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hip Labrum rehabilitation

Matt Barth, Gilbert M Willett, Kimberly Oliphant
A 21-year-old woman initiated physical therapy 4 days following hip arthroscopic labrum debridement and osteochondroplasty. During postoperative rehabilitation, the patient's status regressed. With persistent symptoms, at 10 weeks postsurgery a computed tomography scan revealed, as confirmed by radiographs, heterotopic ossification development. J Orthop Sports Phys Ther 2018;48(4):344. doi:10.2519/jospt.2018.7420.
April 2018: Journal of Orthopaedic and Sports Physical Therapy
Russell J Coppack, James L Bilzon, Andrew K Wills, Ian M McCurdie, Laura Partridge, Alastair M Nicol, Alexander N Bennett
BACKGROUND: Non-arthritic hip disorders are defined as abnormalities of the articulating surfaces of the acetabulum and femur before the onset of osteoarthritis, including intra-articular structures such as the acetabular labrum and chondral surfaces. Abnormal femoroacetabular morphology is commonly seen in young men who constitute much of the UK military population. Residential multidisciplinary team (MDT) rehabilitation for patients with musculoskeletal injuries has a long tradition in the UK military, however, there are no studies presenting empirical data on the efficacy of a residential MDT approach compared with individualised conventional outpatient treatment...
November 8, 2016: BMC Musculoskeletal Disorders
Kelly L Adler, P Christopher Cook, Paul R Geisler, Yi-Meng Yen, Brian D Giordano
CONTEXT: Successful treatment of nonarthritic hip pain in young athletic individuals remains a challenge. A growing fund of clinical knowledge has paralleled technical innovations that have enabled hip preservation surgeons to address a multitude of structural variations of the proximal femur and acetabulum and concomitant intra-articular joint pathology. Often, a combination of open and arthroscopic techniques are necessary to treat more complex pathomorphologies. Peri- and postoperative recovery after such procedures can pose a substantial challenge to the patient, and a dedicated, thoughtful approach may reduce setbacks, limit morbidity, and help optimize functional outcomes...
January 2016: Sports Health
S-Y Poh, R Hube, M Dienst
OBJECTIVE: Arthroscopic resection of the bony overhang of the acetabular rim with concurrent treatment of associated chondrolabral injury in order to improve femoroacetabular clearance, provide symptomatic relief and in theory, delay the onset or progression of osteoarthritis of the hip. INDICATIONS: Clinical and radiographic evidence of femoroacetabular pincer or combined impingement, with minimal to moderate degenerative change in the hip joint. CONTRAINDICATIONS: Advanced osteoarthritis of the hip joint...
December 2015: Operative Orthopädie und Traumatologie
M Kindler, B Halfmann, C Schoepp, D Rixen
Traumatic dislocation of the hip is a severe injury. Even in cases of an early uncomplicated repositioning there is a high risk of associated intra-articular injuries, such as lesions of the labrum, ruptures of the ligament of the head of the femur and loose bodies. The degree of damage caused by dislocation of the hip becomes apparent with a highly increased risk of developing postinjury osteoarthritis after dislocation of the hip. Some of the major intra-articular damage resulting from hip dislocation, e...
January 2016: Der Unfallchirurg
Fernando P Ferro, Marc J Philippon, Matthew T Rasmussen, Sean D Smith, Robert F LaPrade, Coen A Wijdicks
BACKGROUND: In cases where the acetabular labrum is severely damaged and irreparable, labral reconstructions are becoming an increasingly preferred means of preserving the fluid seal effect of the labrum. However, the graft that most closely replicates the biomechanical properties of the native labrum remains undetermined. PURPOSE: To characterize the tensile properties and geometry of the labrum, as well as iliotibial band, semitendinosus, gracilis, and anterior tibialis grafts...
May 2015: American Journal of Sports Medicine
Felix H Savoie, Michael J O'Brien
The disabled throwing shoulder is a multifactorial problem. Laxity of the glenohumeral joint is necessary to achieve a satisfactory velocity. Normal wear and tear with throwing may convert this normal amount of excessive translation into instability. Instability in the throwing athlete manifests itself in 2 forms: traumatic anterior instability that happens to occur in a throwing athlete and excessive anterior subluxation because of overuse that occurs in conjunction with the disabled throwing shoulder. In most cases, it is difficult to determine by physical examination or imaging how much laxity is too much; therefore, the managing physician should always err on the side of caution...
