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Painful total hip

Karl Schwaiger, Paul Panzenbeck, Martin Purschke, Elisabeth Russe, René Kaplan, Klemens Heinrich, Patrick Mandal, Gottfried Wechselberger
Meralgia paresthetica (MP) is a rare lateral femoral cutaneous nerve-(LFCN)-mononeuropathy. Treatment for this disorder includes conservative and operative approaches; the latter is considered if conservative therapy fails. The most commonly used surgical approaches are decompression/neurolysis and avulsion/neurectomy. However, there are no definitive guidelines on the optimal surgical approach to be used. The purpose of this study was to evaluate the outcome of surgical decompression of the LFCN for the treatment of persistent MP with preservation of sensation along the distribution of the LFCN...
August 2018: Medicine (Baltimore)
Haiwei Shi, Long Xiao, Zhifang Wang
Curative effect of artificial femoral head replacement on hip joint function and complications of elderly patients with femoral intertrochanteric fracture were investigated. Eighty patients who were operated for femoral intertrochanteric fractures operation were randomly divided into observation group (n=40) and control group (n=40). The observation group was treated with artificial femoral head replacement, while the control group received internal proximal femur locking plate fixation. In the observation group, the operation time was shorter than that in the control group (P<0...
August 2018: Experimental and Therapeutic Medicine
Kevin L Garvin
No abstract text is available yet for this article.
August 15, 2018: Journal of Bone and Joint Surgery. American Volume
Robert L Buly, Branden R Sosa, Lazaros A Poultsides, Elaine Caldwell, S Robert Rozbruch
BACKGROUND: Version abnormalities of the femur can cause pain and hip joint damage due to impingement or instability. A retrospective clinical review was conducted on patients undergoing a subtrochanteric derotation osteotomy for either excessive anteversion or retroversion of the femur. METHODS: A total of 55 derotation osteotomies were performed in 43 patients: 36 females and 7 males. The average age was 29 years (range, 14 to 59 years). The osteotomies were performed closed with an intramedullary saw...
August 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
Robert A Burnett, Robert Westermann, Nicholas Bedard, Steve Liu, John J Callaghan
Background: A rare complication of hip arthroscopy is the development of a ganglion cyst. These cysts can affect structures surrounding the hip joint. In some cases, the femoral artery may be involved, leading to claudication or a pulsatile mass that can resemble an aneurysm. Case Description: We present the case of a 62 year-old male who complains of 3 months of right hip pain. Workup reveals a degenerative labrum with cam impingement. After a discussion of various treatment options, the patient elected for arthroscopy to correct the impingement...
2018: Iowa Orthopaedic Journal
Pardis Noormohammadpour, Alireza Borghei, Shadi Mirzaei, Mohammad Ali Mansournia, Mahboubeh Ghayour-Najafabadi, Mahla Kordi, Ramin Kordi
STUDY DESIGN: A prospective cross-sectional study OBJECTIVE.: To evaluate the prevalence and associated factors with low back pain (LBP) in female adolescents of high school age. SUMMARY OF BACKGROUND DATA: The prevalence of LBP in Tehran is high, and the majority of previous studies on LBP in adolescent and its risk factors have been performed in the developed countries. Therefore, identification of risk factors and planning appropriate protocols for prevention of LBP in adolescents may substantially decrease the prevalence of LBP and its burden developing countries in future...
August 7, 2018: Spine
Tetyana Kendzerska, Lauren K King, Lorraine Lipscombe, Ruth Croxford, Ian Stanaitis, Gillian A Hawker
AIMS/HYPOTHESIS: This study examined the relationship between hip/knee osteoarthritis and incident diabetes. We hypothesised that hip/knee osteoarthritis would be independently related to an increased risk of incident diabetes and that this relationship would be due, at least in part, to walking difficulty. We also hypothesised a stronger relationship with incident diabetes for knee than hip osteoarthritis because of the higher prevalence in the former of obesity/the metabolic syndrome...
