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ultrasonography AND Hip

Pierre A d'Hemecourt, Dai Sugimoto, Maxwell McKee-Proctor, Rebecca L Zwicker, Sarah S Jackson, Eduardo N Novais, Young-Jo Kim, Michael B Millis, Andrea Stracciolini
BACKGROUND: Hip microinstability has gained attention recently as a potential cause of hip pain. Currently there is a lack of evidence-based objective diagnostic criteria surrounding this diagnosis. Previous studies have shown translation of the femoral head during extreme hip positions. However, reliable assessment of femoral head translation is lacking. QUESTIONS/PURPOSES: (1) How precise is musculoskeletal ultrasound for measuring anterior femoral head translation during the hip anterior apprehension test? (2) What is the intra- and interrater reliability of dynamic ultrasonography in assessing anterior femoral head translation? METHODS: We recruited 10 study participants (20 hips) between the ages of 22 and 50 years with no history of hip pain or functional limitations...
November 7, 2018: Clinical Orthopaedics and related Research
Eleni Armeni, Anastasia Tsitoura, Leon Aravantinos, Panagiotis Vakas, Areti Augoulea, Demetrios Rizos, Aris Antoniou, Andreas Alexandrou, Efthymios Deligeoroglou, Irene Lambrinoudaki
INTRODUCTION: The present study aimed to assess the association between ovarian volume and demographic and anthropometric parameters, as well as sex hormones and bone mineral density (BMD) in postmenopausal women. METHODS: 161 healthy postmenopausal women participated in this cross-sectional study. Fasting venous blood samples were obtained for biochemical/hormonal assessment. Anthropometric parameters included body mass index (BMI) and waist-to-hip ratio (WHR)...
December 1, 2018: Journal of Musculoskeletal & Neuronal Interactions
Murat Yegen, Hakan Atalar, Cuneyd Gunay, Osman Yuksel Yavuz, Ismail Uras, Ahmet Yigit Kaptan
PURPOSE: Early detection and conservative treatment are essential for a successful outcome in developmental dysplasia of the hip (DDH). The aim of this study was to evaluate the efficacy of Tübingen hip flexion splint treatment on dislocated hips of type D, 3, and 4 according to the Graf classification. METHODS: A total of 104 dislocated hips in 92 patients were treated with Tübingen splints. Splint treatment was applied to patients with dislocated hips as diagnosed under ultrasonographic evaluation...
November 27, 2018: International Orthopaedics
M Edama, R Okuyama, S Goto, M Sasaki
BACKGROUND: The aims of this study were to clarify the changes of patellar tendon length during isometric knee joint extension and the double leg squat position using ultrasonography. METHODS: The left legs of 17 healthy adults were investigated. Isometric knee extension motion was performed at three positions of knee flexion 30° (knee 30°), knee flexion 60° (knee 60°), knee flexion 90° (knee 90°), and at each limb position, 0% (0% peak torque (PT)), 40% (40% PT), 50% (50% PT), and 60% (60% PT) of the maximum knee joint extension torque were executed at random...
November 10, 2018: Clinical Biomechanics
Cui-Ming Zhang, Jun-Feng Zhang, Jing Xu, Yu-Lin Guo, Gang Wang, Lin-Hua Yang
Magnetic resonance imaging (MRI) is currently considered the gold standard for assessing hemophilic arthropathy (HA) severity; however, MRI is often costly, time-consuming, and difficult to perform in children. In the present study, we evaluated the joint status of hemophilic patients from Shanxi Province, China, using musculoskeletal ultrasonography (MSKUS) and identified the factors that most strongly correlated with disease severity.The study included 104 patients with hemophilia, who underwent MSKUS examination...
November 2018: Medicine (Baltimore)
Meghan Schmitt, Jamie K Burgess, Jill E Larson, Diane Dudas Sheehan, Joseph A Janicki
CASE: We describe a patient who was diagnosed with developmental hip dislocation at 21 months of age despite having had normal ultrasonography findings at 5 weeks of age. CONCLUSION: This case report provides evidence that late developmental hip dislocation can occur despite normal clinical and sonographic findings early in life, and that it is difficult to know the cause of developmental hip dislocation when it presents late.
