications are a concern after an acetabular fracture. Little to no pain in the affected area. Other conditions that have similar symptoms to osteoarthritis, such as rheumatoid arthritis, dont lead to subchrondral sclerosis. Bands of tissue called ligaments connect one bone to another. Some older people with osteoporosis get acetabular fractures after simple falls. Treatment options of acetabular dysplasia include in particular periacetabular osteotomy 1,6 and other acetabular osteotomies (e.g. Some surgical treatments for advanced osteoarthritis, including joint replacement surgery or an osteotomy in which an area of bone is removed, may lead to the removal of bone affected by subchondral sclerosis. This study aims to investigate the clinical and radiological outcomes of spring plates in the treatment of comminuted posterior wall Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation? DOI: van der Woude HJ, et al. Patients with fractures caused by high-energy trauma will almost always go or be brought to an urgent care center or emergency room for initial treatment because of the severity of their symptoms. In the early stages, subchondral acetabular bone cysts may not be readily appreciated on conventional radiographs. It is a "ball-and-socket" joint. Research indicates that smoking can slow down bone healing and increase the risk for other complications. Subchondral sclerosis is often seen in joints of the knee, hip, spine, and foot. For both in-person and virtual visits, BMC is here to ensure you have everything you need to make your visit a success. Sclerotic lesions have a broad range of possible causes and symptoms. Even when treated successfully, acetabular fractures can damage the smooth surface of the joint, making it more likely that arthritis will develop during recovery or even years after an injury. It would take a strong force to break them. Subchondral Bone in Osteoarthritis: Insight into Risk Factors and Microstructural Changes. WebDiagnosis and Treatment of Hip Disorders Cartilage injuries of the hip typically involve damage to the acetabulum (hip socket) or the femoral head (ball) of the hip joint. Walking boosts blood flow to your cartilage, giving it the nutrients necessary to provide cushion to the ends of your joints. Using this advanced, and minimally invasive, surgical technique, Dr. Coleman goes in and cleans and repairs any damage to your labrum and/or articular cartilage. They may: Your healthcare provider may also request the following imaging tests: Treatment for an acetabular fracture depends on the pattern of fracture and severity of your injury. This is just one of a Aching burning sensations experienced a lot with multiple Get useful, helpful and relevant health + wellness information. The pain is sometimes worsened with movement. During this time, your doctor may place your leg in skeletal traction to immobilize the fracture and prevent additional injury or damage to the hip socket. Whenever on a report it is written: Acetabular roof sclerosis you have to start worrying about hip arthrosis. However, in this phase the treatment is generally conservative, without surgery. A combination of muscle strengthening, infiltrative therapy and chondroprotectors. What to do for coxarthrosis? Medicines. In addition to this commitment, our robust research and teaching programs keep our hospital on the cutting-edge, while pushing medical care into the future. Femoroacetabular impingement (FAI) is a common cause of hip pain. Because acetabular fractures damage the cartilage surface of the bone, an important goal of surgery is to restore a smooth, gliding hip surface. 4 hip oa: superior joint impaction, subchondral sclerosis, joint fragments? If it is gone (mild joint space narrowing) in whole or part, the bones grind on each other Sacroiliitis is inflammation of your sacroiliac joints (where the sacrum meets the pelvis). Some home remedies and lifestyle changes help ease osteophyte symptoms: Subchondral sclerosis is the hardening of the bone just below the cartilage surface. WebAcetabular subchondral sclerosis A 61-year-old female asked: Are prp and stem cell therapy txmt options for rapidly occurring gr. MS is considered to be an autoimmune disorder, meaning the bodys immune system mistakenly attacks healthy tissue. Policy. In addition, your doctor might prescribe medications, such as bisphosphonates, to slow down destruction of the bone. Now imagine throwing a pebble into this joint, which would significantly compromise how your ball and socket work together. Your hips are large ball-and-socket joints that rely on every component fitting together perfectly to be able to distribute the workload evenly and facilitate function. Read our, What To Do When You Have No Cartilage in Your Knee.