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https://www.readbyqxmd.com/read/29768929/current-concepts-in-revision-hip-arthroscopy
#1
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/29757716/us-assessment-of-sports-related-hip-injuries
#2
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
https://www.readbyqxmd.com/read/29742531/spontaneous-healing-of-a-bucket-handle-posterior-labral-detachment-after-hip-dislocation-in-a-five-year-old-child-a-case-report
#3
R Carter Clement, Daniel P Carpenter, Anna V Cuomo
CASE: We report the case of a 5-year-old girl who sustained a traumatic hip dislocation and a spontaneous reduction that was complicated by nonconcentric reduction and a large bucket-handle labral detachment. This injury was managed, via an anterior approach, with capsulotomy and reduction of the large interposed labral tear with an attached osteochondral fragment from the posterior aspect of the acetabulum. No additional surgical treatment was employed for the labral tear. CONCLUSION: The patient ultimately demonstrated radiographic healing and an asymptomatic, clinically stable hip...
May 9, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29734501/using-multidimensional-topological-data-analysis-to-identify-traits-of-hip-osteoarthritis
#4
Jasmine Rossi-deVries, Valentina Pedoia, Michael A Samaan, Adam R Ferguson, Richard B Souza, Sharmila Majumdar
BACKGROUND: Osteoarthritis (OA) is a multifaceted disease with many variables affecting diagnosis and progression. Topological data analysis (TDA) is a state-of-the-art big data analytics tool that can combine all variables into multidimensional space. TDA is used to simultaneously analyze imaging and gait analysis techniques. PURPOSE: To identify biochemical and biomechanical biomarkers able to classify different disease progression phenotypes in subjects with and without radiographic signs of hip OA...
May 7, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29730220/assessing-the-outcome-of-hip-arthroscopy-for-labral-tears-in-femoroacetabular-impingement-using-the-minimum-dataset-of-the-british-non-arthroplasty-hip-register-a-single-surgeon-experience
#5
Julian F Maempel, Jason Z Ting, Paul Gaston
PURPOSE: The aim of this study was to assess changes in British Non-arthroplasty Hip Register (NAHR) minimum dataset (MDS) patient-reported outcome measures (PROMs) after hip arthroscopy for femoroacetabular impingement (FAI) and define the relation between these and patient satisfaction. Secondary aims included exploring the impact of patient characteristics (age, sex, and social deprivation status) on MDS PROMs and satisfaction and determining the Net Promoter Score for hip arthroscopy for FAI...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29673359/developing-a-risk-prediction-model-for-the-functional-outcome-after-hip-arthroscopy
#6
Patrick Stephan, Maarten A Röling, Nina M C Mathijssen, Gerjon Hannink, Rolf M Bloem
BACKGROUND: Hip arthroscopic treatment is not equally beneficial for every patient undergoing this procedure. Therefore, the purpose of this study was to develop a clinical prediction model for functional outcome after surgery based on preoperative factors. METHODS: Prospective data was collected on a cohort of 205 patients having undergone hip arthroscopy between 2011 and 2015. Demographic and clinical variables and patient reported outcome (PRO) scores were collected, and considered as potential predictors...
April 19, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29607761/arthroscopic-surgical-procedures-versus-sham-surgery-for-patients-with-femoroacetabular-impingement-and-or-labral-tears-study-protocol-for-a-randomized-controlled-trial-hiparti-and-a-prospective-cohort-study-harp
#7
May Arna Risberg, Eva Ageberg, Agnethe Nilstad, Bent Lund, Lars Nordsletten, Sverre Løken, Tom Ludvigsen, Signe Kierkegaard, Sasha Carsen, Ioannis Kostogiannis, Kay M Crossley, Sion Glyn-Jones, Joanne L Kemp
Study Design Study protocol for a randomized controlled trial and a prospective cohort. Background The number of arthroscopic surgical procedures for patients with femoroacetabular impingement syndrome (FAIS) has significantly increased worldwide, but high-quality evidence of the effect of such interventions is lacking. Objectives The primary objective will be to determine the efficacy of hip arthroscopic procedures compared to sham surgery on patient-reported outcomes for patients with FAIS (HIP ARThroscopy International [HIPARTI] Study)...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29578869/orthopedic-injuries-in-professional-surfers-a-retrospective-study-at-a-single-orthopedic-center
#8
Eric Hohn, Sean Robinson, Jarrad Merriman, Robin Parrish, Warren Kramer
BACKGROUND: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Our goal was to evaluate orthopedic injuries in professional surfers. HYPOTHESIS: Orthopedic injuries in professional surfers are diverse and have evolved with skill and technology...
