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ultrasonography AND Hip

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https://www.readbyqxmd.com/read/29966996/treatment-of-graf-type-iia-hip-dysplasia-a-cutoff-value-for-decision-making
#1
Fuat Bilgili, Yavuz Sağlam, Süleyman Bora Göksan, Önder Murat Hürmeydan, Fevzi Birişik, Mehmet Demirel
BACKGROUND: The rate of spontaneous normalization in type IIa hip is reported to be high, whereas in 5-10%, dysplasia persists or worsens. We aimed to evaluate the natural course of type IIa hips by using Graf's own perspective of physiological immaturity and maturational deficit. AIMS: To evaluate the natural course of type IIa hips by using Graf's own perspective of physiological immaturity and maturational deficit. STUDY DESIGN: A single centre, retrospective cohort study...
July 3, 2018: Balkan Medical Journal
https://www.readbyqxmd.com/read/29952783/aspiration-and-injection-techniques-of-the-lower-extremity
#2
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
https://www.readbyqxmd.com/read/29947044/high-irisin-levels-in-nondiabetic-hiv-infected-males-are-associated-with-insulin-resistance-nonalcoholic-fatty-liver-disease-and-subclinical-atherosclerosis
#3
Oscar Moreno-Perez, Rebeca Reyes-Garcia, Manuel Muñoz-Torres, Esperanza Merino, Vicente Boix, Sergio Reus, Livia Giner, Rocío Alfayate, Beatriz Garcia-Fontana, Jose Sanchez-Paya, Antonio Picó, Joaquín Portilla
OBJECTIVE: HIV infection is associated with an increased risk of cardiovascular disease. Irisin is a miokyne secreted by skeletal muscle, which may influence insulin homeostasis, nonalcoholic fatty liver disease (NAFLD) and atherosclerosis. Our objective was to evaluate the relationships between serum irisin, insulin homeostasis, NAFLD and subclinical atherosclerosis in HIV-infected males. DESIGN: Cross-sectional study in a cohort of HIV-infected patients. PATIENTS: Inclusion criteria: men older than 18 years; antiretroviral therapy (ART) -naïve or on effective ART (<50 HIV-1 RNA copies/mL) without changes in the previous 6 months; no diabetes or hepatitis C...
June 26, 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29943741/managing-pulmonary-embolism-secondary-to-suppurative-deep-vein-thrombophlebitis-due-to-community-acquired-staphylococcus-aureus-in-a-resource-poor-setting
#4
M Grewal, S Gupta, M Muranjan, S Karande
Deep vein thrombosis and pulmonary thromboembolism are rare and life threatening emergencies in children. We report an 11-year old female who presented with acute complaints of high grade fever, pain in the left thigh and inability to walk and breathlessness since 6 days. On physical examination, there was a diffuse tender swelling of the left thigh, tachypnea, tachycardia with hyperdynamic precordium and bilateral basal crepitations. Ultrasonography and venous doppler of lower limbs showed mild effusion of left hip joint and thrombus in the left common femoral vein and left external iliac vein suggesting a diagnosis of septic arthritis with thrombophlebitis...
July 2018: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/29909671/newborn-and-infant-physical-examination-standards-in-a-dedicated-clinic-for-developmental-dysplasia-of-the-hip
#5
S Humphry, D Thompson, R Evans, N Price, P Williams
Introduction In 2014 our centre started a dedicated clinic for developmental dysplasia of the hip (DDH). The aim of the clinic was to streamline DDH referrals, enabling timely review, imaging and multidisciplinary treatment. Ongoing audit has been carried out based on the UK National Screening Committee newborn and infant physical examination (NIPE) guidelines, first published in 2008. Methods A three-year prospective audit was undertaken between 2014 and 2016 assessing compliance with NIPE standards (ST2b and ST2d) relating to timeliness of expert consultation following positive ultrasonography findings of DDH with positive examination or risk factors...
