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Ultraso* AND Hip

MaryAnn Zhang, Monica A Pessina, Jay B Higgs, Eugene Y Kissin
Background: We evaluated the risk of lateral circumflex femoral artery (LCFA) injury during ultrasound-guided intra-articular hip injections. Methods: This study was divided into three parts. (1) Four ultrasound-guided hip injections were performed on human cadavers. With needles in place, tissues were dissected to expose the LCFA. (2) Ultrasound-trained rheumatologists marked a planned needle trajectory from skin to hip joint on live human ultrasound images during an Observed Structured Clinical Examination (OSCE)...
April 2018: Journal of Medical Ultrasound
Laura Girón-Arango, Philip W H Peng, Ki Jinn Chin, Richard Brull, Anahi Perlas
Fascia iliaca block or femoral nerve block is used frequently in hip fracture patients because of their opioid-sparing effects and reduction in opioid-related adverse effects. A recent anatomical study on hip innervation led to the identification of relevant landmarks to target the hip articular branches of femoral nerve and accessory obturator nerve. Using this information, we developed a novel ultrasound-guided approach for blockade of these articular branches to the hip, the PENG (PEricapsular Nerve Group) block...
July 30, 2018: Regional Anesthesia and Pain Medicine
Makoto Sato, Tomoki Sasakawa, Yuki Izumi, Yoshiko Onodera, Takayuki Kunisawa
PURPOSE: The purpose of this study was to compare the ultrasound image quality at three different transducer positions for ultrasound-guided lumbar plexus block (LPB). METHODS: This prospective comparative study included 30 patients who underwent total hip arthroplasty under general anesthesia in combination with LPB. Using the same ultrasound machine settings for each patient, a transverse view of the lumbar plexus (LP) at the L3-4 vertebral level was obtained with a convex transducer placed at three different positions: immediately lateral to the dorsal midline (medial position), almost 5 cm lateral to the dorsal midline (paravertebral position), and at the abdominal transverse flank (shamrock position)...
July 30, 2018: Journal of Anesthesia
Simona Cernea, Andrada Larisa Roiban, Emőke Both, Adina Huţanu
AIMS: Leptin/leptin resistance has been suggested to play a role in nonalcoholic fatty liver disease (NAFLD) and therefore we investigated the correlations of leptin/leptin-receptor system with markers of hepatic steatosis (HS) and fibrosis (HF) in patients with type 2 diabetes (T2D). MATERIALS AND METHODS: In 159 T2D subjects with disease duration of 6.0(0.0-27.0) years, HS was evaluated by semi-quantitative ultrasonographic (US) scores and by clinical/biochemical variables: Fatty liver index and Hepatic steatosis index...
July 27, 2018: Diabetes/metabolism Research and Reviews
Christian Carulli, Filippo Tonelli, Tommaso Melani, Michele Pietragalla, Alioscia Giancarlo Domenico De Renzis, Giuseppe Caracchini, Massimo Innocenti
Purpose  The aim of this study was to assess the diagnostic accuracy of magnetic resonance arthrography (MRA) in the detection of intra-articular lesions of the hip in patients affected by femoroacetabular impingement (FAI) by using arthroscopy as reference standard. Methods  Twenty-nine consecutive hip arthroscopies performed in 24 patients were considered for the study. Patients had a mean age of 38.3 years. Ultrasound-guided 1.5-T MRA was performed with precontrast short tau inversion recovery, T1-weighted and PD coronal, T1-weighted, and T2-weighted axial with 3-mm-thick slice sequences, and postcontrast T1-weighted fat saturation MRA (Fat-SAT) axial, coronal and oblique sagittal, and T1-weighted Vibe 3D coronal sequences with MPR sagittal, axial, and radial reconstructions with 2-mm-thick slice and coronal density protonil (DP) Fat-SAT...
June 2018: Joints
Stefaan W Verbruggen, Bernhard Kainz, Susan C Shelmerdine, Owen J Arthurs, Joseph V Hajnal, Mary A Rutherford, Andrew T M Phillips, Niamh C Nowlan
Fetal kicking and movements generate biomechanical stimulation in the fetal skeleton, which is important for prenatal musculoskeletal development, particularly joint shape. Developmental dysplasia of the hip (DDH) is the most common joint shape abnormality at birth, with many risk factors for the condition being associated with restricted fetal movement. In this study, we investigate the biomechanics of fetal movements in such situations, namely fetal breech position, oligohydramnios and primiparity (firstborn pregnancy)...
July 20, 2018: Journal of Biomechanics
Zoe Paskins, Gemma Hughes, Helen Myers, Emily Hughes, Susie Hennings, Andrea Cherrington, Amy Evans, Melanie Holden, Kay Stevenson, Ajit Menon, Kieran Bromley, Philip Roberts, Alison Hall, George Peat, Clare Jinks, Raymond Oppong, Martyn Lewis, Nadine E Foster, Christian Mallen, Edward Roddy
BACKGROUND: Evidence on the effectiveness of intra-articular corticosteroid injection for hip osteoarthritis is limited and conflicting. The primary objective of the Hip Injection Trial (HIT) is to compare pain intensity over 6 months, in people with hip OA between those receiving an ultrasound-guided intra-articular hip injection of corticosteroid with 1% lidocaine hydrochloride plus best current treatment with those receiving best current treatment alone. Secondary objectives are to determine specified comparative clinical and cost-effectiveness outcomes, and to explore, in a linked qualitative study, the lived experiences of patients with hip OA and experiences and impact of, ultrasound-guided intra-articular hip injection...