March 23, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29552471/a-technique-for-arthroscopic-assisted-ligamentum-teres-augmentation-using-a-suture-tape-augmentation
#9
Julie A Neumann, Renee S Greene, Michael B Banffy
Ligamentum teres (LT) tears are a pathologic condition being identified at increasing frequency because of growing use of hip arthroscopy. The exact role of the LT is not well understood, but it has been shown in recent biomechanical studies to contribute to hip stability. Patients with hip pain, instability, and/or mechanical symptoms with advanced imaging findings showing LT pathology may benefit from an LT augmentation. We present an arthroscopic-assisted LT augmentation technique, which can be performed as an isolated procedure or in conjunction with an arthroscopic labral repair and/or debridement, chondroplasty, and femoroplasty...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29540366/what-is-the-prevalence-of-imaging-defined-intra-articular-hip-pathologies-in-people-with-and-without-pain-a-systematic-review-and-meta-analysis
#10
REVIEW
Joshua J Heerey, Joanne L Kemp, Andrea B Mosler, Denise M Jones, Tania Pizzari, Richard B Souza, Kay M Crossley
BACKGROUND: Intra-articular hip pathologies are thought to be associated with the development of hip and groin pain. A better understanding of the relationship between symptoms and imaging findings may improve the management of individuals with intra-articular hip pathologies. OBJECTIVE: To undertake a systematic review and meta-analysis to determine the prevalence of intra-articular hip pathologies in individuals with and without pain. METHODS: Seven electronic databases were searched in February 2017 for studies investigating the prevalence of intra-articular hip pathologies using MRI, MRA or CT...
May 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29526410/impingement-type-bony-morphology-was-related-to-cartilage-defects-but-not-pain-in-professional-ballet-dancers-hips
#11
Susan Mayes, Peter Smith, Jill Cook
OBJECTIVES: Professional ballet dancers may have hip bony morphology that predisposes them to cartilage or labral injury. However, the relationship between bony morphology and pathology has not been investigated in ballet. This study investigates associations between bony morphology, chondrolabral defects and hip pain in ballet dancers. DESIGN: Cross-sectional study. METHODS: 33 male and female professional ballet dancers, (mean age 27 years (range 19-39)), completed questionnaires with hip pain measured on a visual analogue scale; and underwent 3...
March 3, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29468172/hip-arthroscopic-surgery-for-femoroacetabular-impingement-a-prospective-analysis-of-the-relationship-between-surgeon-experience-and-patient-outcomes
#12
Sergio E Flores, Kristina R Borak, Alan L Zhang
Background: Hip arthroscopic surgery is a rapidly growing procedure, but it may be associated with a steep learning curve. Few studies have used patient-reported outcome (PRO) surveys to investigate the relationship between surgeon experience and patient outcomes after the arthroscopic treatment of femoroacetabular impingement (FAI). Hypothesis: Patients undergoing hip arthroscopic surgery for the treatment of FAI in the early stages of a surgeon's career will have significantly worse outcomes and longer procedure times compared with patients treated after the surgeon has gained experience...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29463360/severe-arthritic-changes-following-acetabular-labral-repair-and-femoroplasty-in-an-air-force-pilot
#13
Christopher J Sardon, Mathew L Resnick
BACKGROUND: Acetabular labral tears in the hip have become an increasingly common finding in active duty members due to improved diagnostic capabilities. This has led to a dramatic increase in operative management despite a lack of evidence to support clear long-term benefits. Literature review demonstrated overwhelmingly positive short-term outcomes for labral repairs; however, scattered case reports exist demonstrating debilitating outcomes in young patients, ultimately resulting in total hip arthroplasty...