June 18, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29903424/midterm-results-of-magnum-large-head-metal-on-metal-total-hip-arthroplasty
#6
I Aguado-Maestro, E Cebrián Rodríguez, E Paredes Herrero, F Brunie Vegas, M Oñate Miranda, N Fernández García, M García Alonso
OBJECTIVES: We present the results of the prospective follow up of a sample of large head metal-metal total hip arthroplasty obtained after the safety alert regarding a higher incidence of revision of these implants. MATERIAL AND METHODS: All patients implanted with the Recap-M2a-Magnum cup between 2008 and 2011 were included. They were prospectively reviewed recording Harris Hip Score, clinical symptoms of chromium or cobalt intoxication. Serum levels of these ions were requested as well as X-Rays and ultrasonography...
June 11, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29804881/perioperative-incidence-and-locations-of-deep-vein-thrombosis-following-specific-isolated-lower-extremity-fractures
#7
Hu Wang, Utku Kandemir, Ping Liu, Hong Zhang, Peng-Fei Wang, Bin-Fei Zhang, Kun Shang, Ya-Hui Fu, Chao Ke, Yan Zhuang, Xing Wei, Zhong Li, Kun Zhang
PURPOSE: To determine perioperative incidence and locations of deep vein thrombosis (DVT) in injured and uninjured lower extremities following isolated lower extremity fractures (ILEFs). METHODS: Retrospective analysis of a prospectively collected data of a consecutive patient series with ILEFs who underwent surgical treatment between September 2014 and September 2017 was performed. Patients' bilateral lower extremities were screened for DVT with duplex ultrasonography (DUS) before and after surgery...
May 22, 2018: Injury
https://www.readbyqxmd.com/read/29777851/point-of-care-ultrasound-performed-by-a-medical-student-compared-to-physical-examination-by-vascular-surgeons-in-the-detection-of-abdominal-aortic-aneurysms
#8
Trinh Mai, Michael Y Woo, Kim Boles, Prasad Jetty
OBJECTIVE: To determine the test characteristics of point-of-care ultrasonography performed by a medical student versus physical examination by vascular surgeons compared to a gold standard reference scan for the detection of abdominal aortic aneurysms. METHODS: We conducted a prospective, observer-blinded study recruiting patients from an outpatient vascular surgery clinic. Participants were screened for abdominal aortic aneurysms by standardized physical examination by a blinded vascular surgeon, followed by a point-of-care ultrasound examination by a blinded medical student...
May 16, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29774400/cost-effectiveness-of-osteoporosis-screening-strategies-for-hip-fracture-prevention-in-older-chinese-people-a-decision-tree-modeling-study-in-the-mr-os-and-ms-os-cohort-in-hong-kong
#9
Y Su, F T T Lai, B H K Yip, J C S Leung, T C Y Kwok
Despite the high costs of hip fracture, many governments provide limited support for osteoporosis screening. We demonstrated that osteoporosis screening by dual-energy X-ray absorptiometry (DXA) with or without pre-screening by Fracture Risk Assessment Tool (FRAX) or calcaneal ultrasound are more cost-effective than no screening in Chinese people aged 65 or over in Hong Kong. INTRODUCTION: To examine the cost-effective potential osteoporosis screening strategies for hip fracture prevention in Hong Kong...
May 17, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29769484/prevalence-of-non-alcoholic-fatty-liver-disease-and-its-biochemical-predictors-in-patients-with-type-2-diabetes-mellitus
#10
M A Kabir, M Z Uddin, N I Siddiqui, I H Robi, M S Malek, M S Islam, S Rahman, M S Hossain, S K Mahapatra, M J Alam, F Ahmad, M S Alam, M A Islam
Non-alcoholic fatty liver disease (NAFLD) is emerging as the most common chronic liver condition in the Western world and it is commonly associated with type 2 diabetes mellitus (DM). The aim of this study to determine the prevalence of NAFLD and identify the predisposing factors in type 2 DM patients with NAFLD. Total of 258 patients of type 2 DM were included in this observational study in the Department of Medicine, Mymensingh Medical College Hospital, Mymensingh, Bangladesh from 11th May 2013 to 11th November 2013...