August 8, 2018: Diabetologia
Elham Esfandiari, Amir Yavari, Amir Karimi, Mehdi Masoumi, Mohammadreza Soroush, Hassan Saeedi
OBJECTIVE: The aim of this study was to document long-term symptoms and functional results following war-related knee disarticulation, trans-femoral amputation, and hip disarticulation. METHODS: An observational cross-sectional study was conducted in a 7-day recreational camp in Iran. One thousand patients with unilateral hip disarticulation, trans-femoral amputation and knee disarticulation due to war-related injuries were invited to undergo a thorough physical examination...
August 3, 2018: Acta Orthopaedica et Traumatologica Turcica
Kyung-Soon Park, Chee-Ken Chan, Dong-Hyun Lee, Taek-Rim Yoon
Background: Conversion from failed bipolar hemiarthroplasty (HA) to total hip arthroplasty (THA) presents a great challenge to orthopedic surgeons for bipolar head removal and cup placement with or without change of femoral stem. Conversion THA after failed bipolar arthroplasty is known to offer both symptomatic and functional improvement. This study evaluates the midterm functional outcome and complications, especially dislocation associated with femoral head diameter, after conversion THA...
July 2018: Indian Journal of Orthopaedics
Ravi Dissanayake, Hao Nan Du, Iain K Robertson, Kathryn Ogden, Kaitlyn Wiltshire, Jonathan S Mulford
BACKGROUND: Reduction in postoperative pain, nausea, and vomiting in patients undergoing total joint arthroplasty may facilitate earlier discharge from hospital and reduce healthcare costs. This study was performed to primarily assess whether perioperative dexamethasone reduced hospital length of stay and to assess the effect on pain, nausea and vomiting, and patient satisfaction. METHODS: One hundred sixty-four patients undergoing total hip arthroplasty or total knee arthroplasty were randomized to receive either 8 mg intravenous dexamethasone (n = 86) or placebo (n = 78) at induction and at 24 hours postsurgery...
July 19, 2018: Journal of Arthroplasty
Slavko Rogan, Michaela Haehni, Eefje Luijckx, Jonas Dealer, Stefan Reuteler, Jan Taeymans
Rogan, S, Haehni, M, Luijckx, E, Dealer, J, Reuteler, S, and Taeymans, J. Effects of hip abductor muscles exercises on pain and function in patients with patellofemoral pain: A systematic review and meta-analysis. J Strength Cond Res XX(X): 000-000, 2018-This systematic review and meta-analysis considered the effects of hip strengthening (i.e., abductor and external rotator muscles) vs. no hip strengthening on pain and of hip strengthening combined with knee strengthening vs. knee strengthening (i.e., quadriceps muscles) alone on pain and functional status in patients with patellofemoral pain (PFP)...
August 2, 2018: Journal of Strength and Conditioning Research
David R Maldonado, Aaron J Krych, Bruce A Levy, David E Hartigan, Joseph R Laseter, Benjamin G Domb
BACKGROUND: Iliopsoas fractional lengthening (IFL) continues to be a controversial procedure in hip arthroscopy. HYPOTHESIS: Patients who underwent arthroscopic surgery for femoroacetabular impingement (FAI) and a labral tear either with or without IFL would experience favorable outcomes, and there would be no difference in postoperative patient-reported outcomes (PROs) between the 2 groups at minimum 2-year follow-up. STUDY DESIGN: Cohort study; Level of evidence, 3...
August 3, 2018: American Journal of Sports Medicine
Sebrina Hansen, Jens Aaboe, Inger Mechlenburg, Søren Overgaard, Lone Ramer Mikkelsen
BACKGROUND: The rehabilitation after a total hip replacement varies in degree of supervision; however, it remains unknown whether supervised programmes are more effective than non-supervised. OBJECTIVE: This study compared the effectiveness of supervised exercise compared to non-supervised home-based exercise after total hip replacement on patient-reported function, hip-pain, health-related quality of life and performance-based function. METHODS: A systematic review and meta-analysis of randomized controlled trials investigating the effect of supervised exercise compared to non-supervised home-based exercise...
August 3, 2018: Clinical Rehabilitation
Sharon E Hohler
Osteoarthritis is the most common cause for hip pain. Total hip arthroscopy (THA) can relieve pain and enhance mobility and quality of life for patients with arthritic hip pain. The focus of this article is THA in patients with osteoarthritis using Mr. H's case as an illustration. It reviews indications and contraindications for THA and other treatment options as well as nursing care for patients undergoing THA.