February 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29435469/prevalence-and-impact-of-hip-arthroscopic-surgery-on-future-participation-in-elite-american-football-athletes
#14
Derrick M Knapik, Joe Sheehan, Shane J Nho, James E Voos, Michael J Salata
Background: Intra-articular injuries to the hip in elite athletes represent a source of significant pain and disability. Hip arthroscopic surgery has become the gold standard for the treatment of disorders involving the hip joint. Purpose: To examine the incidence of and abnormalities treated with hip arthroscopic surgery as well as the impact on future participation in American football athletes invited to the National Football League (NFL) Scouting Combine with a history of hip arthroscopic surgery...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29430391/modifications-to-the-hip-arthroscopy-technique-when-performing-combined-hip-arthroscopy-and-periacetabular-osteotomy
#15
Andrea M Spiker, Kate R Gumersell, Ernest L Sink, Bryan T Kelly
In the realm of hip preservation, hip arthroscopy is often used to address intra-articular impingement pathology, whereas periacetabular osteotomy (PAO) is used to address dysplasia and instability. Indications to combine these 2 procedures include hip dysplasia and symptomatic instability with a concomitant symptomatic labral tear or the other symptomatic intra-articular pathology (i.e., loose body, chondral flap). The arthroscopic portion of the procedure allows repair of the injured labrum and close inspection of the hip joint, and the PAO addresses undercoverage and/or inappropriate version of the acetabulum...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29423251/outcomes-of-intra-articular-corticosteroid-injections-for-adolescents-with-hip-pain
#16
Jennifer Tangtiphaiboontana, Alan L Zhang, Nirav K Pandya
Intra-articular injection of corticosteroid and anesthetic (CSI) is a useful diagnostic tool for hip pain secondary to labral tears or femoroacetabular impingement (FAI). However, the effectiveness of CSI as a stand-alone treatment for hip pain in adolescents is unknown. The purpose of this study is to evaluate the use of CSI for the treatment of hip pain and determine factors that may affect outcomes after injection. Retrospective analysis of 18 patients and 19 hips that underwent fluoroscopic guided hip injection for the treatment of pain at a single institution from 2012 to 2015 was carried out in this study...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29423247/periacetabular-osteotomy-for-developmental-hip-dysplasia-with-labral-tears-is-arthrotomy-or-arthroscopy-required
#17
Songkiat Thanacharoenpanich, Matthew J Boyle, Robert F Murphy, Patricia E Miller, Michael B Millis, Young-Jo Kim, Yi-Meng Yen
Patients with developmental dysplasia of the hip (DDH) who undergo periacetabular osteotomy (PAO) often have labral tears. The objective of this retrospective study was to compare PAO alone with PAO combined with arthrotomy or arthroscopy in DDH patients who had a full-thickness labral tear on magnetic resonance imaging. In total, 47 hips in the PAO group (PAO) were compared with 60 hips in the PAO with concomitant arthrotomy or arthroscopy (PAO-A) with respect to Hip Disability and Osteoarthritis Outcome Score (HOOS), modified Harris Hip Score (mHHS), Visual Analog Scale (VAS), clinical and radiographic outcomes at a median of 29 months...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29413190/editorial-commentary-wanted-dead-or-alive-primary-allograft-labral-reconstruction-of-the-hip-is-as-successful-if-not-more-successful-than-primary-labral-repair
#18
EDITORIAL
Thomas Youm
Primary repair of acetabular labral tears has been the gold standard treatment with excellent short to mid-term results. Autograft and allograft labral reconstruction has been described mostly in the revision labral surgery setting with good short-term results. A recent study has compared primary labral reconstruction to labral repair head-to-head in the same patient. Primary labral reconstruction may be a suitable alternative to labral repair in patients with symptomatic labral pathology. Concerns remain, however, about sacrificing living labral tissue for dead allograft tissue for the long term...
February 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29395548/excision-of-labral-amorphous-calcification-as-a-part-of-hip-arthroscopy-clinical-outcomes-in-a-matched-controlled-study
#19
Itay Perets, David E Hartigan, John P Walsh, Austin W Chen, Brian H Mu, Benjamin G Domb
PURPOSE: To evaluate clinical outcomes, demographics, and radiographic findings for patients whose hip arthroscopies involved amorphous calcification (AC) excision and to compare them with a control group with no AC and with the general population regarding diabetes mellitus and hypothyroidism. METHODS: Patients who underwent primary hip arthroscopy involving surgical excision of AC deposit in the anterosuperior labralcapsular recess between October 2008 and July 2014 were reviewed...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29373449/soft-tissue-structures-differ-in-patients-with-prearthritic-hip-disease
#20
Anne Le Bouthillier, Kawan S Rakhra, Etienne L Belzile, Ryan C B Foster, Paul E Beaulé
BACKGROUND: Clinically, understanding how the soft tissue envelope adapts to various forms of hip dysfunction could enhance both surgical and nonsurgical management. Very few studies have looked at soft tissue structures as preoperative discriminators between varying underlying etiologies of hip conditions. PURPOSE: To demonstrate that the magnetic resonance arthrography assessment of soft tissue structures of the hip will preoperatively differ in patients with different underlying hip joint diseases...
February 2018: Journal of Orthopaedic Trauma
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