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https://www.readbyqxmd.com/read/29756497/relationship-between-muscular-and-bony-anatomy-in-native-hips-a-theoretical-background-for-approach-specific-implant-positioning
#1
Doruk Akgün, Philipp von Roth, Tobias Winkler, Carsten Perka, Adam Trepczynski, Bernd Preininger
INTRODUCTION: The aim of this study was to analyse the relationship between bony joint orientation and the distribution of hip musculature. METHODS: The bone anatomy of the hip (femoral antetorsion (AT), acetabular anteversion (AV), and combined anteversion (AV/AT)) and the muscle volume of the gluteal muscles and the tensor fasciae latae were analysed bilaterally using computed tomography data of 49 patients. Muscle force direction (MFD) was determined for each muscle...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29728835/muscle-tendon-related-abnormalities-detected-by-ultrasonography-are-common-in-symptomatic-hip-dysplasia
#2
Julie Sandell Jacobsen, Lars Bolvig, Per Hölmich, Kristian Thorborg, Stig Storgaard Jakobsen, Kjeld Søballe, Inger Mechlenburg
INTRODUCTION: Hip dysplasia is characterized by reduced acetabular coverage of the femoral head leading to an increased mechanical load on the hip joint and the acting hip muscles. Potentially, the muscles and tendons functioning close to the hip joint may present with overuse-related ultrasonography findings. The primary aim was to report the prevalence of muscle-tendon-related abnormalities detected by ultrasonography in 100 patients with symptomatic hip dysplasia. The secondary aim was to investigate correlations between muscle-tendon-related abnormalities detected by ultrasonography and clinically identified pain related to muscles and tendons...
May 4, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29624713/clinical-and-imaging-hallmarks-of-the-myh7-related-myopathy-with-severe-axial-involvement
#3
Ivana Dabaj, Robert Y Carlier, David Gómez-Andrés, Osório Abath Neto, Enrico Bertini, Adele D'Amico, Fabiana Fattori, Yann Péréon, Claudia Castiglioni, Eliana Rodillo, Michela Catteruccia, Júlio Brandão Guimarães, Acary Souza Bulle Oliveira, Umbertina Conti Reed, Lilia Mesrob, Doris Lechner, Anne Boland, Jean-François Deleuze, Edoardo Malfatti, Carsten Bonnemann, Jocelyn Laporte, Norma Romero, Adrien Felter, Susana Quijano-Roy, Cristiane Araújo Martins Moreno, Edmar Zanoteli
INTRODUCTION: MYH7 gene mutations are related to a heterogeneous group of skeletal and cardiac myopathies. METHODS: We evaluated clinical and muscle magnetic resonance imaging changes in patients with mutations in the rod domain of MYH7 including one with mosaicism and three with novel missense mutations. RESULTS: Patients presented in childhood with a distal and axial phenotype. Biopsy findings were variable. Half of the cases displaying some type of core pathology, including minicores and eccentric cores...
April 6, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29622256/editorial-commentary-treatment-of-partial-thickness-undersurface-abductor-tears-of-the-hip-like-backwards-a-bike-riding
#4
EDITORIAL
Derek Ochiai
Partial thickness undersurface abductor tears can be effectively treated with a transtendinous gluteus medius and minimus repair, with decreased pain and improvement in abductor strength. The surgical treatment of this condition runs counter to traditional treatment for "greater trochanteric bursitis," and adoption may be more difficult as a result.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29587967/the-gluteal-muscles-in-end-stage-osteoarthritis-of-the-hip-intra-and-interobserver-reliability-and-agreement-of-mri-assessments-of-muscle-atrophy-and-fatty-degeneration
#5
K Kivle, E Lindland, K E Mjaaland, A H Pripp, S Svenningsen, L Nordsletten
AIM: To assess the intra- and interobserver reliability and agreement of muscular atrophy and fatty degeneration of the gluteal muscles on magnetic resonance imaging (MRI) in patients with end-stage osteoarthritis of the hip. MATERIALS AND METHODS: Thirty-nine patients with end-stage osteoarthritis of the hip, who scheduled for hip replacement surgery, were included in the study. The cross-sectional areas of the gluteus medius and minimus muscles were manually circumscribed and automatically calculated, while intramuscular fatty degeneration was assessed using the semi-quantitative classification system of Goutallier...
