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https://www.readbyqxmd.com/read/30318020/-just-another-piece-of-paperwork-perceptions-of-clinicians-on-delirium-screening-following-hip-fracture-repair-elicited-in-focus-groups
#1
Tarandeep Oberai, Maggie Killington, Kate Laver, Maria Crotty, Ruurd Jaarsma
ABSTRACTBackground:Delirium is a complex clinical syndrome characterized by disturbed consciousness, cognitive function, or perception and associated with serious adverse outcomes such as death, dementia, and the need for long-term care. However, recognition and management of delirium is poorly prioritized even though it is the most frequent complication among patients undergoing surgery following hip fracture. The aim of this study was to understand clinicians' from orthopedic speciality perceptions in relation to recognition, diagnosis, and management of delirium...
October 15, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/30316737/comparison-of-the-effect-of-intermittent-and-continuous-aerobic-physical-training-on-sexual-function-of-women-with-polycystic-ovary-syndrome-randomized-controlled-trial
#2
Iris Palma Lopes, Victor Barbosa Ribeiro, Rosana Maria Reis, Rafael Costa Silva, Hugo Celso Dutra de Souza, Gislaine Satyko Kogure, Rui Alberto Ferriani, Lúcia Alves da Silva Lara
BACKGROUND: Polycystic ovary syndrome (PCOS) is a common condition characterized by hyperandrogenism, anthropometric changes (increased weight and waist-to-hip ratio [WHR]), behavioral changes (sexual dysfunction, anxiety, and depression), and reduced quality of life. Physical exercise may reduce many of the adverse effects of PCOS. However, no studies have yet evaluated the effects of aerobic exercise on the sexual function of women with PCOS. AIM: To compare the effects of continuous and intermittent aerobic physical training on the sexual function and mood of women with PCOS...
October 10, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/30313059/core-decompression-lesion-clearance-and-bone-graft-in-combination-with-tongluo-shenggu-decoction-for-the-treatment-of-osteonecrosis-of-the-femoral-head-a-retrospective-cohort-study
#3
Yang-Quan Hao, Hao Guo, Tian Zhu, Zhao-Chen Xu, Han-Deng Qi, Chao Lu, Pu-Wei Yuan
The aim of this study was to evaluate the clinical effect of core decompression (CD), lesion clearance, and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head (ONFH).A total of 75 patients (92 hips), with ONFH at Association Research Circulation Osseous (ARCO) stages II to IIIA, were studied and divided into treatment group and control group. In control group, patients were treated with the CD in combination with autologous or artificial ceramic bone graft...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30312249/early-versus-late-hip-spica-casting-for-paediatric-femoral-shaft-fractures
#4
Manaf H Younis, Karim Mahmoud, Alaa Kawas, Talal Ibrahim
The purpose of our study was to evaluate the effectiveness of treating paediatric femoral shaft fractures by early (<48 h) versus late (>48 h) hip spica casting. A retrospective review of 44 patients with 44 femoral shaft fractures treated by either early or late hip spica application with at least 9-month follow-up was undertaken. Both groups were treated on an inpatient basis. The late hip spica group had skin traction applied before the application of a hip spica. The outcome measures involved both clinical [Pediatric Outcomes Questionnaire (POQ) and Activities Scale for Kids] and radiological outcomes...
October 11, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/30310334/bilateral-femoroacetabular-impingement-syndrome-managed-with-different-approaches-a-case-report
#5
Axel Öhlin, Olufemi R Ayeni, Leif Swärd, Jón Karlsson, Mikael Sansone
Purpose: The purpose of this case report is to present the successful management of symptomatic bilateral femoroacetabular impingement (FAI) syndrome in a patient who underwent surgical treatment on one side and non-surgical treatment on the other side. Methods: We evaluated the treatment outcome of a young female presenting with bilateral FAI syndrome of cam morphology. A follow-up was performed at 5 years following surgical treatment on the right hip and 2 years following non-surgical treatment on the left hip...
2018: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/30308553/agreement-of-radiographic-measurements-and-patient-reported-outcome-in-61-patients-with-legg-calv%C3%A3-perthes-disease-at-mean-follow-up-of-28-years
#6
Yasmin D Hailer, Eva Penno
It is unclear how patient-reported outcome in patients with Legg-Calvé-Perthes disease (LCPD) is correlated with radiographic outcome. It was therefore the aim of our long-term follow-up to evaluate the agreement of patient-reported outcome measures (PROM) with radiographic outcome in patients with a history of unilateral LCPD and a femoral head involvement of more than 50%. We further investigated to what extent the functional outcome (range of motion and Trendelenburg sign) correlates with PROM and radiographic outcome...
