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Hip pain in adult

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https://www.readbyqxmd.com/read/27902171/treatment-of-mixed-type-femoroacetabular-impingement-using-safe-surgical-hip-dislocation-in-adults
#1
Ulukan İnan, Selim Harmanşa, Hakan Ömeroğlu
OBJECTIVES: This study aims to assess the experience gained in a single institution in the treatment of mixed type femoroacetabular impingement (FAI) using safe surgical hip dislocation (SSHD) technique. PATIENTS AND METHODS: In this study, 22 hips of 21 patients (7 males, 14 females; mean age 33.8±10.6 years; range 19-52 years) treated by SSHD technique in our clinic between October 2009 and October 2014 were retrospectively evaluated. Preoperative and final Harris hip scores (HHS) and alpha angles were compared...
December 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/27876030/long-term-outcomes-following-lower-extremity-press-fit-bone-anchored-prosthesis-surgery-a-5-year-longitudinal-study-protocol
#2
Ruud A Leijendekkers, J Bart Staal, Gerben van Hinte, Jan Paul Frölke, Hendrik van de Meent, Femke Atsma, Maria W G Nijhuis-van der Sanden, Thomas J Hoogeboom
BACKGROUND: Patients with lower extremity amputation frequently suffer from socket-related problems. This seriously limits prosthesis use, level of activity and health-related quality of life (HRQoL). An additional problem in patients with lower extremity amputation are asymmetries in gait kinematics possibly accounting for back pain. Bone-anchored prostheses (BAPs) are a possible solution for socket-related problems. Knowledge concerning the level of function, activity and HRQoL after surgery is limited...
November 22, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27872411/osteoporosis-in-pediatric-liver-transplantation
#3
Walid Faraj, Ghina El Nounou, Abdallah Abou Al Naaj, Nancy Nakhoul, Ali Haydar, Mohammad Khalife
Liver transplantation provides an important, often life-saving treatment for end-stage liver disease. Osteoporosis post-liver transplantation has been described in adults; however, this has not been described in the pediatric population to date. We present a case of a 13-year-old female patient who underwent an orthotopic liver transplant for cryptogenic liver cirrhosis. Her immunosuppressants were tacrolimus and prednisone. Four months posttransplant, she started complaining of bilateral lower limb pain and limping while walking, progressing to a point where she was almost immobile...
December 2016: Progress in Transplantation
https://www.readbyqxmd.com/read/27866812/a-case-report-of-infectious-sacroiliitis-in-an-adult-presenting-to-the-emergency-department-with-inability-to-walk
#4
Douglas Brtalik, Manoj Pariyadath
BACKGROUND: Infectious sacroiliitis (ISI) is an uncommon cause of back and hip pain in which the sacroiliac joint, either unilateral or bilateral, is inflamed from an infectious source. Historically, this has been an easily missed diagnosis due to nonspecific presenting symptoms along with subtle nondistinguishable laboratory abnormalities. CASE REPORT: We describe an injection drug user presenting with right-sided ISI who presented with hip and back pain and inability to walk...