March 24, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29584533/rehabilitation-exercises-for-the-gluteus-minimus-muscle-segments-an-electromyography-study
#6
Damien Moore, Adam I Semciw, Jodie McClelland, Henry Wajswelner, Tania Pizzari
CONTEXT: The gluteus minimus (GMin) muscle consists of two uniquely oriented segments that have potential for independent function, and have different responses to pathology and ageing. For healthy, young adults it is unknown which rehabilitation exercises specifically target the individual segments. OBJECTIVE: To quantify segmental GMin activity for six common lower limb rehabilitation exercises in healthy young adults, and determine if significant differences exist in segmental activity levels between the exercises...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29573934/influence-of-muscle-fatty-degeneration-on-functional-outcomes-after-endoscopic-gluteus-medius-repair
#7
Mathieu Thaunat, Gilles Clowez, Antoine Desseaux, Colin G Murphy, Mouhcine Sbiyaa, Eric Noël, Bertrand Sonnery-Cottet
PURPOSE: To report the early outcomes of endoscopic repair of tears of the gluteus medius tendon and to determine whether the fatty degeneration had an influence on clinical results. METHODS: Between October 2012 and June 2014, data were prospectively collected and retrospectively reviewed for all patients who underwent endoscopic gluteus medius repair. Patients were assessed pre- and postoperatively using the modified Harris hip score, the nonarthritic hip score, and visual analog scale for pain...
March 21, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29561673/effects-of-thickness-of-muscle-and-subcutaneous-fat-on-efficacy-of-gluteal-intramuscular-injection-sites
#8
Asmahan Elgellaie, Elfriede Ashcroft, Theresa A Larkin
Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. However, little research has confirmed the reliability of these sites for the presence and thickness of the target and other muscles, and subcutaneous fat. This study characterised and compared these at the V-method and G-method ventrogluteal sites and dorsogluteal site (n=60). Gluteus maximus, medius and minimus were identified at each site, plus tensor fascia latae at ventrogluteal sites...
March 22, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29478777/assessment-of-hip-abductors-by-mri-after-total-hip-arthroplasty-and-effect-of-fatty-atrophy-on-functional-outcome
#9
Emrah Kovalak, Hanife Özdemir, Cenk Ermutlu, Abdullah Obut
OBJECTIVES: The aim of this study was to evaluate how fatty atrophy (FA) of the hip abductors in operated and non-operated hips affected the functional outcome following arthroplasty. METHODS: Forty-four hips of 22 patients (8 males and 14 females; mean age: 60 ± 14.4 (range: 24-84)) who matched the inclusion criteria and willing to participate in the study were retrospectively evaluated. The mean follow-up was 13.8 ± 2.3 (range: 10-18) months Magnetic resonance imaging (MRI) and Harris Hip Score (HHS) were used to evaluate muscle degeneration and functional outcome after unilateral THA through a posterolateral approach...
February 22, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29446121/atrophy-of-hip-abductor-muscles-is-related-to-clinical-severity-in-a-hip-osteoarthritis-population
#10
Anita Zacharias, Rodney A Green, Adam Semciw, Daniel J English, Theo Kapakoulakis, Tania Pizzari
Osteoarthritis mainly affects weight-bearing joints such as the hip and knee and is the most common form of arthritis. Greater muscle atrophy with fatty infiltration of gluteal muscles and decreased hip abduction strength has previously been identified with increasing severity of radiological hip OA. However, it is well documented that radiographic findings of OA do not always correlate with clinical severity. The aim of this secondary analysis was to examine whether atrophy and strength of gluteus maximus (GMax), medius (GMed), minimus (GMin), and tensor fascia lata (TFL) is associated with the clinical severity of OA...
