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https://www.readbyqxmd.com/read/29924630/in-search-of-the-spherical-femoroplasty-cam-overresection-leads-to-inferior-functional-scores-before-and-after-revision-hip-arthroscopic-surgery
#1
Yosif Mansor, Itay Perets, Mary R Close, Brian H Mu, Benjamin G Domb
BACKGROUND: Femoroplasty performed for the treatment of cam-type femoroacetabular impingement (FAI) has become a common procedure. Underresection may result in residual FAI. Conversely, overresection may disrupt the labral seal, which is responsible for chondroprotective fluid dynamics of the hip. Hypothesis/Purpose: It was hypothesized that cam overresection negatively affects hip function. The purpose was to examine the effect of the accuracy of previous femoroplasty on hips presenting for revision hip arthroscopic surgery...
June 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29881192/surgical-technique-and-clinical-outcome-of-arthroscopic-shoulder-stabilization-via-suture-anchors-using-the-lasso-loop-stitch
#2
Christian Konrads, Sebastian Jovic, Kilian Rueckl, Annabel Fenwick, Thomas Barthel, Maximilian Rudert, Piet Plumhoff
During arthroscopic Bankart-repair the lasso-loop-stitch can be used. The clinical outcome of this technical modification to a broadly used procedure is not known. We followed-up 24 patients treated with this technique over 30 months. We found an excellent clinical outcome in 96% of all cases. The average Rowe-score was 96.3 points. The mean QuickDash was 2.8 points. Using the lasso-loop-stitch in arthroscopic Bankart-repair is safe and results in very good clinical outcomes. It might lead to an accentuated labral bump and enables secure knot-tying with knot-positioning away from the articular cartilage while avoiding the suture cutting through the tissue...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29881180/progressive-osteoarthritis-during-pregnancy-several-years-following-hip-arthroscopy-for-femoroacetabular-impingement
#3
Daniel Lee Jones, Matthew Truesdale Philippi, Travis Gardner Maak, Stephen Kenji Aoki
Case: A 28-year-old with borderline left hip dysplasia who underwent arthroscopic acetabuloplasty, femoral osteochondroplasty, and labral repair for femoroacetabular impingement. She did well for 8 years, though required arthroscopic capsulolabral adhesion release 2 years after the initial procedure. After this period of stability, she developed left hip pain during pregnancy. Radiographs demonstrated progressive osteoarthritis that lead to total hip arthroplasty at age 37. Conclusion: The physiologic and hormonal changes during pregnancy leading to increased ligamentous laxity may put vulnerable patients with hip dysplasia and iatrogenic instability at increased risk for progression of osteoarthritis...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29876134/simultaneous-acetabular-labrum-and-ligamentum-teres-reconstruction-a-case-report
#4
Brian J White, Alexandra M Scoles, Mackenzie M Herzog
This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft...
July 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29870448/minimum-five-year-outcomes-of-hip-arthroscopy-for-the-treatment-of-femoroacetabular-impingement-and-labral-tears-in-patients-with-obesity-a-match-controlled-study
#5
Itay Perets, Danil Rybalko, Edwin O Chaharbakhshi, Brian H Mu, Austin W Chen, Benjamin G Domb
BACKGROUND: Obesity is a negative prognostic factor for various surgical procedures. The purpose of this study was to compare patients with obesity who underwent hip arthroscopy for femoroacetabular impingement and labral tears with a match-controlled group of normal-weight patients. METHODS: Data were prospectively collected and retrospectively reviewed for patients who underwent arthroscopy between February 2008 and December 2011. Inclusion criteria were treatment for femoroacetabular impingement and labral tears and completed preoperative patient-reported outcomes and visual analog scale (VAS) for pain...
June 6, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29862041/clinical-outcomes-of-arthroscopic-repair-of-acetabular-labral-tears
#6
Carlos César Vassalo, Antônio Augusto Guimarães Barros, Lincoln Paiva Costa, Euler de Carvalho Guedes, Marco Antônio Percope de Andrade
Purpose: To evaluate the primary clinical outcomes of arthroscopic labral repair. Methods: All patients who underwent arthroscopic repair of the acetabular labrum performed by a senior surgeon between October 2010 and December 2013 were invited to participate in this prospective study. Patients included were those who had a preoperative diagnosis of labral tears, a lateral centre edge greater than 25° and a labral tear believed to be suturable during the intraoperative evaluation...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29857869/imaging-appearance-and-distribution-of-intra-articular-adhesions-following-open-fai-surgery
#7
Pascal Cyrill Haefeli, Florian Schmaranzer, Simon Damian Steppacher, Jennifer L Cullmann, Moritz Tannast, Lorenz Büchler
OBJECTIVES: To evaluate the appearance and distribution of intra-articular adhesions on direct MR arthrograms (MRA) in symptomatic patients after surgical hip dislocation (SHD) for the treatment of femoroacetabular impingement (FAI). METHODS: All 18 patients (19 hips) who underwent arthroscopic debridement for treatment of symptomatic adhesions after open surgery of FAI between 2003 and 2012 and that had a complete set of pre- and postoperative direct MRA were evaluated...
