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          Highlights

          Cyclist's crumbling hip would humble mere mortals

          (AP)
          Updated: 2006-07-13 08:50
          Large Medium Small

          Elite cyclist Floyd Landis has Tour de France fans and even many physicians stumped.

          How can a guy whose hip is falling apart hop on a bike, let alone be a contender in this most grueling challenge?

          His degenerating condition has crumbled the ball of his hip joint so that it no longer fits neatly into the socket, his doctor says. The irregular-shaped bone has ground down surrounding cartilage, and arthritis has set in.

          Cyclist's crumbling hip would humble mere mortals
          Euskatel's team rider Inigo Landaluze of Spain cycles past Basque spectators during the 10th stage of the 93rd Tour de France cycling race between Cambo-Les-Bains and Pau, July 12, 2006.[Reuters]

           

           

          For mere mortals, the pain would be excruciating and they'd be begging for a hip replacement.

          Landis is planning to get a new hip after the three-week Tour ends on July 23. But first things first. He is considered a favorite to win this year's race, and was in fifth place overall heading into Thursday's 11th stage.

          "He must be tough as nails," said Dr. Charles Bush-Joseph, the Chicago White Sox baseball team's physician. Other doctors say athletic conditioning and the adrenaline surge from racing help explain how he's doing it.

          The 30-year-old Landis broke his right hip and severed its blood supply in a fall on gravel during a steep downhill training ride near his California home three years ago.

          "The front wheel slid out, so all of my weight went straight down onto my right hip," Landis said at a news conference in Bordeaux on Monday's off-day in the Tour.

          "I guess I knew at the time that something was really wrong because it was probably the most painful thing that I have ever experienced, but I didn't want to believe that it was as bad as it was."

          Three subsequent operations failed to fix the problem, and without blood to nourish the joint, his hip bone slowly has been dying. Doctors call it avascular necrosis.

          Specialists say the condition is not uncommon; by some estimates, about 15,000 cases are diagnosed yearly in the United States.

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