July 31, 2018: Nursing
Natheer H Al-Rawi, Hibba Yousef, Muna Khamis, Ouiza Belkadi, Shaikha Ahmed, Shaikha Ali
AIM: Musculoskeletal pain (MSP) is a highly prevalent and debilitating disorder among dentists, often leading to early retirement. Poor ergonomics in the dental practice not only causes MSP, but can also lead to postural deviations as a result of an imbalance in muscle function. The aim of this study was to observe the relationship between MSP and vertebral deviations among male dentists in the United Arab Emirates (UAE). MATERIALS AND METHODS: A total of 60 male dentists participated in this cross-sectional study...
July 1, 2018: Journal of Contemporary Dental Practice
Felix Greimel, Gregor Dittrich, Timo Schwarz, Moritz Kaiser, Bernd Krieg, Florian Zeman, Joachim Grifka, Achim Benditz
INTRODUCTION: Postoperative pain management options are of great importance for patients undergoing total hip arthroplasty, as joint replacement surgery is reported to be one of the most painful surgical procedures. This study demonstrates pain outcome until 4 weeks postoperatively and evaluates factors influencing pain in the postoperative course after total hip arthroplasty. MATERIALS AND METHODS: A total of 103 patients were included in this prospective cohort trial and underwent total hip arthroplasty...
July 31, 2018: Archives of Orthopaedic and Trauma Surgery
Manasi Bohra, Deidre Cwian, Colleen Peyton
A 67-year-old woman presented 3 weeks following left total hip arthroplasty (THA) and received 12 physical therapy sessions over 2 months. One week after returning to work, the patient experienced severe left buttock pain and was diagnosed with degenerative L5-S1 spondylolisthesis and foraminal stenosis, for which she subsequently underwent L5-S1 laminectomy and fusion. She returned to physical therapy 2 weeks later and was referred back to the physician, who ordered radiographs that showed medial migration of the hip components...
August 2018: Journal of Orthopaedic and Sports Physical Therapy
Nicholas A Beckmann, Jennifer F Hasler, Babak Moradi, Ulf J Schlegel, Tobias Gotterbarm, Marcus R Streit
BACKGROUND: Our study examines the long-term results of acetabular reconstruction using the Ganz acetabular reinforcement ring (GRR) in total hip arthroplasty. METHODS: Between 1998 and 2001, 135 hips (119 revision and 16 primary arthroplasties) were consecutively implanted with a GRR at our hospital. The average age was 65 years (range, 26-90). Clinical and radiographic evaluations were carried out. Long-term survivorship was estimated using a competing risks analysis, and multivariate survivorship using Cox regression model was used to identify risk factors for implant failure...
July 4, 2018: Journal of Arthroplasty
Sabrina Grant, A W Blom, Michael R Whitehouse, Ian Craddock, Andrew Judge, Emma L Tonkin, Rachael Gooberman-Hill
INTRODUCTION: Over 160 000 people with severe hip or knee pain caused by osteoarthritis undergo total hip (THR) or knee replacement (TKR) surgery each year in the UK within the National Health Service (NHS), and this number is expected to increase. Innovative approaches to evaluating surgical outcomes will be needed to respond to the increasing burden of joint replacement surgery. The Sensor Platform for Healthcare in a Residential Environment, Interdisciplinary Research Collaboration (SPHERE-IRC) have developed a system of sensors that can monitor the health-related behaviours of people living at home...
July 28, 2018: BMJ Open
Bruno Dohin
The hip is the joint most exposed to orthopaedic complications in cerebral palsy (CP) which is the main cause of spasticity in paediatric patients. The initial immaturity of the hip allows the forces applied by the spastic and retracted muscles to displace the femoral head, eventually causing it to dislocate. The risk of hip dislocation increases with the severity and extent of CP, exceeding 70% in the most severe cases. Hip dislocation causes pain in up to 30% of cases, carries a risk of orthopaedic and cutaneous complications, and hinders patient installation and nursing care...
July 26, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
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