July 18, 2018: BMC Musculoskeletal Disorders
Yuriy Tasinkevych, Katarzyna Falińska, Peter A Lewin, Jerzy Litniewski
The purpose of this work was to present a new approach that allows the influence of cortical bone on noninvasive measurement of broadband ultrasound attenuation (BUA) to be corrected. The method, implemented here at 1 MHz makes use of backscattered signal and once refined and clinically confirmed, it would offer an alternative to ionizing radiation based methods, such as DEXA (Dual-energy X-ray absorptiometry), quantitative computed tomography (QCT), radiographic absorptiometry (RA) or single X-ray absorptiometry (SXA), which are clinically approved for assessment of progress of osteoporosis...
July 2, 2018: Ultrasonics
Jean-Marie Januel, Patrick S Romano, Chantal M Couris, Phil Hider, Hude Quan, Cyrille Colin, Bernard Burnand, William A Ghali
BACKGROUND: Routinely collected hospital data provide increasing opportunities to assess the performance of health care systems. Several factors may, however, influence performance measures and their interpretation between countries. OBJECTIVE: We compared the occurrence of in-hospital venous thromboembolism (VTE) in patients undergoing hip replacement across 5 countries and explored factors that could explain differences across these countries. METHODS: We performed cross-sectional studies independently in 5 countries: Canada; France; New Zealand; the state of California; and Switzerland...
July 11, 2018: Medical Care
Sarah M Beggs, Kathleen P McGuinn, Anthony F Santoro, Levon N Nazarian, Jason B Lee
A 78-year-old woman with a history of bilateral hip replacements presented with an ill-defined erythematous plaque with foci of reticulated and indurated areas on the left thigh. Initially, a few weeks after her surgery, a small area of erythema appeared overlying the incision site. Over a 6-month period, the erythema slowly expanded before stabilizing in size (Figure 1). There was no pruritus, pain, or warmth. Orthopedic evaluation found no evidence of infection or malfunction of the hip prosthesis. A skin biopsy revealed telangiectasia of the superficial vessels...
2018: Skinmed
K J D Steer, G P Bostick, L J Woodhouse, T T Nguyen, A Schankath, R G W Lambert, J L Jaremko
OBJECTIVES: Intra-articular steroid injection (IASI) is an effective therapy for hip osteoarthritis (OA), but carries risks and provides significant pain relief to only two thirds of patients. We attempted to predict response to IASI in hip OA patients using baseline clinical, ultrasound, and MRI data. METHODS: Observational study of 97 subjects with symptomatic hip OA presenting for IASI. At baseline and 8 weeks we obtained hip MRI, grayscale and Doppler ultrasound, clinical range of motion (ROM), timed-up and go test (TUG) scores, and self-reported Western Ontario and McMaster Universities Osteoarthritis (WOMAC) pain, stiffness, and function scores...
July 6, 2018: Skeletal Radiology
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
Brennan J Boettcher, John H Hollman, Jeffrey M Payne, Adam C Johnson, Jonathan T Finnoff
OBJECTIVE: The primary aim of this study was to determine the inter- and intrarater reliability of ultrasound (US) measurements of the ischiofemoral space (IFS) following a brief training session. A secondary aim was to determine if reliability correlated with sonographer experience. DESIGN: Prospective. SETTING: Physical medicine and rehabilitation department within a tertiary care institution. PARTICIPANTS: Seven male and 3 female individuals were recruited to serve as models...
June 30, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Mohamed Elshazzly, Fuad Bashjawish, Muhammad A Shahid, Dana A Marrero, Joel Horowitz
BACKGROUND Crohn's disease (CD) is an inflammatory bowel disease affecting approximately 1 in 3000 people in the United States. Since the inflammation of CD is transmural, patients are at risk for fistula and abscess formation. Retroperitoneal abscesses are one type of which physicians must be aware. CASE REPORT We present the case of a 29-year-old woman with CD who complained of right hip and flank pain that began when she was 6-months pregnant. After delivery, she continued to complain of severe right flank pain and was admitted to the hospital 1 month later...
July 2, 2018: American Journal of Case Reports
Seper Ekhtiari, Nolan S Horner, Nicole Simunovic, Olufemi R Ayeni
OBJECTIVE: The objectives of this survey study were to: (1) determine practice patterns, (2) assess beliefs and attitudes toward ultrasound-guided intra-articular injections (UGIIs), (3) identify barriers to the use of UGII, and (4) determine any differences in beliefs and attitudes based on age or specialty. METHODS: A survey was developed using a focus group including physicians who perform intra-articular injections of the knee, shoulder, and/or hip. After validation by the focus group, the final survey (28 questions) was e-mailed to members of the Canadian Academy of Sport and Exercise Medicine (N = 632)...
June 26, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
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
C Alves, W H Truong, M V Thompson, J R Suryavanshi, C L Penny, H T Do, E R Dodwell
Purpose: The aim of this study was to elucidate developmental dysplasia of the hip (DDH) diagnosis and treatment preferences among members of the Pediatric Orthopaedic Society of North America (POSNA) and European Paediatric Orthopaedic Society (EPOS). Methods: A 54-question survey on DDH diagnosis and treatment preferences was distributed to POSNA and EPOS members. Descriptive statistics were performed. Results: A total of 459 responses were analyzed...
June 1, 2018: Journal of Children's Orthopaedics
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
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
Mozhgan Karimifar
Thyroid follicular cancers are one of the thyroid gland cancers. This cancer can lead to metastases to various areas of the body. We describe a patient with thyroid follicular carcinoma who after total thyroidectomy had severe hypercalcemia, increased creatinine, and thyrotoxicosis due to extensive bone metastases. The patient was a 52-year-old man who had femoral neck fracture as the first manifestation of thyroid cancer. He was hospitalized for some time after orthopedic measures because of thyrotoxicosis and deep-venous thrombosis...
2018: Advanced Biomedical Research
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