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Internal impingement

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https://www.readbyqxmd.com/read/29189339/a-prospective-randomized-controlled-trial-comparing-conservative-treatment-with-trunk-stabilization-exercise-to-standard-hip-muscle-exercise-for-treating-femoroacetabular-impingement-a-pilot-study
#1
Michihisa Aoyama, Yasuo Ohnishi, Hajime Utsunomiya, Shiho Kanezaki, Hiroki Takeuchi, Makoto Watanuki, Dean K Matsuda, Soshi Uchida
OBJECTIVE: To assess the efficacy of conservative management of women with femoroacetabular impingement (FAI) using trunk stabilization. DESIGN: Randomized controlled trial (level of evidence: I). SUBJECTS: Twenty FAI female patients who met the inclusion FAI criteria. METHODS: A prospective, randomized, controlled study was performed on 20 female patients with symptomatic FAI comprising 2 groups (10 hips in trunk stabilization exercise group vs 10 hips in control group)...
November 16, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29182124/hip-preservation-surgery-for-adolescents-and-young-adults-with-post-perthes-sequelae
#2
M A Eid
BACKGROUND: Impingement ensures a narrow arc of pathologic loading in adolescent hips with sequelae of Perthes Disease. Proper surgical interference when the hip is still in the pre-arthritic stage restores function and protects the young hip from early degenerative changes. METHODS: Osteochondroplasty at the femoral head-neck junction and relative lengthening of the femoral neck by distal transfer of the greater trochanter was performed for 12 adolescents with combined intra-articular/extra-articular impingement due to sequelae of Perthes disease in terms of coxa magna, coxa plana, coxa brevis, with an overriding greater trochanter...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29179028/kinematic-analysis-of-scapular-movements-in-patients-with-facioscapulohumeral-muscular-dystrophy
#3
C Savcun Demirci, E Turgut, E Ayvat, Ö Onursal, F Ayvat, T I Yıldız, I Düzgün, M Kılınç, S Aksu Yıldırım
The purpose of this study is to evaluate scapular movements by the three-dimensional electromagnetic system during shoulder elevation in FSHMD patients, and to compare the results with healthy individuals. 10 patients with FSHMD and 10 healthy individuals were included in the study. Scapular anterior-posterior tilt, upward-downward rotation and internal-external rotation at 30°, 60° and 90° were evaluated using the three-dimensional electromagnetic system during the elevation of the upper limbs in the scapular plane...
November 14, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29174207/detection-of-the-tram-track-lesion-in-the-ankle-joint-comparing-3-0-tesla-magnetic-resonance-imaging-and-arthroscopy
#4
Dong Woo Shim, Sungjun Kim, Yeokgu Hwang, Yunjae Lee, Jin Woo Lee, Seung Hwan Han
PURPOSE: To show the effectiveness of magnetic resonance imaging (MRI) for the detection of tram track lesions in the ankle compared with ankle arthroscopy. METHODS: We retrospectively assessed all patients who underwent arthroscopic ankle surgery between January 2013 and July 2015. Patients with anterior impingement spurs were included, but those with an osteochondral lesion or arthritis were excluded. Anterior ankle bony spurs on preoperative weight-bearing radiographs were scored using an impingement classification system...
