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gluteus medius pain

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https://www.readbyqxmd.com/read/29876243/endoscopic-gluteus-medius-and-minimus-repair-with-allograft-augmentation-using-acellular-human-dermis
#1
Jovan Laskovski, Ryan Urchek
Recently, attention has been given to recalcitrant lateral hip pain, also known as greater trochanteric pain syndrome. Although, historically, this has been attributed to greater trochanteric bursitis, the literature has shown that many patients will have a lesion of the gluteus medius and minimus tendons. Endoscopic hip abductor tendon repair has been shown to provide good outcomes with decreasing overall morbidity and is becoming more popular. However, failure rates have been reported to be as high as 35%, likely due to the poor tissue quality in this older population...
March 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29761113/differences-in-hip-joint-biomechanics-and-muscle-activation-in-individuals-with-femoroacetabular-impingement-compared-with-healthy-asymptomatic-individuals-is-level-ground-gait-analysis-enough
#2
Derek J Rutherford, Janice Moreside, Ivan Wong
Background: Femoroacetabular impingement (FAI) is a recognized cause of hip and groin pain and a significant factor in hip joint function during sport. Objective tests for understanding hip function are lacking in this population. Purpose: To determine whether biomechanical and electromyographic features of hip function during level-ground walking differ between a group diagnosed with FAI and those with no symptoms of FAI. Study Design: Controlled laboratory study...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29728835/muscle-tendon-related-abnormalities-detected-by-ultrasonography-are-common-in-symptomatic-hip-dysplasia
#3
Julie Sandell Jacobsen, Lars Bolvig, Per Hölmich, Kristian Thorborg, Stig Storgaard Jakobsen, Kjeld Søballe, Inger Mechlenburg
INTRODUCTION: Hip dysplasia is characterized by reduced acetabular coverage of the femoral head leading to an increased mechanical load on the hip joint and the acting hip muscles. Potentially, the muscles and tendons functioning close to the hip joint may present with overuse-related ultrasonography findings. The primary aim was to report the prevalence of muscle-tendon-related abnormalities detected by ultrasonography in 100 patients with symptomatic hip dysplasia. The secondary aim was to investigate correlations between muscle-tendon-related abnormalities detected by ultrasonography and clinically identified pain related to muscles and tendons...
May 4, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29705166/differences-in-knee-and-hip-adduction-and-hip-muscle-activation-in-runners-with-and-without-iliotibial-band-syndrome
#4
Robert L Baker, Richard B Souza, Mitchell J Rauh, Michael Fredericson, Michael D Rosenthal
BACKGROUND: Iliotibial band syndrome has been associated with altered hip and knee kinematics in runners. Previous studies have recommended further research on neuromuscular factors at the hip. The frontal plane hip muscles have been a strong focus in strength comparison but not for electromyography investigation. OBJECTIVE: To compare hip surface electromyography, and frontal plane hip and knee kinematics, in runners with and without iliotibial band syndrome. DESIGN: Observational cross-sectional study...
April 26, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29686165/-chronic-low-back-pain-associated-with-gluteus-medius-muscle-a-case-report
#5
Kazunori Oda, Kyongsong Kim, Rinko Kokubo, Daijiro Morimoto, Takao Kitamura, Toyohiko Isu, Akio Morita
The clinical features and etiology of low back pain(LBP)and buttock pain(BuP)has been poorly understood. We report a case of long-term BuP that was successfully treated with gluteus medius muscle(GMeM)decompression under local anesthesia. A 71-year-old man was referred to our hospital because of long-term BuP and claudication. Left BuP that radiated to the left thigh was observed. The pain was mostly triggered by palpation at the middle of the iliac crest and greater trochanter. Lumbar and pelvic radiograms showed no significant lesions...
