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https://www.readbyqxmd.com/read/29166763/an-extremely-rare-cause-of-back-and-hip-pain-due-to-the-metastasis-of-late-recurrent-myxopapillary-ependymoma-to-the-inguinal-lymph-node
#1
Suheyla Ekemen, Ozlem Yapicier, Hatice Deniz Boler, Umit Ince
No abstract text is available yet for this article.
November 23, 2017: Journal of Pathology and Translational Medicine
https://www.readbyqxmd.com/read/29164399/efficacy-of-a-single-intra-articular-injection-of-ultra-high-molecular-weight-hyaluronic-acid-for-hip-osteoarthritis-a-randomized-controlled-study
#2
Daniele Clementi, Riccardo D'Ambrosi, Paride Bertocco, Miguel Simon Bucci, Carlo Cardile, Paolo Ragni, Graziella Giaffreda, Vincenza Ragone
BACKGROUND: Viscosupplementation with hyaluronic acid (HA) is increasingly used for the treatment of hip osteoarthritis (OA). The purpose of this study was to compare the efficacy of intra-articular injections of an ultra-high molecular weight viscosupplement (UHMW-HA, Fermathron S) with a medium molecular weight hyaluronan (MMW-HA, Hyalubrix 60) in hip OA. METHODS: Fifty-four patients with hip OA grade 3 on the Kellgren/Lawrence scale were randomized. All infiltrations were performed under ultrasound guidance...
November 21, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29164284/uncommon-observation-of-bifocal-giant-subchondral-cysts-in-the-hip-diagnostic-role-of-ct-arthrography-and-mri-with-pathological-correlation
#3
Pauline Gonzalez-Espino, Maïté Van Cauter, Louis Gossing, Christine C Galant, Souad Acid, Frederic E Lecouvet
Subchondral cysts (or geodes) are common in osteoarthritis (OA), usually in association with other typical signs, i.e., joint space narrowing, subchondral bone sclerosis, and osteophytosis. However, large lesions without the typical signs of OA or lesions located outside the weight-bearing areas are unusual and may be confused for other conditions, in particular, those of tumoral origin. We report the findings in a 48-year-old man who had been complaining of left buttock pain for 3 years, getting worse over the last year, and an evolutive limited range of motion of the hip...
November 21, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29162768/coexistence-of-trunk-or-lower-extremity-pain-with-elbow-and-or-shoulder-pain-among-young-overhead-athletes-a-cross-sectional-study
#4
Takuya Sekiguchi, Yoshihiro Hagiwara, Haruki Momma, Masahiro Tsuchiya, Kaoru Kuroki, Kenji Kanazawa, Yutaka Yabe, Shinichiro Yoshida, Masashi Koide, Nobuyuki Itaya, Eiji Itoi, Ryoichi Nagatomi
Elbow or shoulder injuries are common in overhead sports. Because energy derived from the lower extremity passes through the trunk to the upper extremity in overhead motion, a break in such a kinetic chain could lead to arm injuries. However, there is only limited information about the role of the trunk and lower extremity support in preventing elbow or shoulder injuries. This study aimed to explore the association of trunk and lower extremity pain with elbow/shoulder pain among young overhead athletes. We conducted a cross-sectional study using self-reported questionnaires mailed to young athletes belonging to the Miyagi Amateur Sports Association...
2017: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/29162244/locking-versus-non-locking-one-third-tubular-plates-for-treating-osteoporotic-distal-fibula-fractures-a-comparative-study
#5
Mario Herrera-Pérez, Maria J Gutiérrez-Morales, Ayron Guerra-Ferraz, Jose L Pais-Brito, Juan Boluda-Mengod, Gerardo L Garcés
INTRODUCTION: Ankle fractures represent the third most common fracture in elderly patients, after hip and wrist fractures. Distal fibula fractures in this population are closely related to osteoporosis, which renders commonly used methods of internal fixation technically demanding and prone to failure. Currently there is a tendency to fix osteoporotic metaphyseal and epiphyseal fractures with locking plates. However, published accounts about the use of this technology in osteoporotic distal fibula fractures are scarce...
November 2017: Injury
https://www.readbyqxmd.com/read/29161930/no-radiological-and-clinical-advantages-with-patient-specific-positioning-guides-in-total-knee-replacement
#6
Justin A M J Van Leeuwen, Finnur Snorrason, Stephan M Röhrl
Background and purpose - Although the use of patient-specific positioning guides (PSPGs) in total knee replacement (TKR) in theory is promising, the technique has not yet proven its superior- ity compared with the conventional method. We compared radio- logical alignment and clinical outcome between TKR performed with the use of PSPGs and the conventional operation method. Patients and methods - 3 hospitals participated in a prospec- tive trial. 109 patients were randomized to either the conventional method or to the use of PSPGs...