November 21, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29165015/lessons-learned-from-volar-plate-fixation-of-scaphoid-fracture-nonunions
#5
Seth D Dodds, John B Williams, Max Seiter, Clark Chen
Treating scaphoid nonunions presents difficulties particularly when there is bone loss, significant humpback deformity or avascular necrosis. We describe a new type of fixation with a volar scaphoid plate that adds to the methods of internal fixation that are available for the treatment of recalcitrant scaphoid nonunions. We will also discuss 'lessons learned' from a cases series. The case series includes 20 consecutive patients treated with volar buttress plating and a pedicled vascularized bone graft from the ipsilateral volar distal radius...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29162364/is-there-an-association-between-noncontact-anterior-cruciate-ligament-injuries-and-decreased-hip-internal-rotation-or-radiographic-femoroacetabular-impingement-a-systematic-review
#6
REVIEW
Nickolas Boutris, Rory A Byrne, Domenica A Delgado, Timothy E Hewett, Patrick C McCulloch, David M Lintner, Joshua D Harris
PURPOSE: To perform a systematic review to determine if there is (1) an association between decreased hip internal rotation and anterior cruciate ligament (ACL) tear rates; (2) an association between radiographic femoroacetabular impingement (FAI) and ACL tear rates; and (3) biomechanical evidence demonstrating increased strain in the ACL of patients with decreased hip internal rotation. METHODS: A systematic review was performed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
November 18, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29158960/a-combined-treatment-approach-emphasizing-impairment-based-manual-therapy-and-exercise-for-hip-related-compensatory-injury-in-elite-athletes-a-case-series
#7
Steve Short, Gretchen Short, Donald Strack, Philip Anloague, Brian Brewster
Background/Purpose: Athletes experiencing hip, groin, and low back pain often exhibit similar clinical characteristics. Individuals with hip, groin and low back pain may have the presence of multiple concurrent pathoanatomical diagnoses. Regardless, similar regional characteristics and dysfunction may contribute to the patient's chief complaint, potentially creating a sub-group of individuals that may be defined by lumbopelvic and hip mobility limitations, motor control impairments, and other shared clinical findings...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29134841/the-googled-and-googling-analyst
#8
Nathan Kravis
Kierkegaard's concept of leveling is applied to the dynamics of envy, particularly as they come into play among psychoanalysts doing clinical analytic work. This is illustrated in two clinical vignettes. The technocultural surround of the digital age impinges on analytic identity in ways that can evoke fantasied retreats into sameness and erasure of distinction. The "digital reality principle" is introduced as a way of conceptualizing an aspect of the hatred of thinking and certain envious responses to distinction...
October 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/29111849/does-taping-in-addition-to-physiotherapy-improve-the-outcomes-in-subacromial-impingement-syndrome-a-systematic-review
#9
Ismail Saracoglu, Yusuf Emuk, Ferruh Taspinar
BACKGROUND: Taping is used with or without other interventions for many purposes, especially to manage pain and improve functional activity in patients with shoulder pain. OBJECTIVES: The aim of this review was to determine whether any taping technique in addition to physiotherapy care is more effective than physiotherapy care alone in patients with shoulder impingement syndrome. METHODS: A systematic search of Cochrane Database of Systematic Review, MEDLINE (EBSCO), Physiotherapy Evidence Database (PEDro), CINAHL (EBSCO), PUBMED, AMED, EMBASE (OVID), The Kinesio Kinesio® Taping Method, Kinesio® Tex Tape UK and International websites ( www...
November 7, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29100001/effects-of-anterior-closing-wedge-tibial-osteotomy-on-anterior-cruciate-ligament-force-and-knee-kinematics
#10
Kent T Yamaguchi, Edward C Cheung, Keith L Markolf, Daniel V Boguszewski, Justin Mathew, David R McAllister, Frank A Petrigliano
BACKGROUND: A certain percentage of patients undergoing anterior cruciate ligament (ACL) reconstruction will experience graft failure, and there is mounting evidence that an increased posterior tibial slope (PTS) may be a predisposing factor. Theoretically, under tibiofemoral compression force (TFC), a reduced PTS would induce less anterior tibial translation (ATT) and lower ACL force. HYPOTHESIS: Ten-degree anterior closing wedge osteotomy of the proximal tibia will significantly reduce ACL force and alter knee kinematics during robotic testing...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29074345/effects-of-a-hip-brace-on-biomechanics-and-pain-in-people-with-femoroacetabular-impingement
#11
Nicolas R A Newcomb, Tim V Wrigley, Rana S Hinman, Jessica Kasza, Libby Spiers, John O'Donnell, Kim L Bennell
OBJECTIVES: This study evaluates whether hip bracing in patients with femoroacetabular impingement (FAI) (a) immediately reduces range of hip internal rotation, flexion, adduction, and pain during functional tasks; and (b) improves patient-reported outcomes when worn daily over 4 weeks. DESIGN: Within-participant design followed by a case series. METHODS: Twenty-five adults with symptomatic FAI underwent 3D kinematic assessment with and without a hip brace during single-leg squat, double-leg squat, stair ascent, and stair descent...