October 10, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/30307775/manual-therapy-and-early-return-to-sport-in-football-players-with-adductor-related-groin-pain-a-prospective-case-series
#7
Igor Tak, Rob Langhout, Bas Bertrand, Maarten Barendrecht, Janine Stubbe, Gino Kerkhoffs, Adam Weir
OBJECTIVES: To study the clinical course including return to sport success rates of football players with adductor-related groin pain (ARGP) after manual therapy of the adductor muscles. DESIGN: Prospective case series. METHODS: Thirty-four football players with ARGP with median pre-injury Tegner scores of 9 (IQR 25-75: 9-9) were treated with manual therapy of the adductor muscles. Main outcome measures were numeric pain rating scale (NPRS), Hip and Groin Outcome Score (HAGOS) and global perceived effect (GPE) for treatment and patient satisfaction at 2, 6 and 12 weeks...
October 11, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/30306928/a-concept-for-improving-cross-sector-care-by-a-mobile-patient-navigator-app
#8
Kerstin Denecke, Philip Kyburz, Sascha Gfeller, Yihan Deng, Thomas Bürkle
Hip and knee joint prosthetic implants are common surgical interventions in Switzerland, as well as in other countries. Different care providers are involved in the care process which constitutes a potential risk of inefficiency and communication deficits. A patient can get lost on his cross-sectoral clinical pathway, miss appointments or underestimate the relevance of certain control visits or examinations. To address this, we introduce a concept for a mobile application that guides patients along the cross-sectoral clinical pathway...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/30306489/clinical-application-of-navigation-in-the-surgical-treatment-of-a-pelvic-ring-injury-and-acetabular-fracture
#9
Masaki Takao, Hidetoshi Hamada, Takashi Sakai, Nobuhiko Sugano
The purpose of this chapter is to review current evidence on indications, techniques, and outcomes of computer-navigated surgical treatment of pelvic ring injuries and acetabular fractures, particularly computer-navigated screw fixation.Iliosacral screw fixation of pelvic ring injury using navigation is attracting attention because the biomechanical stabilization of posterior pelvic ring disruption is of primary importance and is widely indicated because it does not require complete reduction of the fracture site...
2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/30305935/total-hip-arthroplasty-outcomes-in-morbidly-obese-patients-a-systematic-review
#10
Matthew Barrett, Anoop Prasad, Louis Boyce, Sebastian Dawson-Bowling, Pramod Achan, Steven Millington, Sammy A Hanna
The increasing prevalence of obesity has resulted in a marked increase in the number of total hip arthroplasties (THAs) carried out in patients with a high body mass index (BMI).THA in morbidly obese patients is often technically challenging owing to the associated co-morbidities and anatomical factors. Furthermore, the long-term clinical and functional outcomes of the procedure in these patients are not clear.The aim of this systematic review was to compare the long-term failure rate and functional outcomes of THA in morbidly obese versus non-obese patients...
September 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30303849/competitive-running-after-total-hip-arthroplasty-the-world-s-fastest-total-hip-a-case-report
#11
David D Christensen, Nathaniel J Nelms
CASE: We report the case of a young man who underwent total hip arthroplasty (THA) for osteonecrosis at the age of 20 years, and subsequently competed in collegiate long-distance running. The pinnacle of his career was setting the school record time of 3:47.64 (min:sec) in the 1,500-m "metric mile" run (equivalent to 4:05.09 for the "English" mile). This is the fastest known time for any patient who has undergone THA. Excellent clinical and radiographic outcomes had been maintained at 6 years postoperatively...
October 10, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/30303844/quality-measures-in-total-hip-and-total-knee-arthroplasty
#12
Derek F Amanatullah, Thomas McQuillan, Robin N Kamal
INTRODUCTION: Total joint arthroplasty represents the largest expense for a single condition among Medicare beneficiaries. Payment models exist, such as bundled payments, where physicians and hospitals are reimbursed based on providing cost-efficient, high-quality care. There is a need to explicitly define "quality" relevant to hip and knee arthroplasty. Based on prior quality measure research, we hypothesized that less than 20% of developed quality measures are outcome measures...
October 9, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30302249/quality-assessment-of-controlled-clinical-trials-published-in-orthopaedics-and-traumatology-journals-in-spanish-an-observational-study-through-handsearching-and-evidence-mapping
#13
REVIEW
Ingrid Arevalo-Rodriguez, Edgar Muñoz, Diana Buitrago-Garcia, Solange Nuñez-González, Nadia Montero-Oleas, Vanessa Garzón, Hector Pardo-Hernandez, Xavier Bonfill
Few Orthopaedics and Traumatology journals from Latin America and Spain are indexed in major databases; controlled clinical trials published in these journals cannot be exhaustively retrieved using electronic literature searches. We aimed to identify, describe and assess the quality of controlled clinical trials published in Orthopaedics and Traumatology journals from Latin America and Spain through handsearching and evidence mapping methods. We identified controlled clinical trials published in eligible Orthopaedics/Traumatology journals in Spanish until July 2017 by handsearching...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/30301734/oestrogen-replacement-improves-bone-mineral-density-in-oligo-amenorrhoeic-athletes-a-randomised-clinical-trial
#14
Kathryn E Ackerman, Vibha Singhal, Charumathi Baskaran, Meghan Slattery, Karen Joanie Campoverde Reyes, Alexander Toth, Kamryn T Eddy, Mary L Bouxsein, Hang Lee, Anne Klibanski, Madhusmita Misra
OBJECTIVE: Normal-weight oligo-amenorrhoeic athletes (OAA) are at risk for low bone mineral density (BMD). Data are lacking regarding the impact of oestrogen administration on bone outcomes in OAA. Our objective was to determine the effects of transdermal versus oral oestrogen administration on bone in OAA engaged in weight-bearing activity. METHODS: 121 patients with OAA aged 14-25 years were randomised to receive: (1) a 17β-estradiol transdermal patch continuously with cyclic oral micronised progesterone (PATCH), (2) a combined ethinyl estradiol and desogestrel pill (PILL) or (3) no oestrogen/progesterone (NONE)...