July 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29851867/what-are-the-effects-of-capsular-plication-on-translational-laxity-of-the-glenohumeral-joint-a-study-in-cadaveric-shoulders
#8
Stephanie W Mayer, Andrew P Kraszewski, Anne Skelton, Andreas Kontaxis, Russell Warren
BACKGROUND: Surgical treatment for shoulder instability generally involves labral repair with a capsular plication or imbrication. Good results are reported in both open and arthroscopic procedures, but there is no consensus on the amount or location of capsular plication that is needed to achieve stability and anatomic anterior, posterior, and inferior translation of the joint. QUESTIONS/PURPOSES: (1) What are the separate and combined effects of increasing plication magnitude and sequential additive plications in the anterior, posterior, and inferior locations of the joint capsule on glenohumeral joint translation in the anterior, posterior, and inferior directions? (2) What plication location and magnitude restores anterior, posterior, and inferior translation to a baseline level? METHODS: Fourteen cadaveric shoulders were dissected down to the glenohumeral capsule and underwent instrumented biomechanical testing...
May 30, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29848355/calcification-of-the-acetabular-labrum-of-the-hip-prevalence-in-the-general-population-and-relation-to-hip-articular-cartilage-and-fibrocartilage-degeneration
#9
Thelonius Hawellek, Jan Hubert, Sandra Hischke, Matthias Krause, Jessica Bertrand, Burkhard C Schmidt, Andreas Kronz, Klaus Püschel, Wolfgang Rüther, Andreas Niemeier
BACKGROUND: Meniscal calcification is considered to play a relevant role in the pathogenesis of osteoarthritis of the knee. Little is known about the biology of acetabular labral disease and its importance in hip pathology. Here, we analyze for the first time the calcification of the acetabular labrum of the hip (ALH) and its relation to hip cartilage degeneration. METHODS: In this cross-sectional post-mortem study of an unselected sample of the general population, 170 ALH specimens and 170 femoral heads from 85 donors (38 female, 47 male; mean age 62...
May 30, 2018: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29847149/primary-circumferential-acetabular-labral-reconstruction-achieving-outcomes-similar-to-primary-labral-repair-despite-more-challenging-patient-characteristics
#10
John P Scanaliato, Daniel L Christensen, Catherine Salfiti, Mackenzie M Herzog, Andrew B Wolff
BACKGROUND: Treatment of acetabular labral tears with moderate or severe intrasubstance damage or segmental defects remains a substantial challenge. Circumferential labral reconstruction with iliotibial band allograft is a relatively new technique that has been proposed to restore stability and eliminate high-stress junction points. PURPOSE: To compare outcomes between hips treated with primary allograft circumferential labral reconstruction and primary labral repair...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29843749/hip-pathology-the-diagnostic-accuracy-of-magnetic-resonance-imaging
#11
Lucas Annabell, Vahid Master, Alexander Rhodes, Brett Moreira, Cassandra Coetzee, Phong Tran
BACKGROUND: Hip arthroscopy has led to a greater understanding of intra-articular hip pathology. Non-contrast magnetic resonance imaging (MRI) is currently the gold standard in non-invasive imaging diagnosis, with high sensitivity in identifying labral pathology but equivocal results for ligamentum teres damage and chondral defects. The aim of this study is to determine the accuracy of non-contrast MRI for diagnosis of intra-articular hip derangements and identify radiological features that could increase the accuracy of the diagnosis...
May 29, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29813170/return-to-play-among-golfers-undergoing-hip-arthroscopy-short-to-mid-term-follow-up
#12
Victor Ortiz-Declet, Leslie C Yuen, David R Maldonado, Garrett Schwarzman, Joseph R Laseter, Benjamin G Domb
There are approximately 25 million amateur golfers in the United States, making up almost 10% of the entire US population. The purpose of this study was to evaluate short-term outcomes and rates of return to sport among recreational golfers who underwent hip arthroscopy for the treatment of labral tears. Data were prospectively collected and retrospectively reviewed for patients who underwent hip arthroscopy by one surgeon between August 2008 and February 2015. Exclusion criteria were previous ipsilateral hip surgeries or conditions, preoperative Tönnis osteoarthritis grade greater than 1, or workers' compensation status...
May 29, 2018: Orthopedics
https://www.readbyqxmd.com/read/29806399/-mid-term-effectiveness-of-arthroscopic-surgery-for-femoroacetabular-impingement
#13
Zongping Xie, Dongxu Jin, Jiagen Shen, Changqing Zhang
Objective: To assess the mid-term effectiveness of arthroscopic surgery in treatment of femoroacetabular impingement (FAI). Methods: Between July 2014 and December 2015, 131 patients (132 hips) with FAI were enrolled in this study. There were 68 males and 63 females with an average age of 42.5 years (range, 17-68 years). The FAI was located at left hip in 72 cases, right hip in 58 cases, and bilateral hips in 1 case. The mean disease duration was 35 months (range, 3-120 months)...