June 2014: Sports Medicine and Arthroscopy Review
Tomislav Smoljanović, Maja Prutki, Klemen Strazar, Stjepan Curić, Alan Mahnik, Ivan Bojanić
In the last ten years, hip arthroscopy has been developing intensively and it is rapidly gaining primacy in the treatment of various injuries and damages to the hip itself and its immediate vicinity. The basic advantage of hip arthroscopy surgery versus classic open surgery is avoiding an open dislocation of the hip and, thus, reducing patient's morbidity and accelerating his/her rehabilitation, which leads to a quicker return to everyday activities. The success of arthroscopic surgery depends on the correct indication for the surgery and on the experience and the skill of the operator...
September 2013: Lijec̆nic̆ki Vjesnik
Luke Spencer-Gardner, Joseph J Eischen, Bruce A Levy, Rafael J Sierra, William M Engasser, Aaron J Krych
PURPOSE: Recent advancements in the understanding of hip biomechanics have led to the development of techniques to remove bony impingement and repair and/or preserve the labrum during hip arthroscopy. Although much attention in the literature is devoted to diagnosis and treatment, there is little information about post-operative rehabilitation. Therefore, the purpose of this review is to (1) provide a five-phase rehabilitation protocol following arthroscopic treatment for FAI and (2) report clinical and functional outcomes of patients following this protocol at minimum 1-year follow-up, in order to provide the surgeon and therapist with a protocol that is supported by clinical data...
April 2014: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Ruth Kern-Scott, Judith R Peterson, Patrick Morgan
Over the past decade numerous articles have been published regarding the hip labrum. Injuries to the labrum are becoming better understood as biomechanical, kinematic, and diagnostic technologies improve. When the last article on acetabular labral tears appeared in the Journal of Dance Medicine and Science in 2006, this injury was widely handled surgically by debridement. Just 5 years later, we see a shift toward preservation and repair of the labrum and correction of morphology when possible. This change in philosophy has come about as new information on the function of the labrum and the stresses placed upon it at extremes of hip range of motion became available...
2011: Journal of Dance Medicine & Science
Noémie Bonneau, July Bouhallier, Michel Baylac, Christine Tardieu, Olivier Gagey
Understanding the three-dimensional orientation of the coxo-femoral joint remains a challenge as an accurate three-dimensional orientation ensure an efficient bipedal gait and posture. The quantification of the orientation of the acetabulum can be performed using the three-dimensional axis perpendicular to the plane that passes along the edge of the acetabular rim. However, the acetabular rim is not regular as an important indentation in the anterior rim was observed. An innovative cadaver study of the labrum was developed to shed light on the proper quantification of the three-dimensional orientation of the acetabulum...
May 2012: Journal of Anatomy
J Craig Garrison, Michael T Osler, Steven B Singleton
Over the past few years, arthroscopy of the hip joint is becoming more common as a technique in both the diagnosis and treatment of hip pain. A frequent cause of hip and groin pain is a tear of the acetabular labrum. Patients with labral tears complain of pain in the groin region and pain with clicking in the hip without a history of pain prior to the original onset. Once a patient presents with signs and symptoms of hip pain that are greater than four weeks in conjunction with indicative findings of a labral tear by way of MRI, he or she may be considered a good candidate for arthroscopy of the hip joint...
November 2007: North American Journal of Sports Physical Therapy: NAJSPT
Marcin Podwika, Marcin Łepski, Waldemar Woźniak
In the past, the procedure for rehabilitation after hip surgery, related to the long immobilization of the operated joint, was often delayed and limited in time. Today's surgical procedures and rehabilitation allows for a quicker return to full physical fitness. Postoperative physiotherapy is mainly focused on regaining full joint function (range of motion--ROM, strength, stability). The rehabilitation program must be a dynamic process, dosed up to the possibility of the patient, depending on the type of procedure performed...
July 2010: Chirurgia Narzadów Ruchu i Ortopedia Polska
M Wettstein, M Dienst
Femoroacetabular impingement (FAI) is likely one of the main causes for osteoarthritis in young adults. Surgical treatment has until now been performed via open dislocation of the hip joint. With respect to its invasive nature and long rehabilitation, arthroscopic techniques have become established in recent years. The following article presents the latest developments in hip arthroscopy for FAI with a detailed description of technical aspects, pitfalls, and limitations. Hip arthroscopy is performed in the standard fashion with and without traction for arthroscopy of the central and peripheral compartments...
January 2006: Der Orthopäde
D Binningsley
The case is reported of a professional footballer with a tear of the acetabular labrum. The clinical findings, treatment, and rehabilitation are described as well as a discussion of the difficulties of diagnosis.
February 2003: British Journal of Sports Medicine
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