May 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29327070/-open-repair-of-gluteus-medius-and-minimus-tendons-tears-with-double-row-technique-clinical-and-radiological-results
#11
J H Schröder, M Geßlein, M Schütz, C Perka, D Krüger
BACKGROUND: Operative refixation is a new therapeutic option in cases of failed conservative treatment for trochanteric pain syndrome (TPS) and lesions of the hip abductors in magnetic resonance imaging (MRI). OBJECTIVE: Evaluation of the clinical and radiological results after open gluteus medius and minimus tendon reconstruction with a double-row technique was carried out. MATERIAL AND METHODS: Patients with failed conservative treatment for TPS and confirmed lesions of the hip abductors in MRI were treated by open hip abductor tendon reconstruction with a double-row technique...
March 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29315350/gluteal-muscle-damage-leads-to-higher-in-vivo-hip-joint-loads-3-months-after-total-hip-arthroplasty
#12
Philipp Damm, Jip Zonneveld, Sophie Brackertz, Florian Streitparth, Tobias Winkler
BACKGROUND: Total hip arthroplasty (THA) is in most cases improving patients´ life quality immediately after surgery. However, a closer look at these patients, especially with modern gait analysis methods, reveals also negative consequences due to the surgical approach related injury to the pelvic muscles. We hypothesized that this damage will have a negative impact on hip joint contact forces during activities of daily living (ADL). METHODS: 10 patients undergoing THA received an instrumented hip joint implant enabling real time in vivo measurements of hip joint loads using a direct lateral approach...
2018: PloS One
https://www.readbyqxmd.com/read/29310649/multi-parametric-muscle-and-fat-correlation-of-computed-tomography-parameters-to-outcomes-in-a-total-hip-arthroplasty-population
#13
Michael A Heffler, Ryan Barlow, Yin Xi, Daichi Hayashi, Hayden Box, Michael Huo, Avneesh Chhabra
BACKGROUND: Cross-sectional imaging is not currently used in planning Total Hip Arthroplasty (THA). The aim of our study is to determine correlations between CT parameters and outcomes following THA. METHODS: A prospective registry of patients who underwent total joint arthroplasty was reviewed for patients who: (1) underwent THA, (2) had a CT between 1 year before and 6 months after surgery, and (3) completed perioperative WOMAC and Harris Hip Score (HHS) questionnaires...
January 8, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29287785/evaluation-of-muscle-activity-just-after-straight-leg-raising-exercise-by-using-18-fdg-pet
#14
Hiroyuki Shiozawa, Takashi Ohsawa, Yoshito Tsushima, Tetsuya Higuchi, Kenji Takagishi, Hirotaka Chikuda
BACKGROUND: Exercise therapy is one of the recognized treatment methods for knee osteoarthritis (KOA). One such exercise technique, straight leg raising (SLR), is widely known as a home exercise method for strengthening the quadriceps femoris muscle. However, whether this exercise truly strengthens the quadriceps is not known. The objective of the present study was to investigate which lower limb muscle is stimulated and shows increased activity with SLR. METHODS: A total of 14 lower limbs in seven healthy adult male volunteers (mean age: 31...
March 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29182042/greater-trochanteric-pain-syndrome-and-gluteus-medius-and-minimus-tendinosis-nonsurgical-treatment
#15
Ana Torres, Mariano Fernández-Fairen, José Sueiro-Fernández
Greater trochanteric pain syndrome (GTPS) affects 10-25% of people in developed countries. The underlying etiology for GTPS is most commonly the tendinosis or a tendon tear of the gluteus medius, minimus or both at the greater trochanter; the inflammation of the tendon is not a major feature. We critically evaluated conservative treatment, for which we reviewed 76 publications, grading them according to four levels of evidence. We identified a wide variety of conservative treatment options: home therapy (insoles, walking sticks/crutches, orthotic devices, stretching exercises and preventive measures); physiotherapy (massage and stretching exercises); infiltrations (corticosteroids and local anesthetics); image-guided infiltrations (fluoroscopy and ultrasound); shockwave therapy; platelet-rich plasma injection; and drug therapy...