October 3, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29067535/prebending-of-osteosynthesis-plate-using-3d-printed-models-to-treat-symptomatic-os-acromiale-and-acromial-fracture
#12
Hanne Beliën, Hanne Biesmans, Anny Steenwerckx, Eric Bijnens, Carl Dierickx
BACKGROUND: A symptomatic os acromiale can lead to impingement syndrome and rotator cuff tendinopathy. An acromion fracture is often part of a more complex scapular trauma that needs stabilisation. METHODS: We developed a new technique using a three-dimensional (3D) model and a distal clavicle reconstruction plate to treat os acromiale and acromion fractures. Our hypothesis was that such an approach would be a useful addition to the existing techniques. First, a 3D model of the acromion was printed, then an osteosynthesis plate was pre-bent to fit the exact shape and curve of the acromion...
October 24, 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29037180/comparison-of-improved-range-of-motion-between-cam-type-femoroacetabular-impingement-and-borderline-developmental-dysplasia-of-the-hip-evaluation-by-virtual-osteochondroplasty-using-computer-simulation
#13
So Kubota, Yutaka Inaba, Naomi Kobayashi, Hyonmin Choe, Taro Tezuka, Tomoyuki Saito
BACKGROUND: While cam resection is essential to achieve a good clinical result with respect to femoroacetabular impingement (FAI), it is unclear whether it should also be performed in cases of borderline developmental dysplasia of the hip (DDH) with a cam deformity. The aim of this study was to evaluate improvements in range of motion (ROM) in cases of cam-type FAI and borderline DDH after virtual osteochondroplasty using a computer impingement simulation. METHODS: Thirty-eight symptomatic hips in 31 patients (11male and 20 female) diagnosed with cam-type FAI or borderline DDH were analyzed...
October 16, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29021102/predictors-of-the-clinical-outcome-and-survival-without-degenerative-arthritis-after-surgical-treatment-of-femoroacetabular-impingement
#14
Nizamettin Kockara, Hakan Sofu, Ahmet Issin, Yalkın Çamurcu, Aysegul Bursali
BACKGROUND: The main purposes of the present study were to evaluate the functional improvement, to identify the predictors of the clinical outcome after open surgical management of femoroacetabular impingement (FAI) in mid-term, and to determine 5-year survival rate. METHODS: In this retrospective study, the clinical data of 33 patients (34 hips) were evaluated. Sex, age, body mass index (BMI), type of FAI, duration of symptoms up to surgical treatment, internal rotation of the affected hip, improvement of the Harris hip score (HHS) in the first 2 years, joint space narrowing evaluated radiographically and classified according to Kellgren-Lawrence classification, and any labral tear were the independent variables...
October 8, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28990125/differences-in-range-of-motion-with-the-same-combined-anteversion-after-total-hip-arthroplasty
#15
Takaaki Ohmori, Tamon Kabata, Yoshitomo Kajino, Tadashi Taga, Kazuhiro Hasegawa, Daisuke Inoue, Takashi Yamamoto, Tomoharu Takagi, Junya Yoshitani, Takuro Ueno, Hiroyuki Tsuchiya
PURPOSE: We investigated the various impingement angles (including both bony and prosthetic impingement) and impingement types that can occur after THA, even when the same combined anteversion parameter is used. We also investigated the relationship between impingement angle and acetabular morphology or femoral anteversion. METHODS: We evaluated 83 patients with no hip arthritis. We divided them into six groups according to acetabular CE angle (≤15°, >15-≤25°, and >25°) and femoral anteversion (≤20° and >20°)...