April 2018: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29757716/us-assessment-of-sports-related-hip-injuries
#11
Eugen Lungu, Johan Michaud, Nathalie J Bureau
Traumatic and overuse hip injuries occur frequently in amateur and professional athletes. After clinical assessment, imaging plays an important role in diagnosis and in defining care management of these injuries. Ultrasonography (US) is being increasingly used in assessment of hip injuries because of the wide availability of US machines, the lower cost, and the unique real-time imaging capability, which allows both static and dynamic evaluation as well as guidance of point-of-care interventions such as fluid aspiration and steroid injection...
May 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29747638/relations-of-lipid-parameters-other-variables-with-carotid-intima-media-thickness-and-plaque-in-the-general-chinese-adults-an-observational-study
#12
Qingtao Hou, Sheyu Li, Yun Gao, Haoming Tian
BACKGROUND: It has been reported that non-high-density lipoprotein cholesterol (non-HDL-C) and lipid ratios, including total cholesterol (TC) / high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) / HDL-C, are better predictors for atherosclerosis than conventional lipid profiles. However, there have been few studies comparing the predictive values of different lipid parameters for early atherosclerosis. The aim of this study was to determine the relevant factors of carotid intima-media thickness (IMT) and plaque in the general Chinese adults and analyze the predictive values of different lipid parameters for carotid IMT and plaque...
May 10, 2018: Lipids in Health and Disease
https://www.readbyqxmd.com/read/29728835/muscle-tendon-related-abnormalities-detected-by-ultrasonography-are-common-in-symptomatic-hip-dysplasia
#13
Julie Sandell Jacobsen, Lars Bolvig, Per Hölmich, Kristian Thorborg, Stig Storgaard Jakobsen, Kjeld Søballe, Inger Mechlenburg
INTRODUCTION: Hip dysplasia is characterized by reduced acetabular coverage of the femoral head leading to an increased mechanical load on the hip joint and the acting hip muscles. Potentially, the muscles and tendons functioning close to the hip joint may present with overuse-related ultrasonography findings. The primary aim was to report the prevalence of muscle-tendon-related abnormalities detected by ultrasonography in 100 patients with symptomatic hip dysplasia. The secondary aim was to investigate correlations between muscle-tendon-related abnormalities detected by ultrasonography and clinically identified pain related to muscles and tendons...
August 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29713152/deep-vein-thrombosis-in-bilateral-lower-extremities-after-hip-fracture-a-retrospective-study-of-463-patients
#14
Bin-Fei Zhang, Xing Wei, Hai Huang, Peng-Fei Wang, Ping Liu, Shuang-Wei Qu, Jia-Hao Li, Hu Wang, Yu-Xuan Cong, Yan Zhuang, Kun Zhang
Objective: To investigate the incidences of deep vein thrombosis (DVT) before and after operation in inpatients with hip fractures in both lower extremities. Patients and methods: We collected the clinical data of 463 patients with lower extremities fractures who presented at Xi'an Honghui Hospital between July 1, 2014, and October 31, 2016 and met all the inclusion criteria. Doppler ultrasonography was used to diagnose DVT. The patients were examined preoperatively and postoperatively and divided into the thrombosis and non-thrombosis group according to the ultrasonographic findings...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29688160/developmental-hip-dysplasia-diagnosis-at-three-dimensional-us-a-multicenter-study
#15
MULTICENTER STUDY
Dornoosh Zonoobi, Abhilash Hareendranathan, Emanuel Mostofi, Myles Mabee, Saba Pasha, Dana Cobzas, Padma Rao, Sukhdeep K Dulai, Jeevesh Kapur, Jacob L Jaremko
Purpose To validate accuracy of diagnosis of developmental dysplasia of the hip (DDH) from geometric properties of acetabular shape extracted from three-dimensional (3D) ultrasonography (US). Materials and Methods In this retrospective multi-institutional study, 3D US was added to conventional two-dimensional (2D) US of 1728 infants (mean age, 67 days; age range, 3-238 days) evaluated for DDH from January 2013 to December 2016. Clinical diagnosis after more than 6 months follow-up was normal (n = 1347), borderline (Graf IIa, later normalizing spontaneously; n = 140) or dysplastic (Graf IIb or higher, n = 241)...
