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hip tendinitis

Karel Van Damme, Liesbeth De Coster, Koen Mermuys, Anja Van den Eeckhaut, Natascha Walgraeve, Frank De Geeter
We describe the bone scan and single-photon emission computed tomography/computed tomography findings in calcific tendinitis of the gluteus maximus and discuss its pathophysiology. Although this tendinopathy is mostly self-limiting, awareness of this disease is important for 2 reasons. First, it may explain acute hip symptoms in patients in the resorptive phase of the calcifications. Second, it should be considered as a differential diagnosis for bone scan hot spots in the vicinity of the gluteus maximus tendon and for cortical erosion seen in that region on X-rays or CT...
March 2017: Radiology case reports
Andrea M Spiker, Ryan M Degen, Christopher L Camp, Struan H Coleman
The iliopsoas tendon is an important dynamic stabilizer of the hip joint, and it should be carefully identified and preserved during routine hip arthroscopy. However, it may also be a source of hip pain manifesting as iliopsoas tendinitis or a snapping hip or contributing to the development of labral pathology caused by psoas impingement. In the appropriately indicated, refractory cases of iliopsoas-related hip pain, surgical intervention in the form of an iliopsoas tenotomy at the level of the labrum can result in reliable pain relief...
December 2016: Arthroscopy Techniques
Boqing Chen, Leia Rispoli, Todd Stitik, Michelle Leong
This case report describes what the authors believe is the first case of a patient with obturator internus tendinitis and bursitis successfully treated with a corticosteroid injection using a trans-tendinous lateral to medial approach. The patient presented with right gluteal pain not relieved by physical therapy or right hip and ischial bursa corticosteroid injections. Pelvic and lumbar spine MRIs and EMG/NCS findings were unremarkable. Physical examination demonstrated tenderness to palpation at the right middle lower gluteal region...
January 31, 2017: American Journal of Physical Medicine & Rehabilitation
Daniel J Kaplan, Andrew P Dold, David J Fralinger, Robert J Meislin
Patients with gluteus minimus and medius tears that fail nonoperative management may be indicated for surgical repair; however, structural failure after gluteal tendon repair remains unacceptably high. This is likely related to the limited healing potential of tendinous tissue, which is poorly vascular and heals by formation of fibrocartilaginous scar tissue rather than histologically normal tendon. An emerging option to augment tendon healing is the use of a bioinductive implant that is designed to amplify the host healing response and induce the formation of healthy tendon tissue...
August 2016: Arthroscopy Techniques
Seung Rim Yi, Min Ho Lee, Bo Kyu Yang, Young Joon Ahn, Jieun Kwon, Se Hyuk Im, Ye Hyun Lee
PURPOSE: To assess the progression of clinical symptoms and disease course of calcific tendinitis in the hip region according to types of calcification. MATERIALS AND METHODS: Among patients with the hip pain, 28 patients (21 males and 7 females; mean age 51 years, range 32-74 years) showing calcified lesions in simple radiography without other possible sources of pain were analyzed retrospectively. Twelve patients displayed a symptom duration of less than three weeks (acute; average=1±0...
December 2015: Hip & Pelvis
U Dorn, F Landauer, T Hofstaedter
Gluteal tendinopathy as well as partial and full-thickness tears of gluteal tendons (gluteus minimus and/or medius tendon) were underestimated as a cause of chronic pain in the past, and treatment was most commonly based on the diagnosis of trochanteric bursitis. Tendinous pathologies can either stay asymptomatic or cause pain and muscular dysfunction, not necessarily being associated with osteoarthritis of the hip 1. As the terminus "rotator cuff tear of the hip" was published in 1997 2, its aetiopathogenesis was reconsidered, resulting in improvements in diagnosis and treatment...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
Ariel A Williams, Thomas S Stang, Jan Fritz, Derek F Papp
Calcific tendinitis is a relatively rare condition in which calcium is inappropriately deposited in tendons, resulting in a local inflammatory reaction that can cause severe symptoms in certain cases. The cause of this disease process is not completely understood, although repetitive microtrauma likely plays a role in its development. Although the disorder most often involves the rotator cuff, it can affect other structures throughout the body, such as the tendons about the ankle and hip-including the rectus femoris and gluteus maximus...
