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https://www.readbyqxmd.com/read/28630834/van-neck-odelberg-disease-a-rare-case-report
#1
Amit Prakash Chaudhari, Gautam Shah, Sameer Sanjeev Patil, Aashish Babanrao Ghodke, Sagar B Kelkar
INTRODUCTION: Pain in groin without any history of trauma or positive clinical findings of infection or stress fracture in ischiopubic ramus poses challenges in diagnosis of the condition in prepubertal age. "Osteochondrosis of ischiopubic synchondrosis (IPS)" also called as "Van Neck-Odelberg" disease. Left leg dominant patient presented with pain in groin and limping with left leg dominance. Differential diagnosis - such as stress fractures, osteomyelitis, tuberculosis, post-traumatic osteolysis, or any neoplasia - is need be ruled out to arrive at diagnosis...
January 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28630833/anti-inflammatory-prophylaxis-prevents-heterotopic-ossification-in-contralateral-side-hip-arthroscopy-a-case-report
#2
Yaniv Warschawski, Zachary T Sharfman, Eyal Amar, Ehud Rath
INTRODUCTION: Heterotopic ossification (HO) after hip surgery is the formation of bone in non-skeletal tissue, usually between the muscle and the joint capsule. HO after hip surgery may be associated with clinical sequelae such as pain, impingement and decreased range of motion, compromising surgical outcomes. CASE REPORT: A 20-year-old basketball player presented with a 2-year duration of the left groin pain after a basketball-related injury. Due to continued disability and failure of conservative management the patient underwent hip arthroscopy...
January 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28630727/medial-synovial-fold-cyst-in-the-hip-leading-to-pectineofoveal-impingement
#3
Naoki Nakano, Vikas Khanduja
Pectineofoveal impingement is a relatively rare condition, which can cause hip or groin pain along with mechanical symptoms of clicking in the young adult. We present the case of a 13-year-old girl who was referred to us with left hip pain, which had been affecting her for over six months along with mechanical symptoms of clicking. Following appropriate clinical examination and investigations the patient underwent arthroscopic surgery of her hip. At arthroscopy, a cyst was identified on the medial synovial fold, which was abutting against the zona orbicularis leading to pectineofoveal impingement...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28612704/cartilage-status-in-fai-patients-results-from-the-danish-hip-arthroscopy-registry-dhar
#4
Bent Lund, Torsten Grønbech Nielsen, Martin Lind
INTRODUCTION: The femoroacetabular impingement (FAI) morphology is associated with specific cartilage lesions, which are suspected to be early stages of the osteoarthritic development, which can be the end result of FAI. The cartilage status of FAI afflicted hip joints at the time of arthroscopic management is not fully elucidated. This study from the Danish Hip Arthroscopy Registry (DHAR) will try to show data on the cartilage status from a large cohort. Data from a national registry potentially represent large amounts of population-based epidemiological information from multiple centres and surgeons...
2017: SICOT-J
https://www.readbyqxmd.com/read/28612114/chronic-pain-and-quality-of-life-after-inguinal-hernia-repair-using-the-comi-hernia-score
#5
Ralph Fabian Staerkle, Raphael Nicolas Vuille-Dit-Bille, Lukas Fink, Christopher Soll, Peter Villiger
PURPOSE: The Core Outcome Measure Index (COMI) is a brief and multidimensional, patient-orientated outcome questionnaire that assesses chronic pain and quality of life after groin hernia repair. The primary aim of this study was to prospectively assess the COMI-hernia score, over an extended period of time in a single large cohort of patients. METHODS: Two hundred and twenty-eight male patients with inguinal hernia repair were included in the present study. Patients were recruited prospectively with an average follow-up of 3 years...
June 13, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28609118/sports-related-groin-pain-secondary-to-symphysis-pubis-disorders-correlation-between-mri-findings-and-outcome-after-fluoroscopy-guided-injection-of-steroid-and-local-anesthetic
#6
Caoimhe A Byrne, Dermot J Bowden, Abdullah Alkhayat, Eoin C Kavanagh, Stephen J Eustace
OBJECTIVE: The objective of our study was to correlate patterns of injury on preprocedural MRI with outcome after targeted fluoroscopy-guided steroid and local anesthetic injection of the symphysis pubis and its muscular attachments in a group of athletes with chronic groin pain. MATERIALS AND METHODS: Forty-five patients with chronic sports-related groin pain underwent MRI of the pelvis and a targeted fluoroscopy-guided symphyseal corticosteroid and local anesthetic injection...
June 13, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28594776/surgical-pain-after-transobturator-and-retropubic-midurethral-sling-placement
#7
Tonya N Thomas, Lauren N Siff, J Eric Jelovsek, Matthew Barber
OBJECTIVE: To compare prevalence and severity of any surgical pain between transobturator and retropubic slings; secondary aims were to compare pain at anatomic locations, pain medication use, and pain resolution between transobturator and retropubic slings and to compare pain between types of transobturator slings. METHODS: This is a secondary analysis of the Trial of Mid-Urethral Slings, which compared retropubic and transobturator sling outcomes and included 597 participants from 2006 to 2008...