October 9, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28987866/kinematic-patterns-in-normal-and-degenerative-shoulders-part-ii-review-of-3-d-scapular-kinematic-patterns-in-patients-with-shoulder-pain-and-clinical-implications
#16
REVIEW
Marie-Martine Lefèvre-Colau, Christelle Nguyen, Clemence Palazzo, Frederic Srour, Guillaume Paris, Valerie Vuillemin, Serge Poiraudeau, Agnes Roby-Brami, Alexandra Roren
BACKGROUND: The global range of motion of the arm is the result of a coordinated motion of the shoulder complex including glenohumeral (GH), scapulothoracic, sternoclavicular and acromioclavicular joints. METHODS: This study is a non-systematic review of kinematic patterns in degenerated shoulders. It is a based on our own research on the kinematics of the shoulder complex and clinical experience. RESULTS: For patients with subacromial impingement syndrome without rotator-cuff tears, most kinematic studies showed a small superior humeral translation relative to the glenoid and decreased scapular lateral rotation and posterior tilt...
October 5, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28986631/comparative-reliability-and-diagnostic-performance-of-conventional-3t-magnetic-resonance-imaging-and-1-5t-magnetic-resonance-arthrography-for-the-evaluation-of-internal-derangement-of-the-hip
#17
A Chopra, A J Grainger, B Dube, R Evans, R Hodgson, J Conroy, D Macdonald, Philip Robinson
OBJECTIVE: To compare the diagnostic accuracy of conventional 3T MRI against 1.5T MR arthrography (MRA) in patients with clinical femoroacetabular impingement (FAI). METHODS: Sixty-eight consecutive patients with clinical FAI underwent both 1.5T MRA and 3T MRI. Imaging was prospectively analysed by two musculoskeletal radiologists, blinded to patient outcomes and scored for internal derangement including labral and cartilage abnormality. Interobserver variation was assessed by kappa analysis...
October 6, 2017: European Radiology
https://www.readbyqxmd.com/read/28971082/open-versus-arthroscopic-approach-in-the-treatment-of-femoroacetabular-impingement-a-case-control-study-with-two-years-follow-up
#18
Bruno Dutra Roos, Milton Valdomiro Roos, Antero Camisa Júnior, Ezequiel Moreno Ungaretti Lima, Maurício Domingos Betto
OBJECTIVE: To compare clinical and imaging results and complications between patients treated for femoroacetabular impingement (FAI) who underwent either anterior open surgery or an arthroscopic approach, with a minimum follow-up of two years. METHODS: This retrospective case-control study included patients submitted to FAI surgical treatment between November 2007 and March 2012. Patients treated with open surgery were compared with those treated with arthroscopy...
2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28969949/variability-and-comprehensiveness-of-north-american-online-available-physical-therapy-protocols-following-hip-arthroscopy-for-femoroacetabular-impingement-and-labral-repair
#19
Gregory L Cvetanovich, Vincent Lizzio, Fabien Meta, Derek Chan, Ira Zaltz, Shane J Nho, Eric C Makhni
PURPOSE: To assess comprehensiveness and variability of postoperative physical therapy protocols published online following hip arthroscopy for femoroacetabular impingement (FAI) and/or labral repair. METHODS: Surgeons were identified by the International Society for Hip Arthroscopy "Find a Surgeon" feature in North America (http://www.isha.net/members/, search August 10, 2016). Exclusion criteria included nonsurgeons and protocols for conditions other than hip arthroscopy for FAI and/or labral tear...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28969815/the-influence-of-squat-kinematics-and-cam-morphology-on-acetabular-stress
#20
Jennifer J Bagwell, Christopher M Powers
PURPOSE: To evaluate the effect of varying degrees of simulated cam morphology on acetabular stress magnitude and location using a finite element model with 1 subject that incorporates population-specific hip/pelvis kinematics during a squat task. METHODS: A reference model of the hip joint was created from magnetic resonance images obtained from 1 asymptomatic 28-year-old man without femoroacetabular impingement (FAI) morphology or hip dysplasia (alpha angle 41...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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