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https://www.readbyqxmd.com/read/28529661/slipped-capital-femoral-epiphysis-management-and-the-arthroscope
#1
F Accadbled, O May, C Thévenin-Lemoine, J Sales de Gauzy
BACKGROUND: In situ pinning of slipped capital femoral epiphysis (SCFE) results in various degrees of deformity of the femoral head-neck junction. Repetitive trauma from cam-type femoroacetabular impingement (FAI) can lead to labral tears and injury to the articular cartilage causing loss of function. Arthroscopic osteoplasty is an alternative to open procedure and to Southwick/Imhäuser-type osteotomies in symptomatic selected cases. SURGICAL TECHNIQUE: The amount of bone to be resected has to be carefully planned pre-operatively...
April 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28529658/pinning-the-slipped-and-contralateral-hips-in-the-treatment-of-slipped-capital-femoral-epiphysis
#2
G Hägglund
PURPOSE: To describe and comment on the treatment of the slipped capital femoral epiphysis (SCFE) with pinning and to present the pros and cons of prophylactic pinning of the contralateral hip. SUMMARY: Pinning the SCFE aims to fix the epiphysis and prevent further slipping. Some devices allow for further growth and remodeling of the femoral neck post-operatively. This results in maintained femoral offset and probably reduced risk of femoroacetabular impingement...
April 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28529657/in-situ-pinning-in-slipped-capital-femoral-epiphysis-long-term-follow-up-studies
#3
F Accadbled, J Murgier, B Delannes, J P Cahuzac, J Sales de Gauzy
BACKGROUND: Management of moderately displaced slipped capital femoral epiphysis (SCFE) is debated, mostly because of the risks related to open reduction on one hand, and subsequent evolution toward femoroacetabular impingement (FAI) on the other. METHOD: All SCFE cases treated with in situ fixation (ISF) and a minimum of ten years of follow-up beyond skeletal maturity were analysed in a retrospective multicentre study. Coxometry parameters were measured. Long-term results of ISF were meanwhile analysed at our Institution...
April 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28529655/scfe-clinical-aspects-diagnosis-and-classification
#4
M B Millis
PURPOSE: This article seeks to improve treatment outcomes in slipped capital femoral epiphysis (SCFE) by outlining advances in diagnosis, understanding of pathomechanics, and mechanically-based classification. METHODS: Review of clinical experience with SCFE at our high-volume centre, interaction with other clinical experts, and literature review has allowed a current perspective to be articulated. RESULTS: SCFE remains an important clinical problem, with late diagnosis still frequent...
April 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28527701/reasons-for-and-functional-results-of-repeated-hip-arthroscopy-a-continuous-prospective-study-of-17-revisions-out-of-295-primary-hip-arthroscopies-at-mean-28-months-follow-up
#5
C Tissot, L Merlini, M Mercier, N Bonin
INTRODUCTION: The rate of iterative arthroscopy has been increasing over the last decade as the technique has grown. The results of and reasons for these revision procedures, however, are not exactly known. We therefore conducted a prospective study to shed light on 1) functional results and patient satisfaction following repeated arthroscopy, and 2) the relevant indications. HYPOTHESIS: Functional scores and patient satisfaction increase following repeated arthroscopy...
May 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28520460/the-influence-of-body-mass-index-on-outcomes-after-hip-arthroscopic-surgery-with-capsular-plication-for-the-treatment-of-femoroacetabular-impingement
#6
Bryan M Saltzman, Benjamin D Kuhns, Bryce Basques, Timothy Leroux, Jennifer Alter, Richard C Mather, Michael J Salata, Shane J Nho
BACKGROUND: It remains unknown how variations in body mass index (BMI) influence outcomes after primary hip arthroscopic surgery with capsular plication for femoroacetabular impingement (FAI). PURPOSE: To evaluate the effect that abnormal BMI (namely, overweight, obese, morbidly obese, and underweight) versus normal weight has on patient-reported clinical outcomes more than 2 years postoperatively from primary hip arthroscopic surgery with capsular plication by a single surgeon...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28516234/assessing-long-term-return-to-play-after-hip-arthroscopy-in-football-players-evaluating-risk-factors-for-good-prognosis
#7
D Barastegui, R Seijas, P Alvarez-Diaz, E Rivera, E Alentorn-Geli, G Steinbacher, X Cuscó, R Cugat
PURPOSE: Groin pain is the third most common disease in football players and has often been associated with hip pathology such as femoroacetabular impingement and labral lesions. Hip arthroscopy offers possibilities of function restoration via minimally invasive procedures. The aim of this study is to evaluate professional football player's injuries and their return to play after hip arthroscopy for FAI and labral injuries. METHODS: Patients that underwent hip arthroscopy between 2009 and 2014 were selected retrospectively...
