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https://www.readbyqxmd.com/read/29664158/spread-of-injectate-around-hip-articular-sensory-branches-of-the-femoral-nerve-in-cadavers
#1
N D Nielsen, M Greher, B Moriggl, R Hoermann, T D Nielsen, J Børglum, T F Bendtsen
BACKGROUND: Anatomical knowledge dictates that regional anaesthesia after total hip arthroplasty requires blockade of the hip articular branches of the femoral and obturator nerves. A direct femoral nerve block increases the risk of fall and impedes mobilisation. We propose a selective nerve block of the hip articular branches of the femoral nerve by an ultrasound-guided injection in the plane between the iliopsoas muscle and the iliofemoral ligament (the iliopsoas plane). The aim of this study was to assess whether dye injected in the iliopsoas plane spreads to all hip articular branches of the femoral nerve...
April 17, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29625856/characteristics-and-outcomes-of-reversed-patients-admitted-to-an-emergency-department-for-vka-related-intramuscular-hematoma
#2
F Moustafa, L Poujol, N Vincent, J Saint-Denis, N Dublanchet, N Breuil, S Heuser, A Lebreton, F Dutheil, J Schmidt
BACKGROUND: According to the International Society on Thrombosis and Haemostasis (ISTH), intramuscular hematoma without other severity criteria is not considered a major bleeding. OBJECTIVES: In a large cohort of reversed vitamin K antagonist (VKA) patients admitted to the emergency unit for muscular hematoma, we assess frequency, severity, and anticoagulation management based on whether ISTH criteria were met or not. MATERIALS AND METHODS: We performed a retrospective single-center study involving patients admitted to an emergency unit for VKA-induced intramuscular hematoma whose bleeding was reversed with prothrombin complex concentrates...
March 27, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29618686/-giant-hemophilic-pseudotumors-in-brothers-with-non-severe-hemophilia-b
#3
Ikuko Matsumura, Kunio Yanagisawa, Yoshiyuki Ogawa, Hiroaki Shimizu, Takuma Ishizaki, Takeki Mitsui, Hideki Uchiumi, Yuri Uchiyama, Naomichi Matsumuto, Hiroshi Handa
Hemophilic pseudotumors can occur in patients with hemophilia because of recurrent bleeding and poor hemostasis. A man in his 30s with hemophilia B and human immunodeficiency virus/hepatitis C virus co-infection complicated by liver cirrhosis presented with a large pseudotumor in the left iliopsoas muscle. However, resting to stop bleeding was difficult with his daily work. Osteolytic changes in the left ilium progressed over 8 years. A large osteolytic pseudotumor in the pelvis was also incidentally identified in his younger brother during his 30s...
2018: [Rinshō Ketsueki] the Japanese Journal of Clinical Hematology
https://www.readbyqxmd.com/read/29613926/motor-evoked-potential-analysis-of-femoral-nerve-status-during-the-direct-anterior-approach-for-total-hip-arthroplasty
#4
Tetsuro Ishimatsu, Koichi Kinoshita, Jun Nishio, Jun Tanaka, Satohiro Ishii, Takuaki Yamamoto
BACKGROUND: During the direct anterior approach for total hip arthroplasty, a retractor is placed on the anterior wall of the acetabulum to retract the iliopsoas muscle. This step with the retractor has been reported to put the patient at risk for femoral nerve damage. The present study aimed to clarify the effects of the anterior acetabular retractor on the status of the femoral nerve during the direct anterior approach on the basis of transcranial motor-evoked potential (MEP) analysis...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29600203/isolated-spontaneous-atraumatic-avulsion-of-lesser-trochanter-of-femur-a-pathognomonic-sign-of-malignancy-in-adults-a-case-report-and-review-of-literature
#5
Prasoon Kumar, Saurabh Agarwal, Rajesh Kumar Rajnish, Vishal Kumar, Karan Jindal
Introduction: Avulsion fractures of lesser trochanter (LT) of femur are generally seen following trauma with intertrochanteric or sub trochanteric fractures. Non-traumatic fractures of LT could oc-cur due to sudden violent contraction of the iliopsoas muscle that inserts on the LT; during vigorous exercise, or sudden pull involving flexion of hip. These are seen commonly in adolescents where the physis has not fused yet. Such a scenario in an adult patient most often or not leads to a diagnosis of an underlying malignancy or metastatic lesion...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29600128/fatal-necrotizing-myositis-from-fulminant-streptococcus-dysgalactiae-subspecies-equisimilis-sdse-infection-a-case-report-of-autopsy-images
#6
Manabu Izumi, Taku Hiraiwa, Hideto Tomioka, Masayoshi Komura, Yasushi Hayashi
Over the past few decades, Streptococcus dysgalactiae subspecies equisimilis (SDSE) have been considered as weak pathogenicity compared with S. pyogenes (GAS). Some recent reports argue that SDSE may bring severe soft tissue infection as same as GAS. No reports have been tried to reveal the clinical characteristics and autopsy images of fulminant SDSE infection. In this case report, we aimed to present a case of fatal necrotizing myositis from fulminant SDSE infection at iliopsoas, including autopsy appearance...