June 6, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28594747/groin-pain-characteristics-and-recurrence-rates-three-year-results-of-a-randomized-controlled-trial-comparing-self-gripping-progrip-mesh-and-sutured-polypropylene-mesh-for-open-inguinal-hernia-repair
#8
Willem A R Zwaans, Tim Verhagen, Luuk Wouters, Maarten J A Loos, Rudi M H Roumen, Marc R M Scheltinga
OBJECTIVE: The aim of this study was to investigate long-term groin pain and inguinal hernia recurrence rates of 2 types of mesh and to describe the evolution of postoperative groin sensory disturbances. SUMMARY OF BACKGROUND DATA: Some patients with an inguinal hernia develop chronic pain following open mesh insertion. Previous trials comparing a semi-resorbable, self-gripping Progrip mesh with a standard sutured polypropylene mesh found conflicting results regarding recurrence rates and residual groin pain...
June 7, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28594509/differentiating-hip-pathology-from-lumbar-spine-pathology-key-points-of-evaluation-and-management
#9
Aaron J Buckland, Ryan Miyamoto, Rakesh D Patel, James Slover, Afshin E Razi
The diagnosis and treatment of patients who have both hip and lumbar spine pathologies may be a challenge because overlapping symptoms may delay a correct diagnosis and appropriate treatment. Common complaints of patients who have both hip and lumbar spine pathologies include low back pain with associated buttock, groin, thigh, and, possibly, knee pain. A thorough patient history should be obtained and a complete physical examination should be performed to identify the primary source of pain. Plain and advanced imaging studies and diagnostic injections can be used to further delineate the primary pathology and guide the appropriate sequence of treatment...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28593417/laparoscopic-approach-for-the-treatment-of-chronic-groin-pain-after-inguinal-hernia-repair-laparoscopic-approach-for-inguinodynia
#10
Bruce Ramshaw, Vincent Vetrano, Mayuri Jagadish, Brandie Forman, Eric Heidel, Matthew Mancini
BACKGROUND: Traditional methods of clinical research may not be adequate to improve the value of care for patients with complex medical problems such as chronic pain after inguinal hernia repair. This problem is very complex with many potential factors contributing to the development of this complication. METHODS: We have implemented a clinical quality improvement (CQI) effort in an attempt to better measure and improve outcomes for patients suffering with chronic groin pain (inguinodynia) after inguinal hernia repair...
June 7, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28553916/-pudendal-neuralgia-diagnosed-by-electrophysiological-examination
#11
Hatice Isik, Anders Fuglsang-Frederiksen, Kirsten Pugdahl, Hatice Tankisi
A 62-year-old man with suspected pudendal neuralgia was admitted to a department of clinical neurophysiology for examination. The patient had experienced increasingly altered sensations in the groin, particularly in form of pain in a sitting position. The neurophysiological studies substantiated the suspicion. Pudendal neuralgia is a painful neuropathic condition. The most frequent cause is entrapment of the pudendal nerve in the pelvis. The diagnosis is made clinically by using Nantes criteria, and neurophysiological studies of the perineum are important supplements when pudendal nerve entrapment is suspected...
May 22, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28549243/australian-football-players-experiencing-groin-pain-exhibit-reduced-subscale-scores-of-activities-of-daily-living-and-sport-and-recreation-on-the-hagos-questionnaire-a-case-control-study
#12
Michael K Drew, Gregory Lovell, Thorvaldur S Palsson, Pauline E Chiarelli, Peter G Osmotherly
OBJECTIVES: To report normative responses to the HAGOS questionnaire for Australian football players and to determine whether any of the HAGOS questionnaire sub scales can differentiate players with and without groin pain. DESIGN: Case-control. SETTING: Clinical setting. PARTICIPANTS: Professional (n = 66) and semi-professional (n = 9) Australian football (AF) players with current groin pain (n = 16) and controls (n = 57) without current groin pain...
April 20, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28538750/major-gaps-in-understanding-and-treatment-of-hidradenitis-suppurativa
#13
Lauren K Hoffman, Mondana H Ghias, Amit Garg, Iltefat H Hamzavi, Afsaneh Alavi, Michelle A Lowes
Hidradenitis suppurativa (HS) is a complex dermatological disease characterized by recurrent painful nodules and suppuration in areas such as the axilla and groin. The disease is poorly understood and treatment is not satisfactory. In October 2016, the Canadian and United States Hidradenitis Suppurativa Foundations organized the inaugural Symposium on Hidradenitis Suppurativa Advances (SHSA) in Toronto, Canada. This meeting brought together experts from Canada, the United States, and Europe to discuss the latest advances in HS...