May 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28513428/slipped-capital-femoral-epiphysis-a-review-of-management-in-the-hip-impingement-era
#8
Mahmoud A Mahran, Mostafa M Baraka, Hany M Hefny
Slipped capital femoral epiphysis (SCFE) remains the most common adolescent hip disorder. Most cases present with stable slips, and in situ fixation is the most commonly adopted treatment worldwide. The introduction of the concept of femoroacetabular impingement and subsequent studies have revealed SCFE-related hip impingement to be a significant pre-arthritic condition, and the previously suggested remodeling of the proximal femur after in situ fixation has been called into question. Complex proximal femoral osteotomies and more recently intra-articular procedures via surgical hip dislocation have been employed...
2017: SICOT-J
https://www.readbyqxmd.com/read/28507776/the-current-situation-in-hip-arthroscopy
#9
REVIEW
Oliver Marin-Peña, Marc Tey-Pons, Luis Perez-Carro, Hatem G Said, Pablo Sierra, Pedro Dantas, Richard N Villar
Hip arthroscopy is an evolving surgical technique that has recently increased in popularity.Although femoroacetabular impingement was an important launch pad for this technique, extra-articular pathology has been described through hip endoscopy.Good clinical results in the medium term will allow improvements in this technique and increase its indications. Cite this article: EFORT Open Rev 2017;2:58-65. DOI: 10.1302/2058-5241.2.150041.
March 2017: EFORT Open Rev
https://www.readbyqxmd.com/read/28506616/outcomes-of-hip-arthroscopy-in-competitive-athletes
#10
Itay Perets, David E Hartigan, Edwin O Chaharbakhshi, Lyall Ashberg, Victor Ortiz-Declet, Benjamin G Domb
PURPOSE: To evaluate the minimum 2-year postoperative clinical outcomes and the rate of return to sports in athletes who underwent capsular plication for the treatment of ligamentous laxity and/or borderline dysplasia during hip arthroscopy for the treatment of femoroacetabular impingement and labral pathology. METHODS: Since 2008, data were prospectively collected on patients who underwent hip arthroscopy for the treatment of femoroacetabular impingement and/or labral tears...
May 12, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28502412/computer-based-estimation-of-the-hip-joint-reaction-force-and-hip-flexion-angle-in-three-different-sitting-configurations
#11
J Van Houcke, A Schouten, G Steenackers, D Vandermeulen, C Pattyn, E A Audenaert
Sitting is part of our daily work and leisure activities and can be performed in different configurations. To date, the impact of different sitting configurations on hip joint loading has not been studied. We therefore evaluated the hip joint reaction force (HJRF) and hip flexion angle in a virtual representative male Caucasian population by means of musculoskeletal modelling of three distinct sitting configurations: a simple chair, a car seat and a kneeling chair configuration. The observed median HJRF in relation to body weight and hip flexion angle, respectively, was 22...
September 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28501988/gluteus-maximus-contraction-velocity-assessed-by-tensiomyography-improves-following-arthroscopic-treatment-of-femoroacetabular-impingement
#12
Roberto Seijas, Miguel Marín, Eila Rivera, Eduard Alentorn-Geli, David Barastegui, Pedro Álvarez-Díaz, Ramón Cugat
PURPOSE: Muscular impairment, particularly for the gluteus maximus (GM), has been observed in femoroacetabular impingement (FAI). The purpose of this study was to evaluate the tensiomyographic changes of the GM, rectus femoris (RF) and adductor longus (AL) before and after arthroscopic surgery for FAI. It was hypothesized that arthroscopic treatment of FAI would improve the preoperative muscular impairment. METHODS: All patients undergoing arthroscopic treatment of FAI between January and July 2015 were approached for eligibility...
May 13, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28478819/subclinical-developmental-dysplasia-of-the-hip-could-predispose-to-femoroacetabular-impingement
#13
Simon Erridge, En Lin Goh, Swathikan Chidambaram
Developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI) are separate causes of premature osteoarthritis. There is a paucity of literature describing potential ways in which an individual can be predisposed to FAI. This hypothesis aims to outline how subclinical DDH may predispose a patient to FAI. In DDH the acetabular malformation of the hip joint alters the weight distribution superiorly in the loading axis. In accordance with Wolff's Law, we propose that this change in loading may result in the formation of protrusions on either the acetabular rim or femoral head and neck, predisposing to impingement of the hip during to certain movements and consequently, FAI...
May 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28473283/hip-knee-and-ankle-kinematics-during-activities-of-daily-living-a-cross-sectional-study
#14
Kashitaro Hyodo, Tadashi Masuda, Junya Aizawa, Tetsuya Jinno, Sadao Morita
BACKGROUND: Joint angle data from healthy subjects are necessary as baseline information. OBJECTIVE: To analyze the problems of patients who struggle with activities of daily living (ADL) due to restricted range of motion and to provide ADL guidance based on objective data. METHOD: An electromagnetic three-dimensional tracking system (FASTRAK) was used to quantify the hip, knee, and ankle angles of the dominant leg of 26 healthy adults as they performed 22 ADLs related to dressing, using the toilet, bathing, picking up objects, and crouching...