November 17, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857857/predictive-parameters-for-the-antecedent-development-of-hip-pathology-associated-with-long-segment-fusions-to-the-pelvis-for-the-treatment-of-adult-spinal-deformity
#5
Merritt D Kinon, Rani Nasser, Jonathan P Nakhla, Owoicho Adogwa, Jessica R Moreno, Michael Harowicz, Terence Verla, Reza Yassari, Carlos A Bagley
BACKGROUND: The surgical treatment of adult scoliosis frequently involves long segment fusions across the lumbosacral joints that redistribute tremendous amounts of force to the remaining mobile spinal segments as well as to the pelvis and hip joints. Whether or not these forces increase the risk of femoral bone pathology remains unknown. The aim of this study is to determine the correlation between long segment spinal fusions to the pelvis and the antecedent development of degenerative hip pathologies as well as what predictive patient characteristics, if any, correlate with their development...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27857636/posterior-lateral-and-anterior-hip-pain-due-to-musculoskeletal-origin-a-narrative-literature-review-of-history-physical-examination-and-diagnostic-imaging
#6
REVIEW
Patrick J Battaglia, Kevin D'Angelo, Norman W Kettner
OBJECTIVE: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. METHODS: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27847840/the-effect-of-patellofemoral-pain-syndrome-on-gait-parameters-a-literature-review
#7
REVIEW
Mokhtar Arazpour, Fateme Bahramian, Atefeh Abutorabi, Seyed Taghi Nourbakhsh, Ardeshir Alidousti, Hamidreza Aslani
Patellofemoral pain syndrome (PFPS) is one of the most frequent causes of anterior knee pain in adolescents and adults. This disorder can have a big effect on patients' ability and quality of life and gait. This review included all articles published during 1990 to 2016. An extensive literature search was performed in databases of Science Direct, Google Scholar, PubMed and ISI Web of Knowledge using OR, AND, NOT between the selected keywords. Finally, 16 articles were selected from final evaluation. In PFPS subjects, there was lower gait velocity, decreased cadence, and reduced knee extensor moment in the loading response and terminal stance, delayed peak rear foot eversion during gait and greater hip adduction compared to healthy subjects, while for hip rotation, there was controversy in studies...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27821103/a-comparison-of-multidisciplinary-team-residential-rehabilitation-with-conventional-outpatient-care-for-the-treatment-of-non-arthritic-intra-articular-hip-pain-in-uk-military-personnel-a-protocol-for-a-randomised-controlled-trial
#8
Russell J Coppack, James L Bilzon, Andrew K Wills, Ian M McCurdie, Laura Partridge, Alastair M Nicol, Alexander N Bennett
BACKGROUND: Non-arthritic hip disorders are defined as abnormalities of the articulating surfaces of the acetabulum and femur before the onset of osteoarthritis, including intra-articular structures such as the acetabular labrum and chondral surfaces. Abnormal femoroacetabular morphology is commonly seen in young men who constitute much of the UK military population. Residential multidisciplinary team (MDT) rehabilitation for patients with musculoskeletal injuries has a long tradition in the UK military, however, there are no studies presenting empirical data on the efficacy of a residential MDT approach compared with individualised conventional outpatient treatment...
November 8, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27805445/effects-of-denervation-of-the-hip-joint-on-results-of-clinical-observations-and-instrumented-gait-analysis-in-dogs-with-sodium-urate-crystal-induced-synovitis
#9
Elham A Hassan, Nicolaas E Lambrechts, Hsin-Yi Weng, Paul W Snyder, Gert J Breur
OBJECTIVE To evaluate the effects of selective hip joint denervation on gait abnormalities and signs of hip joint pain in dogs. ANIMALS 6 healthy adult hound-type dogs. PROCEDURES Minimally invasive denervation was performed on the right hip joint of each dog. Two weeks later, sodium urate was injected into the right hip joint to induce synovitis. Dogs were evaluated clinically and by use of instrumented gait analysis before and 2 weeks after minimally invasive denervation and 4, 8, and 24 hours after induction of synovitis...
November 2016: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/27802844/childhood-violence-and-adult-chronic-pain-among-indigenous-sami-and-non-sami-populations-in-norway-a-saminor-2-questionnaire-study
#10
Astrid M A Eriksen, Berit Schei, Ketil Lenert Hansen, Tore Sørlie, Nils Fleten, Cecilie Javo
BACKGROUND: Internationally, studies have shown that childhood violence is associated with chronic pain in adulthood. However, to date, this relationship has not been examined in any indigenous population. OBJECTIVE: The main objectives of this study were to investigate the association between childhood violence and reported chronic pain, number of pain sites and the intensity of pain in adulthood in indigenous Sami and non-Sami adults, and to explore ethnic differences...
