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. . SPORTS MEDICINE: Hip Procedure Grows Popular Despite Doubt . . Hip Procedure Grows Popular Despite Doubt By GINA KOLATA Published: November 15, 2011 New York Times http://www.nytimes.com/2011/11/16/health/ hip-impingement-grows-popular-but-remains-unproven.html . A shorter URL for the above link: . http://tinyurl.com/7xxrsr7 . . It is one of the most popular operations in sports medicine. It comes in various forms, all with the same name: Hip impingement or bone shaving surgery. World-renowned athletes have had the operation the Yankees third baseman Alex Rodriguez had it about two years ago and the sprinter Tyson Gay had it last summer. . But some sports medicine researchers are asking: where is the evidence that shaving bone helps? Might the bumps or irregular shapes they call impingement be just normal variations? Does the shaved bone grow back? . And it is not just professional athletes who are having the operation. Now some surgeons are even operating on teenage athletes with hip pain. . The idea is that bone that has rough edges or an irregular shape in the hip is rubbing against soft tissue in the joint, causing tendons to fray or muscles to tear. The hope is that by shaving and smoothing the bone, surgeons can protect patients from further injury and also protect them from developing arthritis. The amount of bone removed varies but can be significant sometimes, as much as a third of the thigh bones top. . One difficulty in assessing the operations effects is that it is combined with other procedures to repair torn tissue. When patients say they feel better, is that because their impingement was fixed or because their torn tissue was repaired, or both? Another is that it takes years for arthritis to develop so it will take years for studies to determine if it has been prevented. . The combination surgery also complicates efforts to estimate the cost of the operations because it is billed under a variety of codes. The cost is also hard to evaluate because medical centers say that their charges are proprietary information. But at one academic medical center, the orthopedists charge for hip impingement surgery is about $4,400. The doctors charge to repair torn cartilage is an additional $4,400. Hospital charges are extra, as are charges for the months-long rehabilitation, but insurers almost always pay less than what is charged for the operation. . Yet despite the popularity of hip impingement surgery, said Dr. Harry E. Rubash of Harvard Medical School, no one has really proven that it is uniformly helpful to the patient. . . The complete article may be read at the URL above. . . Sincerely, David Dillard Temple University (215) 204 - 4584 [log in to unmask] http://daviddillard.businesscard2.com Net-Gold http://groups.yahoo.com/group/net-gold http://listserv.temple.edu/archives/net-gold.html Index: http://tinyurl.com/myxb4w http://groups.google.com/group/net-gold?hl=en General Internet & Print Resources http://guides.temple.edu/general-internet COUNTRIES http://guides.temple.edu/general-country-info EMPLOYMENT http://guides.temple.edu/EMPLOYMENT TOURISM http://guides.temple.edu/tourism DISABILITIES http://guides.temple.edu/DISABILITIES INDOOR GARDENING http://tech.groups.yahoo.com/group/IndoorGardeningUrban/ Educator-Gold http://groups.yahoo.com/group/Educator-Gold/ K12ADMINLIFE http://groups.yahoo.com/group/K12AdminLIFE/ The Russell Conwell Learning Center Research Guide: THE COLLEGE LEARNING CENTER http://tinyurl.com/yae7w79 Nina Dillard's Photographs on Net-Gold http://tinyurl.com/36qd2o and also http://gallery.me.com/neemers1 http://www.flickr.com/photos/neemers/ Twitter: davidpdillard Bushell, R. & Sheldon, P. (eds), Wellness and Tourism: Mind, Body, Spirit, Place, New York: Cognizant Communication Books. Wellness Tourism: Bibliographic and Webliographic Essay David P. Dillard http://tinyurl.com/p63whl http://tinyurl.com/ou53aw INDOOR GARDENING Improve Your Chances for Indoor Gardening Success http://tech.groups.yahoo.com/group/IndoorGardeningUrban/ http://groups.google.com/group/indoor-gardening-and-urban-gardening SPORT-MED https://www.jiscmail.ac.uk/lists/sport-med.html http://groups.google.com/group/sport-med http://groups.yahoo.com/group/sports-med/ http://listserv.temple.edu/archives/sport-med.html HEALTH DIET FITNESS RECREATION SPORTS TOURISM http://health.groups.yahoo.com/group/healthrecsport/ http://groups.google.com/group/healthrecsport http://healthrecsport.jiglu.com/ http://listserv.temple.edu/archives/health-recreation-sports-tourism.html . . Please Ignore All Links to JIGLU in search results for Net-Gold and related lists. The Net-Gold relationship with JIGLU has been terminated by JIGLU and these are dead links. http://groups.yahoo.com/group/Net-Gold/message/30664 http://health.groups.yahoo.com/group/healthrecsport/message/145 . .