April 9, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28466104/imaging-evaluation-of-the-hip-after-arthroscopic-surgery-for-femoroacetabular-impingement
#15
REVIEW
Julia Crim
Arthroscopic surgery for femoroacetabular impingement (FAI) is increasingly frequently performed. Initial reports were that complications were very low, but as experience has increased, a number of long-term complications, in addition to factors related to poor clinical outcomes, have been identified. This review describes the normal and abnormal postoperative imaging appearance of the hip after arthroscopy for FAI. Abnormalities discussed include incomplete resection or over-resection of the impingement lesion, heterotopic ossification, cartilage damage, chondrolysis, instability and dislocation, recurrent labral tear, adhesions, psoas atrophy, infection, and avascular necrosis...
May 2, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28441511/do-patients-with-borderline-dysplasia-have-inferior-outcomes-after-hip-arthroscopic-surgery-for-femoroacetabular-impingement-compared-with-patients-with-normal-acetabular-coverage
#16
Gregory L Cvetanovich, David M Levy, Alexander E Weber, Benjamin D Kuhns, Richard C Mather, Michael J Salata, Shane J Nho
BACKGROUND: The literature contains conflicting reports regarding whether outcomes of hip arthroscopic surgery for patients with borderline dysplasia are inferior to outcomes in patients with normal acetabular coverage. PURPOSE: To assess differences in the outcomes of hip arthroscopic surgery for femoroacetabular impingement (FAI) in groups of patients with borderline dysplasia and normal coverage. STUDY DESIGN: Cohort study; Level of evidence, 3...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28437548/arthroscopic-treatment-of-a-displaced-nonunion-of-the-anterior-inferior-iliac-spine-causing-extra-articular-impingement
#17
Motoi Shibahara, Yasuo Ohnishi, Eisaburo Honda, Dean K Matsuda, Soshi Uchida
This report describes a case of nonunion of an anterior inferior iliac spine (AIIS) apophyseal avulsion fracture with resultant subspine impingement combined with symptomatic femoroacetabular impingement (FAI). A 16-year-old male soccer player presented with a 6-month history of right groin pain exacerbated by kicking and running. The patient was diagnosed with a displaced nonunion of the AIIS apophysis avulsion fracture causing secondary extra-articular impingement beyond cam-type FAI by physical examination and radiological findings...
April 24, 2017: Orthopedics
https://www.readbyqxmd.com/read/28423434/-radiologic-presentation-in-subspine-impingement-and-correlation-with-intraarticular-impingement-in-the-hip
#18
David R Krüger, Michael Schütz, Carsten Perka, Jörg Schröder
Background Besides the known intraarticular femoroacetabular impingement (FAI), recently forms of extra-articular impingement of the hip have been increasingly recognized. Recent studies have described an extra-articular impingement between a distal extension of the anterior inferior iliac spine (AIIS) and the femoral neck (AIIS or subspine impingement). Evidently, an association between this subspine impingement and an intraarticular FAI seems to exist. Little is known about the incidence of this impingement type and the value of its radiological diagnostics...
April 19, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28422531/femoroacetabular-impingement-in-professional-football-players-return-to-play-and-predictors-of-career-length-after-hip-arthroscopy
#19
Travis J Menge, Sanjeev Bhatia, Shannen C McNamara, Karen K Briggs, Marc J Philippon
BACKGROUND: Previous studies have shown hip arthroscopy to be a highly effective treatment for symptomatic femoroacetabular impingement (FAI) in a wide range of athletes; however, the rate of return to play and length of career after hip arthroscopy in professional football players are unknown. PURPOSE: To determine how many athletes returned to professional football and the number of seasons they played after surgery. STUDY DESIGN: Case series; Level of evidence, 4...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28420300/epinephrine-induced-pulmonary-edema-during-hip-arthroscopy-a-report-of-two-cases-and-a-review-of-the-literature
#20
Nicole S Belkin, Ryan M Degen, Gregory A Liguori, Bryan T Kelly
OBJECTIVES: Hip arthroscopy utilization has significantly increased in recent years. While it is a relatively safe procedure, it is not without risk. Life-threatening complications, albeit rare, can potentially occur and must be appropriately recognized and treated. We describe 2 cases in which patients' undergoing hip arthroscopy developed pulmonary edema and their respective courses of treatment. METHODS: Both patients were being treated for symptomatic femoroacetabular impingement (FAI), with labral tears, requiring operative management after a failed trial of conservative management...
April 26, 2017: Physician and Sportsmedicine
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