2016: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/27800188/arthroscopic-treatment-for-primary-septic-arthritis-of-the-hip-in-adults
#11
Jörg Hartmut Schröder, David Krüger, Carsten Perka, Martin Hufeland
Purpose. Primary septic arthritis is a rare differential diagnosis of acute hip pain in adults. Inspired by the success of all-arthroscopic treatment in pediatric patients, we developed a diagnostic and surgical pathway for our adult patients. Methods. Seven patients, average age 44 ± 13.7 years with acute hip pain since 4.4 ± 2.9 days in the average, were included. Septic arthritis was confirmed by joint aspiration and dissemination was excluded by MRI and standard radiographs. Surgical treatment consisted of immediate arthroscopic lavage using 4 portals for debridement, high-volume irrigation, partial synovectomy, and drainage...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27771040/fate-of-subchondral-fatigue-fractures-of-femoral-head-in-young-adults-differs-from-general-outcome-of-fracture-healing
#12
Sang-Min Kim, Seung-Min Oh, Chang-Ho Cho, Seung-Jae Lim, Young-Wan Moon, Sang-Hee Choi, Youn-Soo Park
PURPOSE: The purpose of this study is to report the clinical course of fatigue-type subchondral fractures of the femoral head in young healthy adults. MATERIALS/METHODS: We retrospectively reviewed 28 consecutive patients (34 hips) who had a clear history of a sudden increase in physical activity without trauma on the hip and pelvis, and were diagnosed as having a fatigue-type subchondral fracture of the femoral head. The diagnosis was made primarily on the basis of sequential plain radiographs and magnetic resonance images...
December 2016: Injury
https://www.readbyqxmd.com/read/27751965/obesity-does-not-increase-the-risk-of-chronic-low-back-pain-when-genetics-is-considered-a-prospective-study-of-spanish-adult-twins
#13
Amabile Borges Dario, Manuela Loureiro Ferreira, Kathryn Refshauge, Alejandro Luque-Suarez, Juan Ramon Ordoñana, Paulo Henrique Ferreira
BACKGROUND CONTEXT: Obesity is commonly investigated as a potential risk factor for low back pain (LBP); however, current evidence remains unclear. Limitations in previous studies may explain the inconsistent results in the field, such as the use of a cross sectional design, limitations in the measures used to assess obesity (eg, body mass index-BMI), and poor adjustment for confounders (eg, genetics and physical activity). PURPOSE AND DESIGN: To better understand the effects of obesity on LBP, our aim was to investigate in a prospective cohort whether obesity-related measures increase the risk of chronic LBP outcomes using a longitudinal design...
October 14, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27744005/paravertebral-spinal-injection-for-the-treatment-of-patients-with-degenerative-facet-osteoarthropathy-evidence-of-motor-performance-improvements-based-on-objective-assessments
#14
Nima Toosizadeh, Homayoon Harati, Tzu-Chuan Yen, Cindy Fastje, Jane Mohler, Bijan Najafi, Michael Dohm
BACKGROUND: This study examined short- and long-term improvements in motor performance, quantified using wearable sensors, in response to facet spine injection in degenerative facet osteoarthropathy patients. METHODS: Adults with confirmed degenerative facet osteoarthropathy were recruited and were treated with medial or intermediate branch block injection. Self-report pain, health condition, and disability (Oswestry), as well as objective motor performance measures (gait, balance, and timed-up-and-go) were obtained in five sessions: pre-surgery (baseline), immediately after the injection, one-month, three-month, and 12-month follow-ups...
October 11, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27743204/the-cranial-sagittal-vertical-axis-crsva-is-a-better-radiographic-measure-to-predict-clinical-outcomes-in-adult-spinal-deformity-surgery-than-the-c7-sva-a-monocentric-study
#15
Yong-Chan Kim, Lawrence G Lenke, Seon-Jong Lee, Jeffrey L Gum, Sirichai Wilartratsami, Kathy M Blanke
PURPOSE: Our study aimed to confirm the correlation between the Cranial Sagittal Vertical Axis (CrSVA) and patient-reported outcomes and to compare clinical correlation between CrSVA and C7 SVA in adult spinal deformity (ASD) patients. METHODS: 108 consecutive ASD patients were evaluated using the EOS(®) 2D/3D radio-imaging device. A vertical plumb line from the cranial center was utilized to measure the distance to the posterior corner of S1 (CrSVA-S), and to the centers of the hip (CrSVA-H), the knee (CrSVA-K), and ankle (CrSVA-A), as well as measuring the standard C7 SVA...