March 2018: Journal of General and Family Medicine
https://www.readbyqxmd.com/read/29599034/clinical-outcomes-and-bearing-specific-complications-following-fourth-generation-alumina-ceramic-on-ceramic-total-hip-arthroplasty-a-single-surgeon-series-of-749-hips-at-a-minimum-of-5-year-follow-up
#7
Seung-Jae Lim, Hyung-Gon Ryu, Hyeon-Jun Eun, Chan-Woo Park, Kyeu-Back Kwon, Youn-Soo Park
BACKGROUND: The purpose of this study is to evaluate the minimum 5-year outcomes and bearing-specific complications in a single surgeon series of fourth-generation alumina ceramic-on-ceramic total hip arthroplasties (THAs). METHODS: We retrospectively analyzed 667 patients (749 hips) who underwent primary THAs by a single surgeon using fourth-generation alumina ceramic bearings. There were 315 men and 352 women with a mean age of 54.2 years. The surgeon used cementless prostheses with an identical design and BIOLOX Delta ceramics in all hips, using a 36-mm head in 472 hips (63%) and a 32-mm head in 227...
February 17, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29589344/successful-surgical-removal-of-a-massive-iliopsoas-pseudotumor-in-a-boy-with-mild-hemophilia-a
#8
Alexej Bobrowski, Annamaria Cseh, Alexander Pschibul, David Schorling, Olaf Moske-Eick, Jochen Raedecke, Barbara Zieger
No abstract text is available yet for this article.
March 27, 2018: Klinische Pädiatrie
https://www.readbyqxmd.com/read/29589046/-surgical-therapy-of-ischiofemoral-impingement-by-lateralizing-intertrochanteric-osteotomy
#9
REVIEW
C Suren, R Burgkart, I J Banke, G Hertel, J Schauwecker, R von Eisenhart-Rothe, H Gollwitzer
OBJECTIVE: Lateralizing, derotating intertrochanteric varus osteotomy to increase the ischiofemoral space to counter painful impingement of the lesser trochanter and the os ischium with resulting entrapment of quadratus femoris muscle. INDICATIONS: Symptomatic ischiofemoral impingement (IFI) caused by Coxa valga et antetorta, Coxa valga or Coxa antetorta, or a short femoral neck. CONTRAINDICATIONS: Anatomic configuration suggestive of IFI in asymptomatic patients...
March 27, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29585730/musculoskeletal-screening-tests-and-bony-hip-morphology-cannot-identify-male-professional-soccer-players-at-risk-of-groin-injuries-a-2-year-prospective-cohort-study
#10
Andrea B Mosler, Adam Weir, Andreas Serner, Rintje Agricola, Cristiano Eirale, Abdulaziz Farooq, Arnhild Bakken, Kristian Thorborg, Rod J Whiteley, Per Hölmich, Roald Bahr, Kay M Crossley
BACKGROUND: Musculoskeletal hip/groin screening tests are commonly performed to detect at-risk individuals. Bony hip morphology is considered a potential intrinsic risk factor but has not been examined prospectively. PURPOSE: To evaluate the association between intrinsic risk factors identified from musculoskeletal and radiographic screening tests and hip/groin injuries leading to time loss from training and/or match play in professional male soccer players. STUDY DESIGN: Prospective cohort study; Level of evidence, 2...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29581918/steroids-and-thyrotoxicosis-precipitate-periodic-paralysis
#11
Rizwan Ahamed, Sarah McCalley, Anupam A Sule
Thyrotoxic Periodic Paralysis (TPP) belongs to a group of muscle diseases called channelopathies, which present with painless generalized muscle weakness without exertion. TPP can be precipitated by a large carbohydrate meal, stress, strenuous exercise, alcohol, a high-salt diet, menstruation, and cold temperatures. Rarely, steroids such as dexamethasone can also precipitate a TPP attack. A 29-year-old Hispanic male, with a history of hyperthyroidism, presented to the emergency department with progressive weakness, predominantly in the lower extremities since morning...