April 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29660632/female-pfp-patients-present-alterations-in-eccentric-muscle-activity-but-not-the-temporal-order-of-activation-of-the-vastus-lateralis-muscle-during-the-single-leg-triple-hop-test
#6
Marcelo Martins Kalytczak, Paulo Roberto Garcia Lucareli, Amir Curcio Dos Reis, André Serra Bley, Daniela Aparecida Biasotto-Gonzalez, João Carlos Ferrari Correa, Fabiano Politti
This study aimed to compare the concentric and eccentric activity and the temporal order of peak activity of the hip and knee muscles between women with patellofemoral pain (PFP) and healthy women during the single leg triple hop test (SLTHT). Electromyographic (EMG) and Kinematic data were collected from 14 healthy women (CG) and 14 women diagnosed with PFP (PFG) during a single session of the single leg triple hop test. Integral surface electromyography (iEMG) data of the hip and knee muscles in eccentric and concentric phases and the length of time that each muscle needed to reach the maximal peak of muscle activity were calculated...
May 2018: Gait & Posture
https://www.readbyqxmd.com/read/29622256/editorial-commentary-treatment-of-partial-thickness-undersurface-abductor-tears-of-the-hip-like-backwards-a-bike-riding
#7
EDITORIAL
Derek Ochiai
Partial thickness undersurface abductor tears can be effectively treated with a transtendinous gluteus medius and minimus repair, with decreased pain and improvement in abductor strength. The surgical treatment of this condition runs counter to traditional treatment for "greater trochanteric bursitis," and adoption may be more difficult as a result.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29581655/effect-of-squatting-velocity-on-hip-muscle-latency-in-women-with-patellofemoral-pain-syndrome
#8
Ignacio Orozco-Chavez, Guillermo Mendez-Rebolledo
[Purpose] Neuromuscular activity has been evaluated in patellofemoral pain syndrome but movement velocity has not been considered. The aim was to determine differences in onset latency of hip and knee muscles between individuals with and without patellofemoral pain syndrome during a single leg squat, and whether any differences are dependent on movement velocity. [Subjects and Methods] Twenty-four females with patellofemoral pain syndrome and 24 healthy females participated. Onset latency of gluteus maximus, anterior and posterior gluteus medius, rectus femoris, vastus medialis, vastus lateralis and biceps femoris during a single leg squat at high and low velocity were evaluated...
March 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29573934/influence-of-muscle-fatty-degeneration-on-functional-outcomes-after-endoscopic-gluteus-medius-repair
#9
Mathieu Thaunat, Gilles Clowez, Antoine Desseaux, Colin G Murphy, Mouhcine Sbiyaa, Eric Noël, Bertrand Sonnery-Cottet
PURPOSE: To report the early outcomes of endoscopic repair of tears of the gluteus medius tendon and to determine whether the fatty degeneration had an influence on clinical results. METHODS: Between October 2012 and June 2014, data were prospectively collected and retrospectively reviewed for all patients who underwent endoscopic gluteus medius repair. Patients were assessed pre- and postoperatively using the modified Harris hip score, the nonarthritic hip score, and visual analog scale for pain...
June 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29413451/muscle-activity-and-kinetics-of-lower-limbs-during-walking-in-pronated-feet-individuals-with-and-without-low-back-pain
#10
Nader Farahpour, AmirAli Jafarnezhadgero, Paul Allard, Mahdi Majlesi
The objectives of this study were to investigate whether excessive feet pronation alters the joints' kinematics, kinetics and the activity of involved muscles during gait in low back pain patients. METHODS: The lower limb joints' motion, moment and power, as well as the activity of involved muscles during walking were measured in a control group, and two experimental groups including a group with excessive feet pronation only, and another group of low back pain patients with excessive feet pronation...