November 14, 2018: JBJS Case Connector
Ruiqian Guo, Xi Xiang, Li Qiu
RATIONALE: Gluteal muscle contracture (GMC) is a clinical syndrome characterized by limited hip joint function due to fibrosis and contracture of the gluteal muscle and fascia fiber. Imaging examination is significant for its diagnosis and guidance of surgical treatment. PATIENT CONCERNS: This report presents 3 cases of GMC with bilateral involvement and summarizes the literature on the imaging findings of this disease. The clinical symptoms and presentations of the 3 cases well-matched the clinical diagnosis of GMC...
November 2018: Medicine (Baltimore)
Hatice Kansu-Celik, Burcu Kisa Karakaya, Yasemin Tasci, Necati Hancerliogullari, Selen Yaman, Sule Ozel, Salim Erkaya
Objective: We investigated whether the ultrasonographic measurement of maternal subcutaneous adipose tissue (SAT) thickness in the second trimester played a role in predicting gestational diabetes. Materials and methods: This was a prospective cross-sectional study in which 223 women were classified as healthy ( n  = 177) or as gestational diabetes ( n  = 46) on the basis of a negative or positive two-step oral Glucose Challenge Test (GCT), respectively...
March 2018: Interventional Medicine & Applied Science
S L Loy, Y B Cheung, S E Soh, S Ng, M T Tint, I M Aris, J Y Bernard, Y S Chong, K M Godfrey, L P Shek, K H Tan, Y S Lee, H H Tan, B S M Chern, N Lek, F Yap, S Y Chan, C Chi, J K Y Chan
STUDY QUESTION: Are higher overall and central adiposity associated with reduced fecundability, measured by time-to-pregnancy (TTP), in Asian women? SUMMARY ANSWER: Higher overall adiposity, but not central adiposity, was associated with longer TTP in Asian women. WHAT IS KNOWN ALREADY: High body mass index (BMI) has been associated with a longer TTP, although the associations of body composition and distribution with TTP are less clear. There are no previous studies of TTP in Asian women, who have a relatively higher percentage of body fat and abdominal fat at relatively lower BMI...
November 1, 2018: Human Reproduction
David R Maldonado
No abstract text is available yet for this article.
September 11, 2018: Clinical Orthopaedics and related Research
Yu-Chen Guo, Yong Zhou, Xing Gao, Yan Yao, Bin Geng, Qing-Hua Cui, Ji-Chun Yang, Hong-Pu Hu
Background: Nonalcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases with a high prevalence in the general population. The association between NAFLD and cardiovascular disease has been well addressed in previous studies. However, whether NAFLD is associated with carotid artery disease in a community-based Chinese population remained unclear. The aim of this study was to investigate the association between NAFLD and carotid artery disease. Methods: A total of 2612 participants (1091 men and 1521 women) aged 40 years and older from Jidong of Tangshan city (China) were selected for this study...
October 5, 2018: Chinese Medical Journal
Nicole Williams
BACKGROUND: Cases of late diagnosed developmental dysplasia of the hip (DDH) have increased in Australia in recent years despite an ongoing clinical screening program and increasing use of selective ultrasonography screening. OBJECTIVE: The aim of this paper is to discuss an evidence-based approach that involves prevention and early detection of DDH using assessment and surveillance that is suitable for general practitioners (GPs) who see young children in their practices...
September 2018: Australian journal of general practice
Zhen Wang, Ji Xiao, Zitao Zhang, Xusheng Qiu, Yixin Chen
Background: Preoperative deep vein thrombosis (DVT) is a common complication in patients with hip fractures. Chronic kidney disease (CKD) as a frequent comorbidity in middle-aged and elderly patients with hip fractures is known to promote a proinflammatory and prothrombotic state. We aimed to identify whether CKD can increase the risk of DVT in middle-aged and elderly patients with hip fractures, as well as identify other risk factors. Patients and methods: We retrospectively studied 248 middle-aged and elderly patients with hip fractures who were admitted to our hospital from January 2016 to June 2017, meeting all the inclusion criteria...