January 23, 2018: Curēus
https://www.readbyqxmd.com/read/29564273/clinical-presentation-etiology-management-and-outcomes-of-iliopsoas-abscess-from-a-tertiary-care-center-in-south-india
#12
Joanne Rodrigues, Ramya Iyyadurai, Sowmya Sathyendra, Manjeera Jagannati, Kundavaram Paul Prabhakar Abhilash, Sudha Jasmine Rajan
Introduction: Iliopsoas abscess (IPA) is the collection of pus in the iliopsoas compartment. The etiology of IPA is variable and depends on the geographical area and the antibiotic usage prevalence in that area. This study attempts to evaluate the etiology, clinical features, risk factors, management modalities, and outcomes in patients with IPA from a tertiary care center in South India. Materials and Methods: This was a retrospective study done in a tertiary care center in South India...
October 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29560325/effects-of-lumbar-strengthening-exercise-in-lower-limb-amputees-with-chronic-low-back-pain
#13
Min Kyung Shin, Hee Seung Yang, Hea-Eun Yang, Dae Hyun Kim, Bo Ram Ahn, Hyup Kwon, Ju Hwan Lee, Suk Jung, Hyun Chul Choi, Sun Keaung Yun, Dong Young Ahn, Woo Sob Sim
Objective: To analyze the effect of lumbar strengthening exercise in lower-limb amputees with chronic low back pain. Methods: We included in this prospective study 19 lower-limb amputees who had experienced low back pain for longer than 6 months. Participants were treated with 30-minute lumbar strengthening exercises, twice weekly, for 8 weeks. We used the visual analog scale (VAS), and Oswestry low back pain disability questionnaire, and measured parameters such as iliopsoas length, abdominal muscle strength, back extensor strength, and back extensor endurance...
February 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29534714/lumbar-spine-epidural-abscess-and-facet-joint-septic-arthritis-due-to-streptococcus-agalactiae-a-case-report
#14
Costansia Bureta, Hiroyuki Tominaga, Takuya Yamamoto, Takao Setoguchi, Hideki Kawamura, Satoshi Nagano, Ichiro Kawamura, Masahiko Abematsu, Hironori Kakoi, Yasuhiro Ishidou, Setsuro Komiya
BACKGROUND: Here we report a rare case of lumbar spine epidural abscess and facet joint septic arthritis caused by Streptococcus agalactiae, which had spread to the iliopsoas muscles, leading to urine retention. CASE PRESENTATION: A 68-year-old woman with low back pain experienced a sudden onset of bilateral lower limb weakness, it was followed 14 days later by urine retention. At consultation, magnetic resonance imaging and identification of serum β-hemolytic streptococci provided a diagnosis of Streptococcus agalactiae infection...
March 13, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29528178/iliopsoas-hematoma-in-a-patient-with-sickle-cell-disease
#15
Benjamin Zielonka, Alan R Cohen, Kim Smith-Whitley, Bhavya S Doshi
Although musculoskeletal pain in patients with sickle cell disease (SCD) is most frequently the result of vaso-occlusive episodes, clinicians often consider other etiologies including osteomyelitis, avascular necrosis, and trauma. In this study, we report the case of a young female with SCD with hip and back pain secondary to a nontraumatic iliopsoas periosteal hematoma with evidence of adjacent bone infarction. The pathophysiology, diagnostic considerations, and management of periosteal hematomas in SCD are reviewed...