June 2017: Seminars in Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28538741/hidradenitis-suppurativa-introduction
#14
Haley B Naik
Hidradenitis suppurativa (HS) is a prevalent and devastating inflammatory skin disease predominating in women and minorities. HS is characterized by painful recurrent abscesses, foul-smelling purulent drainage, sinus tract and fistula formation, and disfiguring scarring involving intertriginous body sites including the axillae, breasts, groin, and buttocks. Disease onset typically occurs in the second to fourth decades of life and is associated with significant impacts on physical and psychological well-being due to pain, shame, and isolation, leading to profound suffering and despair...
June 2017: Seminars in Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28526226/experimental-pain-in-the-groin-may-refer-into-the-lower-abdomen-implications-to-clinical-assessments
#15
M K Drew, T S Palsson, R P Hirata, M Izumi, G Lovell, M Welvaert, P Chiarelli, P G Osmotherly, T Graven-Nielsen
OBJECTIVES: To investigate the effects of experimental adductor pain on the pain referral pattern, mechanical sensitivity and muscle activity during common clinical tests. DESIGN: Repeated-measures design. METHODS: In two separate sessions, 15 healthy males received a hypertonic (painful) and isotonic (control) saline injection to either the adductor longus (AL) tendon to produce experimental groin pain or into the rectus femoris (RF) tendon as a painful control...
April 21, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28516234/assessing-long-term-return-to-play-after-hip-arthroscopy-in-football-players-evaluating-risk-factors-for-good-prognosis
#16
D Barastegui, R Seijas, P Alvarez-Diaz, E Rivera, E Alentorn-Geli, G Steinbacher, X Cuscó, R Cugat
PURPOSE: Groin pain is the third most common disease in football players and has often been associated with hip pathology such as femoroacetabular impingement and labral lesions. Hip arthroscopy offers possibilities of function restoration via minimally invasive procedures. The aim of this study is to evaluate professional football player's injuries and their return to play after hip arthroscopy for FAI and labral injuries. METHODS: Patients that underwent hip arthroscopy between 2009 and 2014 were selected retrospectively...
May 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28512691/complete-circumferential-osseous-extension-in-the-acetabular-rim-occurs-regardless-of-acetabular-coverage
#17
Keisuke Watarai, Fumihiko Kimura, Yuho Kadono, Yoon Taek Kim, Mamoru Niitsu, Hiromi Oda, Hirohiko Azuma
BACKGROUND: Complete circumferential osseous extension in the acetabular rim has been reported to occur in the deep hip with pincer impingement. However, this phenomenon occasionally is observed in dysplastic hips without pincer impingement, and the degree to which this finding might or might not be associated with hip pain, and how often it occurs bilaterally among patients, are not well characterized. QUESTIONS/PURPOSES: (1) To determine the proportion of patients with complete circumferential osseous extension in the acetabular rim using three-dimensional (3-D) CT in patients with and without hip pain who had CT scans obtained for various reasons...
May 16, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28497284/exercise-interventions-for-the-prevention-and-treatment-of-groin-pain-and-injury-in-athletes-a-critical-and-systematic-review
#18
REVIEW
Paula C Charlton, Michael K Drew, Benjamin F Mentiplay, Alison Grimaldi, Ross A Clark
BACKGROUND: Groin injury is a common musculoskeletal complaint for athletes competing in a variety of sports. The extent to which exercise interventions incorporating external load are an appropriate option for the treatment and prevention of groin injury in athletes is not yet clear. OBJECTIVES: The aim of this review was to describe and evaluate exercise therapy interventions and outcomes for the treatment and prevention of groin injury with specific attention to application of external load...
May 12, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28487299/the-first-reported-case-of-atypical-femoral-fracture-caused-by-daily-ibandronate-prescribed-for-bone-metastases-in-breast-cancer
#19
Robert Espey, Stephanie Grimes, Gary Heyburn, William David Kealey
A 55-year-old woman with bony metastatic breast cancer was commenced on daily ibandronic acid to prevent skeletal related events (SREs). Four years later, she began to experience new lower limb and groin pain with investigations leading to the suspicion of further metastatic spread to her left femur. While awaiting radiotherapy for this, she unfortunately tripped and fell sustaining a fracture to the proximal third of her left femur. Radiographic findings of her femur from both before and after the fall were suggestive of an atypical femoral fracture, presumed secondary to her bisphosphonate therapy rather than metastatic spread...
May 9, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28476905/penoscrotal-haematoma-after-cardiac-catheterisation
#20
Vivek Kumar, Parita Soni, Sameer Chadha, Bilal Malik
Scrotal haematoma is an extremely rare complication after cardiac catheterisation (CC) with only few cases reported in literature. We report a 56-year-old patient who developed large scrotal haematoma after CC via transfemoral approach requiring blood transfusion due to haemodynamic instability. After an uneventful elective procedure, he was discharged with a collagen plug-based vascular closure device (Angio-Seal). He developed sudden onset, excruciating groin pain with scrotal swelling and shock. Bleeding was stopped with manual compression over the femoral artery and 2 units of packed red blood cells were transfused...
May 5, 2017: BMJ Case Reports
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