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Neurology Hip

Ryan K Dahlberg, Mary Elizabeth Lyvers, Thomas K Dahlberg
Salmonella vertebral discitis/osteomyelitis is a rare manifestation of Salmonella infection. Here, we report a case of a 54-year-old Caucasian male who presented with five weeks of progressively worsening bilateral low back, buttock, and lower extremity pain following an 8-foot fall onto concrete from a ladder. Initial workup following the fall included hip X-ray and MRI of the lumbar spine and revealed only mild lumbar facet arthropathy and moderate left neural foraminal stenosis at L3-L4 without any concomitant hip or spine fracture...
2018: Case Reports in Orthopedics
Dominic S Carreira, Matthew C Kruchten, Brendan R Emmons, Ashley N Startzman, RobRoy L Martin
Background: There is a paucity of prospectively collected data as they relate to nerve injuries after hip arthroscopic surgery. Studies describing the relationship of neurological injuries to portal placement and the duration and magnitude of traction force with regular and standardized patient follow-up protocols are limited. Purpose/Hypothesis: The purpose of this study was to characterize nerve deficits in a series of patients undergoing hip arthroscopic surgery as these deficits relate to axial traction and portal placement...
September 2018: Orthopaedic Journal of Sports Medicine
Kevin T Kavanagh, Steve S Kraman, Sean P Kavanagh
INTRODUCTION: This study was designed to determine whether systemic cobalt toxicity as an adverse event could be documented using the Food and Drug Administration's (FDA) Manufacturer and User Facility Device Experience (MAUDE) database for cobalt-chromium containing hip implant recipients. Class 3 Johnson & Johnson (J&J)/DePuy devices were chosen for analysis because of the large number of adverse event reports related to their Pinnacle and ASR XL Acetabular hip replacement systems...
October 10, 2018: Journal of Patient Safety
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
Pramod K Sudarshan, Hardik R Suthar, Vamsi K Varma, Appaji Krishnan, Sajan K Hegde
Background: Surgical management of high-grade spondylolisthesis in the young is not only challenging but also controversial, from in-situ fusion to complete reduction. It is fraught with dangers such as neurological injury, pseudoarthrosis, and progressive deformity with subsequent global sagittal imbalance. We describe our experience of progressive reduction technique and restoration of lumbosacral alignment. Methods: This study is a retrospective review of patients who underwent surgery between 1998 and 2012...
June 2018: International Journal of Spine Surgery
Keerthana K Kumar, Premkumar Nattanamai
Cerebral fat embolism syndrome is a rare, but potentially lethal, complication that may arise from long bone fractures and/or orthopaedic surgery. Neurological symptoms are variable, and clinical diagnosis is difficult. We report the case of a 75-year-old woman who developed cerebral fat embolism four days after a right hip arthroplasty. Maintenance of intracranial pressure monitoring (ICP) within normal limits and cerebral tissue oxygenation monitoring (PbtO2) over 20 mmHg prevented secondary brain injury and resulted in a gradual improvement of the patient's sensorium...
July 26, 2018: Curēus
A K T M Karunarathna, S A Mendis, W P D P Perera, Geethika Patabendige, A S Pallewatte, Aruna Kulatunga
Background: Melioidosis is an infection caused by a facultative intracellular Gram-negative bacterium, Burkholderia pseudomallei . It can present as septicemia, localized infection with/without septicemia, asymptomatic infections, ulcers, pneumonia, visceral abscesses, neurological infection, musculoskeletal infections and can involve any organ. Case presentation: A 56 year old Sri Lankan diabetic female presented with fever, chills and rigors for 2 weeks. She also had malaise and loss of appetite, but no other features...
2018: Tropical Diseases, Travel Medicine and Vaccines
Tamon Kabata, Yoshitomo Kajino, Daisuke Inoue, Takaaki Ohmori, Junya Yoshitani, Takuro Ueno, Ken Ueoka, Hiroyuki Tsuchiya
PURPOSE: There is no documented maximum amount that an extremity can be safely lengthened in primary total hip arthroplasty (THA) without neurologic or soft tissue complications. We retrospectively reviewed patients who underwent primary THA with acute limb lengthening and investigated the safety range for acute limb lengthening in primary THA. METHODS: This study included 61 hips in 52 patients who underwent primary THA with acute limb lengthening (more than 2...