September 1, 2016: Orthopedics
Koji Watanabe, Satoru Otsuki, Takushi Hisa, Masanori Nagaoka
[Purpose] The tendinous inscription divides the semitendinosus muscle into the proximal and distal compartments. It was hypothesized that there are functional differences between those compartments. [Subjects and Methods] Seven adult males performed knee flexion and hip extension in the prone position. An ultrasound device measured the decrease in the length of muscle fibers in the two compartments during these movements. The knee and hip joint angles were concurrently measured using a video camera. Pearson's correlation coefficients were calculated between the decrease in muscle fiber length in each compartment and joint angle...
May 2016: Journal of Physical Therapy Science
Jeffery W Rankin, Jonas Rubenson, John R Hutchinson
Owing to their cursorial background, ostriches (Struthio camelus) walk and run with high metabolic economy, can reach very fast running speeds and quickly execute cutting manoeuvres. These capabilities are believed to be a result of their ability to coordinate muscles to take advantage of specialized passive limb structures. This study aimed to infer the functional roles of ostrich pelvic limb muscles during gait. Existing gait data were combined with a newly developed musculoskeletal model to generate simulations of ostrich walking and running that predict muscle excitations, force and mechanical work...
May 2016: Journal of the Royal Society, Interface
Itaru Morohashi, Yasuhiro Homma, Akio Kanda, Yasuhiro Yamamoto, Hiroyuki Obata, Atsuhiko Mogami, Osamu Obayashi, Kazuo Kaneko
INTRODUCTION: Iliopsoas tendinitis after revision total hip arthroplasty (THA) is rare and its etiology and optimal treatment are still unclear. We report a case of iliopsoas impingement after revision THA with a Kerboull acetabular reinforcement device requiring two-level iliopsoas muscle transection. PRESENTATION OF CASE: A 70-year-old woman presented to our hospital complaining of debilitating right groin pain after revision THA with a Kerboull reinforcement device...
May 2016: Annals of Medicine and Surgery
Fernando Comba, Nicolás S Piuzzi, Gerardo Zanotti, Martín Buttaro, Francisco Piccaluga
Calcific tendinitis of the rectus femoris (CTRF) is an under-recognized condition and, because of its self-limiting nature, is usually managed conservatively. Nevertheless, when nonsurgical therapy fails, further invasive alternatives are required. At this point, arthroscopic resection provides a minimally invasive and interesting alternative to open surgery. The aim of this work is to report the surgical technique of endoscopic surgical removal in patients with CTRF at the periarticular region of the hip joint...
August 2015: Arthroscopy Techniques
Marc J Philippon, Max P Michalski, Kevin J Campbell, Mary T Goldsmith, Brian M Devitt, Coen A Wijdicks, Robert F LaPrade
BACKGROUND: Hip endoscopy facilitates the treatment of extra-articular disorders of the proximal femur. Unfortunately, current knowledge of proximal femur anatomy is limited to qualitative descriptions and lacks surgically relevant landmarks. PURPOSE: To provide a quantitative and qualitative analysis of proximal femur anatomy in reference to surgically relevant bony landmarks. STUDY DESIGN: Descriptive laboratory study. METHODS: Fourteen cadaveric hemipelvises were dissected...
June 2014: Orthopaedic Journal of Sports Medicine
Yutaka Kuroda, Haruhiko Akiyama, Manabu Nankaku, Kazutaka So, Shuichi Matsuda
BACKGROUND: A lateral approach is common in total hip arthroplasty because of the good exposure it provides and its low complication rates. However, a drawback of the procedure is that the abductor mechanism is damaged when the tendinous insertion of the abductor muscle is split. Here, we describe a wafer technique using ultra-high-molecular-weight polyethylene tape for promising reattachment of the abductor mechanism. METHODS: We retrospectively evaluated 120 consecutive primary total hip arthroplasties performed using a modified Mostardi approach, which involved reattaching the trochanter using either a braided polyester suture (polyester suture group, n = 60) or ultra-high-molecular-weight polyethylene tape (UHMWPE tape group, n = 60)...