January 2018: Pain Management
https://www.readbyqxmd.com/read/29062663/free-neurovascular-latissimus-dorsi-muscle-transplantation-for-reconstruction-of-hip-abductors
#16
Sergi Barrera-Ochoa, Jose Manuel Collado-Delfa, Andrea Sallent, Alejandro Lluch, Roberto Velez
Resection of tumors affecting the hip abductors can cause significant decrease in muscle strength and may lead to abnormal gait and poor function. We present a case report showing full functional recovery after resection of a synovial sarcoma affecting the right gluteus medius and minimus muscles with reconstruction free neurovascular latissimus dorsi muscle transplantation. The latissimus dorsi muscle was harvested following standard technique and fixed to the ilium and the greater trochanter. Receptor vessels were end-to-end anastomosed to the subscapular vessels followed by an end-to-end epineural suture between the superior gluteal nerve and the thoracodorsal nerve...
September 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29060031/effects-of-wide-step-walking-on-swing-phase-hip-muscle-forces-and-spatio-temporal-gait-parameters
#17
Soheil Bajelan, Hanatsu Nagano, Tony Sparrow, Rezaul K Begg
Human walking can be viewed essentially as a continuum of anterior balance loss followed by a step that re-stabilizes balance. To secure balance an extended base of support can be assistive but healthy young adults tend to walk with relatively narrower steps compared to vulnerable populations (e.g. older adults and patients). It was, therefore, hypothesized that wide step walking may enhance dynamic balance at the cost of disturbed optimum coupling of muscle functions, leading to additional muscle work and associated reduction of gait economy...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29034801/gluteus-minimus-and-gluteus-medius-muscle-activity-during-common-rehabilitation-exercises-in-healthy-postmenopausal-women
#18
Charlotte Ganderton, Tania Pizzari, Jill Cook, Adam Semciw
Study Design Controlled laboratory study, cross-sectional. Background The gluteus medius (GMed) and gluteus minimus (GMin) provide dynamic stability of the hip joint and pelvis. These muscles are susceptible to atrophy and injury in individuals during menopause, aging, and disease. Numerous studies have reported on the ability of exercises to elicit high levels of GMed activity; however, few studies have differentiated between the portions of the GMed, and none have examined the GMin. Objectives To quantify and rank the level of muscle activity of the 2 segments of the GMin (anterior and posterior fibers) and 3 segments of the GMed (anterior, middle, and posterior fibers) during 4 isometric and 3 dynamic exercises in a group of healthy, postmenopausal women...
December 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29025041/trigger-points-pressure-pain-hyperalgesia-and-mechanosensitivity-of-neural-tissue-in-women-with-chronic-pelvic-pain
#19
Pedro Fuentes-Márquez, Marie Carmen Valenza, Irene Cabrera-Martos, Ana Ríos-Sánchez, Olga Ocón-Hernández
Objectives: This study aims to evaluate the presence of myofascial trigger points (TrPs), widespread pressure pain sensitivity, and mechanosensitivity of neural tissue in women with chronic pelvic pain. Design: Case-control study. Setting: Faculty of Health Sciences. Subjects: Forty women with chronic pelvic pain between age 18 and 60 years and 40 matched healthy controls were included in the study. Methods: TrPs were bilaterally explored in gluteus maximus, gluteus medius, gluteus minimus, quadratus lumborum, and adductor magnus muscles...
August 25, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28992772/hip-abductor-muscle-volume-and-strength-differences-between-women-with-chronic-hip-joint-pain-and-asymptomatic-controls
#20
Matthew J Mastenbrook, Paul K Commean, Travis J Hillen, Gretchen B Salsich, Gretchen A Meyer, Michael J Mueller, John C Clohisy, Marcie Harris-Hayes
Study Design Secondary analysis, cross-sectional study. Background Chronic hip joint pain (CHJP) can lead to limitations in activity participation, but the musculoskeletal factors associated with the condition are relatively unknown. Understanding the factors associated with CHJP may help develop rehabilitation strategies to improve quality of life of individuals with long-term hip pain. Objectives To compare measures of hip abductor muscle volume and hip abductor muscle strength between women with CHJP and asymptomatic controls...
December 2017: Journal of Orthopaedic and Sports Physical Therapy
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