April 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29410172/impact-of-additional-treatment-of-paralumbar-spine-and-peripheral-nerve-diseases-after-lumbar-spine-surgery
#11
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Kazuyoshi Yamazaki, Daijiro Morimoto, Masanori Isobe
OBJECTIVE: Some patients experience failed back surgery syndrome after lumbar spine surgery. We report the effect of additional treatments for paralumbar spine and peripheral nerve diseases addressing residual symptoms after surgery. METHODS: We enrolled 74 patients (59 men and 15 women; mean age 62.9 years) who had undergone lumbar posterior decompression surgery. Mean follow-up after initial surgery was 26.2 months (range, 13-48 months). We subsequently diagnosed paralumbar spine diseases, including superior cluneal nerve entrapment neuropathy with (n = 3) or without gluteus medius muscle pain (n = 4) and gluteus medius muscle pain alone (n = 5), and peripheral nerve diseases, including peroneal nerve entrapment neuropathy (n = 4) and tarsal tunnel syndrome (n = 1), based on persistent or recurring clinical symptoms and nerve block effects...
April 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29327070/-open-repair-of-gluteus-medius-and-minimus-tendons-tears-with-double-row-technique-clinical-and-radiological-results
#12
J H Schröder, M Geßlein, M Schütz, C Perka, D Krüger
BACKGROUND: Operative refixation is a new therapeutic option in cases of failed conservative treatment for trochanteric pain syndrome (TPS) and lesions of the hip abductors in magnetic resonance imaging (MRI). OBJECTIVE: Evaluation of the clinical and radiological results after open gluteus medius and minimus tendon reconstruction with a double-row technique was carried out. MATERIAL AND METHODS: Patients with failed conservative treatment for TPS and confirmed lesions of the hip abductors in MRI were treated by open hip abductor tendon reconstruction with a double-row technique...
March 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29324458/ultrasound-imaging-and-guided-injection-for-the-lateral-and-posterior-hip
#13
Ke-Vin Chang, Wei-Ting Wu, Henry L Lew, Levent Özçakar
Ultrasound has emerged as one of the most utilized tools to diagnose musculoskeletal disorders and to assist in interventions. Traditionally, sonographic examination of the hip joint has been challenging because most of the major structures are deeply situated, thus requiring the use of curvilinear transducer for better penetrance. The posterior lateral hip is a frequent area for musculoskeletal pain and nerve entrapments. Common disorders include greater trochanteric pain syndrome, gluteus medius tendinopathy, piriformis syndrome, pudendal neuralgia, and proximal hamstring tendinopathy...
April 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29287951/the-effect-of-platelet-rich-fibrin-matrix-at-the-time-of-gluteus-medius-repair-a-retrospective-comparative-study
#14
Bryan M Saltzman, Gift Ukwuani, Eric C Makhni, Jeffrey P Stephens, Shane J Nho
PURPOSE: To evaluate the effect of platelet-rich fibrin matrix (PRFM) on outcomes after surgical repair of gluteus medius tendons. METHODS: This is a retrospective review of prospectively collected data comparing patients who underwent gluteus medius repair with PRFM and patients without PRFM. Preoperative characteristics, intraoperative characteristics, and postoperative outcomes at a minimum of 1 year were recorded. Statistical analysis was performed using a multivariate analysis of variance to test for differences in continuous demographic variables and postoperative-only scores between patient groups, χ2 tests were performed for categorical variables, and a repeated-measures analysis of variance was performed to test for the effects of PRFM...
March 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29273226/do-ultrasound-guided-trochanteric-bursa-injections-of-corticosteroid-for-greater-trochanteric-pain-syndrome-provide-sustained-benefit-and-are-imaging-features-associated-with-treatment-response
#15
W S Bolton, D Kidanu, B Dube, A J Grainger, E Rowbotham, P Robinson
AIM: To assess intra-bursal corticosteroid injections (ICSI) efficacy and duration of action in the management of greater trochanteric pain syndrome (GTPS). The secondary aim was to identify patient and ultrasound (US) features predictive of treatment response. MATERIALS AND METHODS: Consecutive prospectively recruited patients undergoing US-guided ICSI therapy for GTPS received baseline pre-injection questionnaires assessing pain at rest and activity, demographics and comorbidities...