October 9, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/30301632/identification-of-a-patient-acceptable-symptomatic-state-score-for-the-international-hip-outcome-tool-in-people-undergoing-hip-arthroscopy
#15
Samuel Maxwell, Nicholas Pergaminelis, Jesse Renouf, Oren Tirosh, Phong Tran
PURPOSE: To determine a Patient Acceptable Symptomatic State (PASS) score for the 33-item International Hip Outcome Tool (iHOT-33) in people undergoing hip arthroscopy for primary diagnoses of femoroacetabular impingement syndrome, acetabular labral tears, and/or ligamentum teres pathology. METHODS: Consecutive participants underwent hip arthroscopy by a single surgeon between August 2011 and May 2016. Participants were included if they were between ages 18 and 60 years and underwent hip arthroscopy for femoroacetabular impingement syndrome, acetabular labral tears, or ligamentum teres pathology...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30301626/hip-arthroscopy-in-patients-ages-50-years-or-older-minimum-5-year-outcomes-survivorship-and-risk-factors-for-conversion-to-total-hip-replacement
#16
Itay Perets, Edwin O Chaharbakhshi, Brian Mu, Lyall Ashberg, Muriel R Battaglia, Leslie C Yuen, Benjamin G Domb
PURPOSE: To report minimum 5-year outcomes and risk factors for conversion to total hip arthroplasty (THA) in patients ≥50 years old undergoing hip arthroscopy to treat labral tears and femoroacetabular impingement (FAI). METHODS: Data were prospectively collected on patients who underwent hip arthroscopy to treat labral tears and FAI between February 2008 and January 2012. The inclusion criteria were ≥50 years old at surgery, arthroscopic treatment for both labral tears and FAI, and preoperative patient-reported outcome (PRO) scores for modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and Visual Analog Scale (VAS)...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30300276/hip-status-and-long-term-functional-outcomes-in-spina-bifida
#17
Rachel M Thompson, Joanna Foley, Luciano Dias, Vineeta T Swaroop
BACKGROUND: Nearly 50% of individuals with myelomeningocele will develop a dislocated hip by skeletal maturity. The purpose of this study was to determine the influence of hip status on functional outcomes in a cohort of adult patients with myelomeningocele. METHODS: Patients with a diagnosis of myelomeningocele >18 years were prospectively enrolled over a 12-month period. Neurological level of involvement was obtained from chart review and interview. Clinical examination included hip range of motion and leg-length discrepancy...
October 8, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/30300218/management-of-developmental-dysplasia-of-the-hip-in-infants-up-to-six-months-of-age-intended-for-use-by-orthopaedic-specialists
#18
Julie Samora, Robert H Quinn, Jayson Murray, Ryan Pezold, Quinn Hall
The American Academy of Orthopaedic Surgeons has developed the Appropriate Use Criteria (AUC) for the Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by Orthopaedic Specialists. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by Orthopaedic Specialists AUC clinical patient scenarios were derived from indications typical of patients presenting with developmental dysplasia of the hip in clinical practice...
October 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30300217/management-of-developmental-dysplasia-of-the-hip-in-infants-up-to-six-months-of-age-intended-for-use-by-general-pediatricians-and-referring-physicians
#19
Samora Julie, Robert H Quinn, Jayson Murray, Ryan Pezold, Quinn Hall
The American Academy of Orthopaedic Surgeons has developed the Appropriate Use Criteria (AUC) for the Management of Developmental Dysplasia of the Hip in Infants up to Six Months of Age: Intended for Use by General Pediatricians and Referring Physicians. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions...
October 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30299244/short-term-clinical-worsening-is-a-clear-predictor-for-worsening-at-2-years-in-established-knee-and-hip-osteoarthritis
#20
Elien A M Mahler, Alfons A den Broeder, Nathan den Broeder, Johannes W J Bijlsma, Gijs F Snijders, Frank H J van den Hoogen, Cornelia H M van den Ende
OBJECTIVES: Our aim was to estimate the proportion of knee and hip OA patients showing worsening at 2 years, and to examine the additional predictive value of failure of optimised non-surgical treatment during 3 months for worsening at 2 years. METHODS: Data of patients participating in the longitudinal CONTROL-PRO study (patients fulfilling clinical ACR criteria for knee or hip OA) were used. Measurements of pain, functioning and patient global assessments were performed at baseline, 3 months and 2 years...
September 17, 2018: Clinical and Experimental Rheumatology
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