June 2018: Radiology
https://www.readbyqxmd.com/read/29684655/effect-of-fluid-challenge-on-renal-resistive-index-after-major-orthopaedic-surgery-a-prospective-observational-study-using-doppler-ultrasonography
#16
Fabrice Ferré, Philippe Marty, Cédric Folcher, Matt Kurrek, Vincent Minville
BACKGROUND: A postoperative renal resistive index (RRI)>0.70 has the best threshold to early predict acute kidney injury (AKI). The response of RRI to a postoperative fluid challenge (FC) is unknown. The aim of our study was to assess the impact of a FC on RRI in suspected hypovolaemia patients after orthopaedic surgery. DESIGN: In this single-centre observational study, we prospectively screened 156 patients in the recovery room after having undergone a hip or knee replacement...
April 21, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29665456/the-contribution-of-obesity-to-carotid-atherosclerotic-plaque-burden-in-a-general-population-sample-in-norway-the-troms%C3%A3-study
#17
Yume Imahori, Ellisiv B Mathiesen, David A Leon, Laila A Hopstock, Alun D Hughes, Stein Harald Johnsen, Lone Jørgensen, Nina Emaus, Katy E Morgan
BACKGROUND AND AIMS: Few studies have investigated the association of different measures of adiposity with carotid plaque. We aimed to investigate and compare the associations of four measures of adiposity: body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) with the presence of carotid plaque and total plaque area (TPA) in the right carotid artery. METHODS: We included 4906 individuals aged 31-88 years who participated in a population-based study with ultrasonography of the right carotid artery...
June 2018: Atherosclerosis
https://www.readbyqxmd.com/read/29549038/athletic-pubalgia-return-to-play-after-targeted-surgery
#18
C Kajetanek, O Benoît, B Granger, F Menegaux, N Chereau, H Pascal-Mousselard, F Khiami
BACKGROUND: Surgery for athletic pubalgia usually consists in abdominal wall repair combined with routine bilateral adductor tenotomy. We currently confine the surgical procedure to the injured structure(s) (abdominal wall only, adductor tendon only, or both) to limit morbidity and expedite recovery. Outcomes of this à la carte approach are unclear. The objectives of this retrospective study were to determine the return to play (RTP) time, evaluate the potential influence of injury location, and assess the frequency of recurrence or contralateral involvement...
June 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29524305/clinical-evaluation-of-simultaneously-applied-monopolar-radiofrequency-and-targeted-pressure-energy-as-a-new-method-for-noninvasive-treatment-of-cellulite-in-postpubertal-women
#19
Klaus Fritz, Carmen Salavastru, Magdalina Gyurova
INTRODUCTION: This study investigates noninvasive cellulite treatments based on simultaneous application of monopolar radiofrequency (RF) and targeted pressure energy to evaluate efficacy and safety and to see whether simultaneous application has any benefits in noninvasive cellulite treatments. METHODS: Thirty women with cellulite (fibrous/adipose/aqueous types) received 4 gluteofemoral treatments (~24 minutes; ~1000 cm2 ) using a simultaneous application of RF and targeted pressure energy...
June 2018: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/29524009/reproducibility-of-acquiring-ultrasonographic-infant-hip-images-by-the-graf-method-after-an-infant-hip-ultrasound-training-course
#20
Yasuhiro Shirai, Kenjiro Wakabayashi, Ikuo Wada, Hideyuki Goto, Yoshino Ueki, Atsushi Tsuchiya, Yoshiaki Tsuboi, Myongsu Ha, Takanobu Otsuka
PURPOSE: The objective screening of infant hips using ultrasonography (Graf method) is gaining favor in the diagnosis of developmental dysplasia of the hip in Japan. However, the accuracy of the Graf method is dependent on the examiner's experience and technique. The purpose of this study was to investigate the reproducibility of acquiring ultrasonic hip images and their evaluation after examiners attended an infant hip ultrasound training course. MATERIALS AND METHODS: Ultrasonic images of 70 hips of 35 newborns who were screened by ultrasonography using the Graf method, were evaluated...
March 9, 2018: Journal of Medical Ultrasonics
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