November 22, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/29158960/a-combined-treatment-approach-emphasizing-impairment-based-manual-therapy-and-exercise-for-hip-related-compensatory-injury-in-elite-athletes-a-case-series
#7
Steve Short, Gretchen Short, Donald Strack, Philip Anloague, Brian Brewster
Background/Purpose: Athletes experiencing hip, groin, and low back pain often exhibit similar clinical characteristics. Individuals with hip, groin and low back pain may have the presence of multiple concurrent pathoanatomical diagnoses. Regardless, similar regional characteristics and dysfunction may contribute to the patient's chief complaint, potentially creating a sub-group of individuals that may be defined by lumbopelvic and hip mobility limitations, motor control impairments, and other shared clinical findings...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29157844/prevalence-of-asymptomatic-femoroacetabular-impingement-in-turkey-cross-sectional-study
#8
Gökhan Polat, Koray Şahin, Ufuk Arzu, Alper Şükrü Kendirci, Mehmet Aşık
OBJECTIVES: Femoroacetabular impingement (FAI) is one of the causes of hip pain in young-adult patients. The purpose of our study is to determine the prevalence of radiological FAI findings in asymptomatic population in Turkey. METHODS: Trauma patients aged 18-65 years who applied to the emergency service between September 2015 and September 2016 were retrospectively evaluated for this study. After a preliminary study and power analysis, 2152 hips of the 1076 previously asymptomatic patients were evaluated radiologically with pelvis antero-posterior and frog-leg radiographs...
November 17, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29157738/do-hip-muscle-weakness-and-dynamic-knee-valgus-matter-for-the-clinical-evaluation-and-decision-making-process-in-patients-with-patellofemoral-pain
#9
REVIEW
Nayra Deise Dos Anjos Rabelo, Paulo Roberto Garcia Lucareli
BACKGROUND: Patellofemoral pain is a very common musculoskeletal condition. In the last years, evidence regarding this disease increased exponentially. Although widely investigated, this problem still frustrates patients and clinicians for having an unfavorable prognosis. Some gaps still exist in the understanding and managing of patellofemoral pain. Numerous cross-sectional association studies show an association between gluteus muscular strength and dynamic knee valgus in patients with patellofemoral pain...
November 8, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29157670/presence-of-comorbidities-and-prognosis-of-clinical-symptoms-in-knee-and-or-hip-osteoarthritis-a-systematic-review-and-meta-analysis
#10
REVIEW
Patrick Calders, Ans Van Ginckel
OBJECTIVE: (i) To determine the association between the presence of comorbidities and severity of pain and physical dysfunction in people with knee and/or hip osteoarthritis; (ii) to explore associations between specific comorbidities (cardiac disease and/or hypertension, diabetes, depression, and back pain) and symptom severity. METHODS: Studies were identified through systematic searches in four electronic databases and grey literature, and, subsequently, methodologically appraised...
October 31, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/29156841/efficacy-of-intra-articular-hyaluronic-acid-injections-in-hip-osteoarthritis-a-meta-analysis-of-randomized-controlled-trials
#11
Bei Wu, Yao-Min Li, Yan-Cheng Liu
There is less credible evidence of using of intra-articular injections of hyaluronic acid (HA) to treat hip osteoarthritis (OA). This study is to determine the therapeutic effects and risk of adverse events of HA administration for hip OA. The MEDLINE, Cochrane of Systematic Reviews, Cochrane Clinical Trial Register and EMBASE, were searched for articles published. Eligible studies were limited to trials of HA with a randomized design. A total of six studies were included in this the meta-analysis. The pooled effect size of improved pain scores from pretreatment was -0...
October 17, 2017: Oncotarget
https://www.readbyqxmd.com/read/29156302/monitoring-the-effect-of-football-match-congestion-on-hamstring-strength-and-lower-limb-flexibility-potential-for-secondary-injury-prevention
#12
Martin Wollin, Kristian Thorborg, Tania Pizzari
OBJECTIVES: To investigate the effect of competitive football match congestion on hamstring strength and lower limb flexibility. DESIGN: Repeated measures. SETTING: Elite male youth football. PARTICIPANTS: Fifteen male elite youth football players from the national football association centre of excellence were included (age = 15.81 ±0.65 years, height = 171.95 ±6.89 cm, weight = 65.93 ±7.53 kg). MAIN OUTCOME MEASURES: Hamstring strength and pain, ankle dorsiflexion, hip extension, knee extension and flexion range of motion...
September 15, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29154234/activity-and-quality-of-life-after-total-hip-arthroplasty
#13
Anna Świtoń, Ewa Wodka-Natkaniec, Łukasz Niedźwiedzki, Tadeusz Gaździk, Tadeusz Niedźwiedzki
BACKGROUND: Coxarthrosis is a chronic musculoskeletal condition that causes severe pain and considerable limi-tation of the patient's motor performance. Total hip arthroplasty is one of the most common and effective methods used in the treatment of advanced degenerative changes. The aim of the present study was to evaluate the activity and quality of life of patients after unilateral total hip arthroplasty. MATERIAL AND METHODS: The study was conducted in a group of 189 patients who had undergone unilateral total hip arthroplasty...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29153633/opioids-consumed-in-the-immediate-post-operative-period-does-not-influence-how-patients-rate-their-experience-of-care-after-total-hip-arthroplasty
#14
Jennifer I Etcheson, Chukwuweike U Gwam, Nicole E George, Sana Virani, Michael A Mont, Ronald E Delanois
BACKGROUND: Patient perception of care, commonly measured with Press Ganey (PG) surveys, is an important metric used to determine hospital and provider reimbursement. However, post-operative pain following total hip arthroplasty (THA) may negatively affect patient satisfaction. As a result, over-administration of opioids may occur, even without marked evidence of pain. Therefore, this study evaluated whether opioid consumption in the immediate postoperative period bears any influence on satisfaction scores after THA...