October 14, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27741969/interventional-techniques-for-management-of-pain-in-older-adults
#16
Amber K Brooks, Mercy A Udoji
Chronic pain in older patients is often treated with pain medications, physical rehabilitation, interventional pain management, and/or psychological interventions. The administration of pain medications is the most common form of chronic pain treatment. Physiologic changes in older adults make them more susceptible to the potential side effects of oral pain medications, especially opioids. Interventional pain management offers an alternative treatment option. This article reviews some of the interventional techniques used to treat the most common sites of pain in older adults: back, knee, and hip...
November 2016: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/27741218/fat-replacement-of-paraspinal-muscles-with-aging-in-healthy-adults
#17
Julia R Dahlqvist, Christoffer R Vissing, Gitte Hedermann, Carsten Thomsen, John Vissing
PURPOSE: The aim of this study was to investigate the age-related changes in fatty replacement and cross sectional area (CSA) of cervical, thoracic and lumbar paraspinal muscles vs. leg muscles in healthy adults, and to test for association between muscle fat fraction and lifestyle factors. METHODS: Fifty-three healthy adults (24-76 years) were included. Dixon MRI technique was used to determine CSA and quantify fat fraction of paraspinal and leg muscles. Muscle CSA and fat fractions were tested for association with age and muscle strength...
October 13, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27738747/variability-of-ischiofemoral-space-dimensions-with-changes-in-hip-flexion-an-mri-study
#18
Adam C Johnson, John H Hollman, Benjamin M Howe, Jonathan T Finnoff
OBJECTIVE: The primary aim of this study was to determine if ischiofemoral space (IFS) dimensions vary with changes in hip flexion as a result of placing a bolster behind the knees during magnetic resonance imaging (MRI). A secondary aim was to determine if IFS dimensions vary between supine and prone hip neutral positions. DESIGN: The study employed a prospective design. SETTING: Sports medicine center within a tertiary care institution. PARTICIPANTS: Five male and five female adult subjects (age mean = 29...
October 14, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27717394/musculoskeletal-care-pathways-for-adults-with-hip-and-knee-pain-at-the-interface-between-primary-and-secondary-care-protocol-for-a-systematic-review
#19
Kate Button, Fiona Morgan, Helen Hodgson, Alison L Weightman, Steve Jones
BACKGROUND: Musculoskeletal (MSK) conditions are the most frequently reported chronic conditions and one of the biggest causes of disability in the UK. Given the ageing population and the impact of these problems, the demand for MSK treatment will rise. Despite reduced waiting times, MSK pathways have remained variable and inconsistent and need to be improved to meet patient needs. The aim of this systematic review is to understand the evidence for the effectiveness of current models of service delivery and care pathways for adult hip/knee pain patients accessing secondary care for specialist opinions...
August 1, 2016: Systematic Reviews
https://www.readbyqxmd.com/read/27697405/total-hip-replacement-in-young-non-ambulatory-cerebral-palsy-patients
#20
C Morin, C Ursu, C Delecourt
INTRODUCTION: The everyday life of a non-ambulatory adolescent or young adult with cerebral palsy can be severely impaired by a painful or stiff hip. The usual surgical solutions such as proximal femoral resection (PFR) are not entirely satisfactory for pain relief, and are mutilating. HYPOTHESIS: A retrospective study assessed the impact of total hip replacement (THR) on such impairment, on the hypothesis that it is more effective than PFR in relieving pain, without aggravating disability...
September 30, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
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