March 12, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29526940/emphysematous-osteomyelitis-of-the-spine-a-case-report-and-literature-review
#16
Ryohei Ono, Koji Uehara, Izumi Kitagawa
Emphysematous osteomyelitis is a rare but potentially fatal infection. It is caused by gas-forming organismsand is characterized by the presence of intraosseous gas. A 75-year-old woman with untreated diabetes mellitus presented with difficulty in moving and anorexia. Laboratory studies revealed inflammation, a urinary infection, and diabetic ketoacidosis. Klebsiella pneumoniae was detected in both urine and blood cultures. Computed tomography and magnetic resonance imaging revealed emphysematous lesions in the paravertebral soft tissue, spinal canal, and iliopsoas muscle, with intraosseous gas at L1 and L2...
March 9, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29517923/anatomic-predictors-of-sagittal-hip-and-pelvic-motions-in-patients-with-a-cam-deformity
#17
K C Geoffrey Ng, Mario Lamontagne, Jonathan R T Jeffers, George Grammatopoulos, Paul E Beaulé
BACKGROUND: As there is a high prevalence of patients with cam deformities and no ongoing hip dysfunction, understanding the biomechanical factors predicting the onset of symptoms and degenerative changes is critical. One such variable is how the spinopelvic parameters may influence hip and pelvic sagittal mobility. Hypothesis/Purpose: Pelvic incidence may predict sagittal hip and pelvic motions during walking and squatting. The purpose was to determine which anatomic characteristics were associated with symptoms and how they influenced functional hip and pelvic ranges of motion (ROMs) during walking and squatting...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29479049/atypical-presentation-of-pyogenic-iliopsoas-abscess-in-two-cases
#18
Sudeshna Ghosh, Himanshu Narang, Pawan Goel, Prabhat Kumar, Manish Soneja, Ashutosh Biswas
Iliopsoas abscess (IPA) is an uncommon diagnosis in medical wards. Herein, we present two unusual cases of IPA. First patient was an elderly diabetic patient who had gas-forming bilateral IPA caused by Escherichia coli. This infection proved fatal and patient succumbed on third day of hospital admission. Second patient was a young boy who had right sided sacroilitis with IPA. Staphylococcus aureus was isolated from the pus culture and patient was successfully treated without any sequelae.
February 25, 2018: Drug Discoveries & Therapeutics
https://www.readbyqxmd.com/read/29423249/muscle-tendon-related-pain-in-100-patients-with-hip-dysplasia-prevalence-and-associations-with-self-reported-hip-disability-and-muscle-strength
#19
Julie Sandell Jacobsen, Per Hölmich, Kristian Thorborg, Lars Bolvig, Stig Storgaard Jakobsen, Kjeld Søballe, Inger Mechlenburg
The primary aim was to identify muscle-tendon-related pain in 100 patients with hip dysplasia. The secondary aim was to test whether muscle-tendon-related pain is associated with self-reported hip disability and muscle strength in patient with hip dysplasia. One hundred patients (17 men) with a mean age of 29 years (SD 9) were included. Clinical entity approach was carried out to identify muscle-tendon-related pain. Associations between muscle-tendon-related pain and self-reported hip disability and muscle strength were tested with multiple regression analysis, including adjustments for age and gender...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29370856/ultrasonography-and-magnetic-resonance-imaging-changes-in-patients-with-polymyalgia-rheumatica-treated-by-tocilizumab
#20
Anaïs Huwart, Florent Garrigues, Sandrine Jousse-Joulin, Thierry Marhadour, Dewi Guellec, Divi Cornec, Maelenn Gouillou, Alain Saraux, Valérie Devauchelle-Pensec
BACKGROUND: This study assessed inflammatory changes using ultrasound (US) and magnetic resonance imaging (MRI) in patients taking tocilizumab for polymyalgia rheumatica (PMR). METHODS: Eighteen patients were included in the prospective open-label TENOR study and received three tocilizumab infusions, without corticosteroids. B-mode and power Doppler US and MRI (T1 and T2-short time inversion recuperation weighted sequences) of the hips and shoulders were performed at weeks 0, 2, and 12...
January 25, 2018: Arthritis Research & Therapy
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