September 21, 2018: International Orthopaedics
Yusuke Endo, Hirotaka Mutsuzaki, Masafumi Mizukami, Kenichi Yoshikawa, Yasuto Kobayashi, Arito Yozu, Yuki Mataki, Shogo Nakagawa, Nobuaki Iwasaki, Masashi Yamazaki
[Purpose] The hybrid assistive limb was developed to improve the kinematics and muscle activity in patients with neurological and orthopedic conditions. The purpose of the present study was to examine the long-term sustained effect of gait training using a hybrid assistive limb on gait stability, kinematics, and muscle activity by preventing knee collapse in a patient with cerebral palsy. [Participant and Methods] A 17 year-old male with cerebral palsy performed gait training with a hybrid assistive limb 12 times in 4 weeks...
September 2018: Journal of Physical Therapy Science
Verajit Chotmongkol, Pewpan M Intapan, Kritsakorn Jingjit
BACKGROUND Spinal sparganosis and racemose (grape-like) neurocysticercosis are rare diseases. Co-infection with spinal sparganosis and racemose neurocysticercosis has never been reported in the English-language literature. CASE REPORT A 41-year-old male presented after having experienced left hip pain with radiation to the leg, progressive weakness and numbness of the left leg, and difficulty urinating for 4 years, all of which was caused by spinal sparganosis. He had also experienced progressive vision and hearing loss on the right side for 3 years, which were caused by racemose neurocysticercosis...
September 14, 2018: American Journal of Case Reports
Tobias Hesper, Brian Scalone, Bernd Bittersohl, Silja Karlsson, John Keenan, Harish S Hosalkar
Introduction: Nerve injuries can occur from major hip surgeries, and some may be significant. Our goal was to assess the feasibility and safety of neuromonitoring during hip preservation surgery and the incidence of alerting events during such monitoring. Methods: Twenty-five adult patients underwent surgical hip dislocation for femoroacetabular impingement. Upper and lower extremity somatosensory evoked potentials, lower extremity transcranial motor evoked potentials, and lower extremity electromyography were recorded...
October 2017: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
Yanhui Ma, Jie Wu, Jixiu Xue, Fei Lan, Tianlong Wang
The present study presented the results of a prospective, randomized controlled trial. The present study enrolled 98 very elderly patients with hip fractures, complicated with at least one cardiovascular, neurological or pulmonary disease, of whom 10 patients were excluded. A total of 88 patients were randomly assigned into 2 groups: i) The control group, receiving traditional analgesia including 50 mg Tramadol and 500 mg paracetamol orally three times a day from admission to surgery; and ii) the study group, receiving ultrasound-guided continuous fascia iliaca compartment block (CFICB), a single 50 ml 0...
September 2018: Experimental and Therapeutic Medicine
Caitlin C Chambers, Stephanie B Ihnow, Emily J Monroe, Linda I Suleiman
BACKGROUND: American medical schools have gradually achieved balance in the sex of medical graduates over the past 4 decades. However, orthopaedic surgery has remained disproportionately male-dominated. Our aim was to quantify this discrepancy across surgical specialties at the residency training and academic faculty levels. We additionally sought to evaluate the prevalence of women in orthopaedic subspecialty and research societies. METHODS: Publicly available data from the Association of American Medical Colleges (AAMC) and the Accreditation Council for Graduate Medical Education (ACGME) for the 2005-2006 to 2016-2017 academic years were pooled for analysis of sex in surgical residency programs...
September 5, 2018: Journal of Bone and Joint Surgery. American Volume
H-C Chiu, C-M Chen, T-Y Su, C-H Chen, H-M Hsieh, C-P Hsieh, D-L Shen
Aims: We aimed to determine the effect of dementia and Parkinson's disease on one, three and 12-month mortality following surgery for fracture of the hip in elderly patients from an Asian population. Patients and Methods: Using a random sample of patients taken from the Taiwan National Health Insurance Research Database, this retrospective cohort study analyzed the data on 6626 elderly patients who sustained a fracture of the hip between 1997 and 2012 who had ICD-9 codes within the general range of hip fracture (820...