July 2015: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
G Reuther
No abstract text is available yet for this article.
April 2015: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
Keith A Fehring, Thomas K Fehring
Use of large-head metal-on-metal (MoM) bearing surfaces in total hip arthroplasty (THA) has created new and unique modes of failure for this type of articulation. These unique modes are in addition to the traditional modes of failure seen in conventional THA, which include instability, osteolysis, infection, iliopsoas tendinitis, aseptic loosening, and periprosthetic fracture. Ion levels and cross-sectional imaging are helpful when evaluating a MoM patient in the identification of adverse local tissue reactions...
April 2015: Orthopedic Clinics of North America
Blaine T Manning, Natasha Lewis, Tony H Tzeng, Jamal K Saleh, Anish G R Potty, Douglas A Dennis, William M Mihalko, Stuart B Goodman, Khaled J Saleh
Postoperative pain, which has been attributed to poor outcomes after total knee arthroplasty (TKA), remains problematic for many patients. Although the source of TKA pain can often be delineated, establishing a precise diagnosis can be challenging. It is often classified as intra-articular or extra-articular pain, depending on etiology. After intra-articular causes, such as instability, aseptic loosening, infection, or osteolysis, have been ruled out, extra-articular sources of pain should be considered. Physical examination of the other joints may reveal sources of localized knee pain, including diseases of the spine, hip, foot, and ankle...
2015: Instructional Course Lectures
Myong Joo Hong, Yeon Dong Kim, Jeong Ki Park, Tai Ug Kang
Painful periarticular calcification most commonly occurs within the rotator cuff of the shoulder and rarely around the elbow, hip, foot, and neck. As acute inflammatory reaction develops, severe pain, exquisite tenderness, local swelling, and limitation of motion with pain occur. In case of calcific tendinitis of the shoulder, it can be easily diagnosed according to the symptoms and with x-ray. However, in lesions of the hip, as it is a rare location and usually involves pain in the posterolateral aspect of the thigh, which can simulate radicular pain from a lumbar intervertebral disc, it could be difficult to diagnose...
January 2015: Korean Journal of Pain
Christopher L Jimenez, Michael J Beebe, Travis G Maak, Stephen K Aoki
Calcific tendinitis is a term used to describe radiographic evidence of calcific deposition within a tendon. This condition, also known as calcium deposition disease, has been described in the gluteus maximus, the peroneus longus tendon, the popliteus tendon, the longus colli muscle in the neck, and the tendon of the rectus femoris. However, most of the literature on calcific tendinitis relates to crystal deposition within the rotator cuff of the shoulder. The peri-articular pain related to calcium deposition may be indolent and chronic, and patients can have varying degrees of functional deficit...
December 2014: Orthopedics
Durdica Miletic, Alen Miletic, Boris Milavic
BACKGROUND: Occurrence of musculoskeletal pain in dance sport dancers is often a cause for longer discontinuation of training, which affects the competition results. OBJECTIVE: The aim of the research project was to determine the age-specific pain experience among male dance sport competitors by defining the proportions of pain status of fourteen body regions. METHODS: The subject sample of 200 male dancers from 44 different countries and with international competitive experience was divided into three subsamples according to age...
2015: Journal of Back and Musculoskeletal Rehabilitation
Donald A Neumann, Luke R Garceau
There is sparse information about the anatomy and function of the psoas minor, specifically the extent and frequency to which the muscle attaches into the iliac fascia that drapes over the iliopsoas. This information may help clarify the function of the psoas minor, especially regarding the possibility of controlling the position and mechanical stability of the underlying iliopsoas. This descriptive, semiquantitative cadaveric study sought to clarify the gross anatomic detail of the psoas minor, particularly the muscle's distal attachments...
March 2015: Clinical Anatomy
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