February 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29804606/editorial-commentary-caveat-flexor-to-release-or-not-to-release-the-iliopsoas-that-is-the-question
#14
EDITORIAL
Joshua D Harris
In nonarthritic patients with femoroacetabular impingement syndrome, borderline dysplasia, and symptomatic iliopsoas snapping, arthroscopic iliopsoas fractional lengthening carries a significant risk of postarthroscopic instability. The iliopsoas is a dynamic stabilizer of the anterior hip. Thus, although statistically significant and clinically important improvements in hip function have the potential to be achieved with iliopsoas fractional lengthening, surgeons must be supremely confident in their ability to perform a secure capsular plication, labral preservation (not debridement), comprehensive cam correction, avoidance of intra-abdominal fluid extravasation, release of all iliopsoas tendon bands (if bifid or trifid), and ensure that femoral version is normal or low, neck-shaft angle is not excessively valgus, the dysplasia magnitude is no more than mild, and that there is no excessive soft tissue hypermobility...
June 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29804605/editorial-commentary-the-rise-of-hip-arthroscopy-temporary-trend-or-here-to-stay
#15
EDITORIAL
Alan L Zhang, Brian T Feeley
Hip arthroscopy has demonstrated a drastic rise in utilization in the past decade for the treatment of femoroacetabular impingement, labral tears, and early arthritic changes. During that time, there has also been a rise in the use of administrative claims databases that have allowed for the analysis of trends in surgical procedures. Multiple large administrative database analyses have been used to characterize the changing trends in hip arthroscopy, and the demand for these procedures has grown significantly at our own institution as well as nationally...
June 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29803502/biceps-tenodesis-versus-labral-repair-for-superior-labrum-anterior-to-posterior-tears-a-systematic-review-and-meta-analysis
#16
REVIEW
Eoghan T Hurley, Daren Lim Fat, Cliona M Duigenan, J Chance Miller, Hannan Mullett, Cathal J Moran
BACKGROUND: This study systematically reviewed the comparative studies in the literature to ascertain whether biceps tenodesis or labral repair results in superior clinical outcomes in the treatment of superior labrum anterior-to-posterior (SLAP) tears. METHODS: A systematic search of articles in PubMed, EMBASE and The Cochrane Library databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Cohort studies of biceps tenodesis compared with labral repair of SLAP tears were included...
May 23, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29770180/factors-impacting-arthroscopic-rotator-cuff-repair-operational-throughput-time-at-an-ambulatory-care-center
#17
Emily J Curry, Catherine Logan, Kaytelin Suslavich, Kaitlyn Whitlock, Eric Berkson, Elizabeth Matzkin
Identifying patient factors influencing operational throughput time is becoming more imperative due to an increasing focus on value and cost savings in healthcare. The primary objective of this study was to determine patient factors influencing throughput time for primary rotator cuff repairs. Demographic information, medical history and operative reports of 318 patients from one ambulatory care center were retrospectively reviewed. Operating room set up, incision to closure and recovery room time were collected from anesthesia records...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29768929/current-concepts-in-revision-hip-arthroscopy
#18
Renato Locks, Ioanna Bolia, Hajime Utsunomiya, Karen Briggs, Marc J Philippon
Hip arthroscopy is an evolving procedure and its indications have expanded. The number of patients undergoing this procedure has increased significantly as well as the number of surgeons being trained. This has resulted in a notable increase in post-operative complication rates creating the need to develop advanced hip arthroscopic techniques. Revision hip arthroscopy is often complex and many factors should be considered to achieve a satisfactory clinical outcome. Careful pre-operative planning and agreement of expectations between the physician and patient regarding the procedure are important...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29758582/-relevance-of-mri-after-closed-reduction-of-traumatic-hip-dislocation-in-children
#19
Christoph Mauritz Strüwind, Christian von Rüden, Andreas Thannheimer, Volker Bühren, Dorien Schneidmueller
BACKGROUND: Traumatic hip dislocation in children and adolescents is a rare entity that typically results from high-energy trauma. After closed joint reduction, further treatment depends on the specific pattern of the lesion as identified using cross sectional imaging. The aim of this retrospective analysis was to evaluate relevant side effects after traumatic hip dislocation in children and adolescents in order to examine the need for focused diagnostics. PATIENTS/MATERIAL AND METHODS: This retrospective analysis covered 8 adolescents under 18 years suffering isolated traumatic hip joint dislocation between 2001 and 2017...
May 14, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29757716/us-assessment-of-sports-related-hip-injuries
#20
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
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