May 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29226162/relationship-between-age-at-onset-of-symptoms-and-intraoperative-findings-in-hip-arthroscopic-surgery
#16
Carlos Suarez-Ahedo, Chengcheng Gui, Stephanie M Rabe, John P Walsh, Sivashankar Chandrasekaran, Benjamin G Domb
Background: Hip arthroscopic surgery is intended to treat multiple abnormalities in an effort to delay the progression to osteoarthritis, especially in young patients. However, the length of time in which patients experience joint pain before seeking a specialist for a diagnosis can delay hip preservation surgery and influence clinical outcomes. Purpose: To investigate the relationship between age at symptom onset and findings during hip arthroscopic surgery as well as outcomes after 2 years of clinical follow-up...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29182042/greater-trochanteric-pain-syndrome-and-gluteus-medius-and-minimus-tendinosis-nonsurgical-treatment
#17
Ana Torres, Mariano Fernández-Fairen, José Sueiro-Fernández
Greater trochanteric pain syndrome (GTPS) affects 10-25% of people in developed countries. The underlying etiology for GTPS is most commonly the tendinosis or a tendon tear of the gluteus medius, minimus or both at the greater trochanter; the inflammation of the tendon is not a major feature. We critically evaluated conservative treatment, for which we reviewed 76 publications, grading them according to four levels of evidence. We identified a wide variety of conservative treatment options: home therapy (insoles, walking sticks/crutches, orthotic devices, stretching exercises and preventive measures); physiotherapy (massage and stretching exercises); infiltrations (corticosteroids and local anesthetics); image-guided infiltrations (fluoroscopy and ultrasound); shockwave therapy; platelet-rich plasma injection; and drug therapy...
January 2018: Pain Management
https://www.readbyqxmd.com/read/29181353/pyomyositis-of-gluteus-medius-a-case-report-and-review-of-the-literature
#18
Raviprasad Kattimani, Jamie McConnell, Jon Waite
Introduction: We present a case of 12 year old boy presented with right hip pain, fever and antalgic gait. Inflammatory markers were raised at presentation. The pelvic radiograph and ultra sound scan of right hip joint did not detect any abnormality. The Magnetic Resonance Imaging (MRI) scans revealed inflammatory oedema in the right gluteus medius muscle. He was treated with intravenous Flucloxacillin for 10 days and later 6 weeks of oral Flucloxacillin. At the 6 weeks follow up patient was asymptomatic with normal gait...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29096928/complications-of-trans-arterial-embolization-during-the-resuscitation-of-pelvic-fractures
#19
Boopalan Ramasamy, Dominic Thewlis, Mary J Moss, Francois Fraysse, Mark Rickman, Lucian Bogdan Solomon
INTRODUCTION: Trans arterial embolization (TAE) can stem uncontrolled bleeding associated with pelvic fractures, but is associated with potential complications. This study investigated and compared the early to midterm complications in two patient cohorts: one who did and one who did not undergo TAE. METHODOLOGY: The results of 14 patients who underwent TAE in the resuscitation phase, and then had their pelvic fractures managed non-operatively, the study group (Group 1), were compared with those of a control group (Group 2) of 14 patients matched for age, sex, injury and management, that did not undergo TAE...
December 2017: Injury
https://www.readbyqxmd.com/read/29037648/test-retest-reliability-of-myofascial-trigger-point-detection-in-hip-and-thigh-areas
#20
E Rozenfeld, A S Finestone, U Moran, E Damri, L Kalichman
BACKGROUND: Myofascial trigger points (MTrP's) are a primary source of pain in patients with musculoskeletal disorders. Nevertheless, they are frequently underdiagnosed. Reliable MTrP palpation is the necessary for their diagnosis and treatment. The few studies that have looked for intra-tester reliability of MTrPs detection in upper body, provide preliminary evidence that MTrP palpation is reliable. Reliability tests for MTrP palpation on the lower limb have not yet been performed. OBJECTIVE: To evaluate inter- and intra-tester reliability of MTrP recognition in hip and thigh muscles...
October 2017: Journal of Bodywork and Movement Therapies
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