September 2018: Bone & Joint Journal
Seigo Oshima, Yoshio Sumen, Takuma Yamasaki, Mitsuo Ochi
Introduction: There are several case reports of nerve palsy caused by ganglions arising from the hip joint. We herein report the arthroscopic treatment of a patient who presented with femoral numbness due to the compression of the femoral nerve by a ganglion of the hip joint. Case Report: A 61-year-old man presented with a 3-month history of increasing pain in his left groin, and numbness and radiating pain in the anterior and medial thigh caused by a ganglion cyst...
March 2018: Journal of Orthopaedic Case Reports
Lisa Herzig, Nina de Lacy, George Capone, Jenny Radesky
Andrew is a 17-year-old male with trisomy 21, commonly known as Down syndrome, and accompanying severe intellectual disability who presents to your primary care office with his father for the first time to establish care and assistance with transition. Andrew has a history of a complete atrioventricular canal that was repaired as an infant and poorly controlled infantile spasms. Currently, he struggles with constipation, esophageal strictures, medullary nephrocalcinosis, urinary retention, sleep dysregulation, G-tube dependency, and hip dysplasia...
September 2018: Journal of Developmental and Behavioral Pediatrics: JDBP
Diana Costa, Camila Cardoso Diogo, Luís Maltez da Costa, José Eduardo Pereira, Vítor Filipe, Pedro Alexandre Couto, Stefano Geuna, Paulo A Armada-Da-Silva, Ana Colette Maurício, Artur S P Varejão
Functional recovery following general nerve reconstruction is often associated with poor results. Comparing to rat and mice experimental studies, there are much fewer investigations on nerve regeneration and repair in the sheep, and there are no studies on this subject using gait analysis in the sheep model as an assessment tool. Additionally, this is the first study evaluating obstacle negotiation and the compensatory strategies that take place at each joint in response to the obstacle during locomotion in the sheep model...
August 14, 2018: Neurological Research
A M Oberbauer, R Daniels, K Levy, T R Famula, P Mundell, R Kelley
Unsaturated omega-3 fatty acids, especially docosahexaenoic acid (DHA), when fed to dogs improves cognitive and neurological development. Supplementation with omega-3 fatty acids such as DHA and eicosapentaenoic acid (EPA) has also been associated with lipid peroxidation, which in turn has been implicated in reduced body weight and altered bone formation. To assess the impact of omega-3 fatty acid supplementation on skeletal growth, diets containing three levels of DHA and EPA (0.01 and 0.01%, 0.14 and 0.12%, and 0...
2018: PloS One
Kendra M Cherry-Allen, Matthew A Statton, Pablo A Celnik, Amy J Bastian
BACKGROUND: Gait impairments after stroke arise from dysfunction of one or several features of the walking pattern. Traditional rehabilitation practice focuses on improving one component at a time, which may leave certain features unaddressed or prolong rehabilitation time. Recent work shows that neurologically intact adults can learn multiple movement components simultaneously. OBJECTIVE: To determine whether a dual-learning paradigm, incorporating 2 distinct motor tasks, can simultaneously improve 2 impaired components of the gait pattern in people posttroke...
September 2018: Neurorehabilitation and Neural Repair
Woo-Keun Kwon, Woong-Bae Park, Gun-Young Lee, Joo Han Kim, Youn-Kwan Park, Hong Joo Moon
OBJECTIVE: We introduce our technique and results of retro-pleural/peritoneal "lateral pediculectomy" for the decompression of thoracolumbar fractures and reconstruction using expandable titanium cage, and circumferential fixation at a single stage. METHODS: 18 patients who had single unstable, burst thoracolumbar fracture were treated by this technique between January 2014 and December 2016 (T12: 9 cases, L1: 7 cases, L2: 2 cases). They were reviewed retrospectively in terms of radiologic (CT scan and X-ray), clinical outcomes and complications...
July 28, 2018: World Neurosurgery
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