2018: Clinical Interventions in Aging
Yu Ozaki, Tomonori Baba, Yasuhiro Homma, Hiroki Tanabe, Hironori Ochi, Sammy Bannno, Taiji Watari, Kazuo Kaneko
INTRODUCTION: Recently, the branching pattern of the lateral femoral cutaneous nerve (LFCN) named Fan type has been reported that LFCN injury cannot be avoided in surgical dissections that use the direct anterior approach to the hip joint in the cadaveric study. We hypothesized that the Fan type can be identified by ultrasound The aim of this study was to investigate whether LFCN injury occurs in DAA-THA in cases identified as the Fan type based on preoperative ultrasound of the proximal femur...
2018: SICOT-J
Yohei Yukizawa, Yutaka Inaba, Naomi Kobayashi, So Kubota, Tomoyuki Saito
OBJECTIVE: A history of venous thromboembolism (VTE) is a risk factor for newly formed VTE after total hip arthroplasty (THA). However, its morbidity and association with postoperative VTE are not clear and, therefore, were investigated in this study. METHODS: Four hundreds and nineteen patients scheduled for primary THA were included. We preoperatively identified any VTE factors such as obesity, age, and history of VTE by interviewing and duplex ultrasonography for all patients, and the patients were assigned into "high- "or "low-risk" groups, that were the indication whether chemoprophylaxis was administered after surgery...
September 14, 2018: Modern Rheumatology
Yao Yao, Liang Qiao, Kai Song, Xingquan Xu, Dongquan Shi, Zhihong Xu, Jin Dai, Jianghui Qin, Dongyang Chen, Qing Jiang
Purpose: The purpose of this retrospective study was to determine the association between preoperative soleal vein (SV) diameter and deep vein thrombosis (DVT) following total joint arthroplasty (TJA). Methods: A total of 402 patients were enrolled, with 229 patients undergoing total knee arthroplasty (TKA) and 173 patients undergoing total hip arthroplasty (THA). Ultrasonography was performed 1-3 days preoperatively, on postoperative days 1, 3, and 7, or before discharge and during follow-up...
2018: BioMed Research International
Altuğ Duramaz, Burcu B Duramaz, Mustafa G Bilgili
There are only a few studies in the literature investigating the effects of gestational age on developmental dysplasia of the hip. The aim of this study was to investigate the effects of gestational age on hip ultrasound findings in the early neonatal period in preterm newborns born between 30th and 36th weeks of gestational age. Between January 2008 and December 2013, a total of 788 hips of 394 premature newborns with a gestational age of up to 36th weeks who underwent hip ultrasonography in the first week of their life were retrospectively examined...
September 5, 2018: Journal of Pediatric Orthopedics. Part B
Yihua Ge, Zhigang Wang, Yunlan Xu
PURPOSE: To investigate the use of anterior hip ultrasound (van Douveren's method)-assisted Pavlik harness in developmental dysplasia of the hip (DDH). METHODS: Weekly anterior hip ultrasound scanning was performed in children with fixed Pavlik harness to detect whether hip reduction was achieved with the help of harness (the superior ramus of the pubis, the acetabulum, the femoral head, and the femoral neck being depicted in one plane indicated concentric reduction of the hip), and the stability of the reduction was checked by ultrasonography...
August 16, 2018: International Orthopaedics
Fuat Bilgili, Yavuz Sağlam, Süleyman Bora Göksan, Önder Murat Hürmeydan, Fevzi Birişik, Mehmet Demirel
Background: The rate of spontaneous normalization in type IIa hips is reported to be high, whereas dysplsia persists or worsens in 5%-10% of cases. Aims: To evaluate the natural course of type IIa hips using Graf’s own perspective of physiological immaturity and maturational deficit. Study Design: A single center, retrospective cohort study. Methods: This was an institutional review board-approved retrospective review of all patients diagnosed with type IIa hip dysplasia at a single institution from 2012 to 2014...
November 15, 2018: Balkan Medical Journal
Christopher P Chiodo, Catherine Logan, Cheri A Blauwet
Orthopaedic surgeons frequently use aspirations and injections to both diagnose and treat disorders of the lower extremity. Comprehensive knowledge of regional anatomy, procedural indications, and appropriate techniques are essential. Clinicians must be well versed in a range of musculoskeletal aspiration and injection techniques, including patient positioning, equipment needs, injectable solutions, aspirate analysis, and potential complications. Safe and effective aspiration and injection techniques for the lower extremity, including the hip, knee, foot, and ankle, are reviewed...
August 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
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