Performing Arts Medicine in Clinical Practice by Howard A. Bird

Author:Howard A. Bird
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Discussion

In one previous study no significant differences were found in the degenerative changes in the hip joints between former professional female dancers and pair matched controls [1]. Hip complaints are, however, common (21 %; 14/66) in dancers of more than 45 years of age. Forty-three percent of these hip problems were due to degenerative changes in the hip joints [2]. Of this group only three had had a total hip replacement.

It comes as no surprise that the number of total hip replacements in active dancers and dance-teachers is relatively low, even in specialist clinics. In a review of 69 retired dancers, hip and knee complaints were more common than in matched controls though they reported being more content with their lives and experienced being healthier than the controls [3]. No THP replacements were reported in this series.

When surgery is contemplated there are often issues with post-operative expectations which need to be handled sensitively with the dancers concerned. It should always be pointed out that rehabilitation may take as much as a year or even more, much longer than in the general population.

The author has also noted a tendency for some surgeons to offer advice that just concentrates on the affected joint alone. The state of other related joints, in this case the other hip, knees and spine, always needs to be taken in to account before operation is offered.

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