November 16, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29152935/heterogenic-control-groups-in-randomized-controlled-analgesic-trials-of-total-hip-and-knee-arthroplasty
#15
Anders P Karlsen, Ole Mathiesen, Jørgen B Dahl
BACKGROUND: Postoperative analgesic interventions are often tested adjunct to basic non- opioid analgesics in randomized controlled trials (RCTs). Consequently, treatment in control groups, and assay sensitivity, differs between trials. We hypothesized that postoperative opioid requirements and pain intensities varies between different control groups in analgesic trials. METHODS: Control groups from RCTs investigating analgesic interventions after total hip and knee arthroplasty were categorized based on standardized basic analgesic treatment...
November 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29152500/application-of-3d-technology-and-printing-for-femoral-derotation-osteotomy-case-and-technical-report
#16
Nicolás Fiz, Diego Delgado, Xabier Sánchez, Pello Sánchez, Ane Miren Bilbao, Jaime Oraa, Mikel Sánchez
In some surgical techniques like femoral derotation osteotomy, accuracy is a key factor that often is not optimal because of the lack of appropriate technology. 3D printing is emerging in many professional areas and its use in the medical field may enhance the results of certain surgeries. This case describes a patient who underwent an intramedullary nail fixation to treat a femoral shaft fracture. After nine months, the patient presented hip pain and "in toe" walking caused by a malrotation produced during the surgery...
October 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29151233/clinical-results-of-hemiarthroplasty-using-new-bipolar-cups-for-stage-3-or-lower-osteonecrosis-of-the-femoral-head-a-retrospective-study
#17
T Abe, N Kaku, T Tabata, H Tagomori, H Tsumura
PURPOSE: The aim of this study was to evaluate clinical and radiographic findings of stage 3 or lower osteonecrosis of the femoral head (ONFH) with intact acetabular cartilage in patients treated with bipolar hemiarthroplasty (BHA). METHODS: A total of 79 hips that underwent BHA for ONFH were included in this study. The average observation period was 7.6 years. Clinical results were evaluated using the Harris hip score. We performed radiographic analysis to assess the migration of the outer cup, the permanent image around the outer cup, and loosening of the stem...
November 18, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29147763/frailty-in-end-stage-hip-or-knee-osteoarthritis-validation-of-the-groningen-frailty-indicator-gfi-questionnaire
#18
Jennifer M T A Meessen, Claudia S Leichtenberg, Claire Tilbury, Bart L Kaptein, Lennard A Koster, P Eline Slagboom, Suzan H M Verdegaal, Ron Onstenk, Henrike M J van der Linden-van der Zwaag, Herman Kaptijn, Stephan B W Vehmeijer, Willem-Jan C Marijnissen, Pieter-Jan Damen, Rob G H H Nelissen, Thea P M Vliet Vlieland
Frailty is highly prevalent in the elderly, increasing the risk of poor health outcomes. The Groningen Frailty Indicator (GFI) is a 15-item validated questionnaire for the elderly. Its value in patients with end-stage hip or knee osteoarthritis (OA) has not yet been determined. This study assesses the validity of the GFI in this patient group. End-stage hip or knee OA patients completed the GFI (range 0-15, ≥ 4 = frail) before arthroplasty surgery. Convergent validity was determined by Spearman-rank correlation between the SF-12 physical (PCS) and mental (MCS) component scores and the physical and mental GFI-domains, respectively...
November 17, 2017: Rheumatology International
https://www.readbyqxmd.com/read/29146385/cross-cultural-adaptation-and-implementation-of-good-life-with-osteoarthritis-in-denmark-gla-d-tm-group-education-and-exercise-for-hip-and-knee-osteoarthritis-is-feasible-in-canada
#19
Aileen M Davis, Deborah Kennedy, Rosalind Wong, Susan Robarts, Søren T Skou, Rhona McGlasson, Linda C Li, Ewa Roos
OBJECTIVE: Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:D(TM)) in Canada for people with mild to severe hip/knee osteoarthritis. METHODS: Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up...
November 13, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29146288/unusual-iliac-crest-stress-fracture-in-a-marathoner-a-case-report
#20
Amy M West, Kelly C McInnis
This case presentation describes a 50-year-old healthy woman who developed left sided hip pain while training for the Boston Marathon. Magnetic Resonance Imaging (MRI) demonstrates a stress fracture of the left iliac body. This injury is unique in that it did not occur in the setting of low bone mineral density and it does not fall into the current published radiographic categorization based on location of injury. This case illustrates an uncommon and atypical bone stress injury in an endurance athlete. It should be considered in the differential diagnosis of runners presenting with hip or lumbopelvic pain...
November 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
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