What does it mean when the hip joint has 60 degrees of flexion, and what should be done?

In general, hip flexion limited to 60 degrees may be caused by prolonged hip flexion, congenital hip dysplasia, trauma, fractures, or avascular necrosis of the femoral head. Patients are advised to follow medical instructions for symptomatic treatment. Specific analyses are as follows:

1. Prolonged Hip Flexion

If the hip remains in a flexed position for an extended period, the piriformis muscle may become tense or spasm, leading to discomfort such as pain and restricted movement. If left untreated over time, there is a likelihood of developing the aforementioned condition. Patients can follow medical advice to use medications such as diclofenac sodium sustained-release capsules for treatment.

2. Congenital Hip Dysplasia

Congenital hip dysplasia refers to underdevelopment of the femoral head and acetabulum, resulting in poor joint alignment and impaired joint mobility. Clinically, it may manifest as leg length discrepancy, joint clicking, limping, and other symptoms, which can also lead to the aforementioned limitation in hip flexion. Patients may wear orthotic braces as directed by a physician; if conservative treatment proves ineffective, surgical intervention may be considered.

3. Trauma

If the hip joint suffers external impact, it may result in local fractures, thereby causing the aforementioned limitation in motion. For mild cases, immobilization with plaster casting as prescribed by a doctor may be sufficient. For more severe cases, surgical treatment may be required under medical guidance.

4. Fracture

If the hip joint sustains severe trauma leading to femoral neck fracture, similar limitations in hip flexion may be observed during examination. Patients may be treated with splints or plaster immobilization as directed by a physician. In cases of severe fracture displacement or damage, surgical reduction should be performed promptly at a hospital.

5. Avascular Necrosis of the Femoral Head

Avascular necrosis of the femoral head occurs when blood supply to the femoral head is impaired or interrupted, leading to bone loss and subsequent hip osteoarthritis. This condition can also present with limited hip flexion to 60 degrees. Patients may take medications such as alendronate sodium tablets or warfarin sodium tablets as prescribed. In severe cases, surgical treatment may be necessary.

If patients experience any discomfort, they are advised to seek timely medical evaluation at a hospital to avoid delays in diagnosis and treatment.