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Hip pain in adult

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https://www.readbyqxmd.com/read/29454228/obturator-internus-muscle-abscess-caused-by-methicillin-resistant-staphylococcus-aureus-in-an-adult-a-case-report
#1
Akinori Maeda, Isaku Saku, Shotaro Kanda, Kazuo Saita, Toru Akiyama
INTRODUCTION: Obturator internus muscle (OIM) abscess is a rare condition, usually affecting children after trauma or muscular effort. Blood cultures always yield positive findings, with Staphylococcus aureus being the most common culprit. There are few reports in adults. PRESENTATION OF CASE: We report a case of OIM abscess in an adult. A 24-year-old male was admitted to our hospital because of right hip pain and fever. He was diagnosed with OIM abscess, and methicillin-resistant Staphylococcus aureus (MRSA) was detected on bacterial examination...
February 9, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29423246/the-role-of-the-ligamentum-teres-in-the-adult-hip-redundant-or-relevant-a-review
#2
REVIEW
John M O'Donnell, Brian M Devitt, Manit Arora
The ligamentum teres (LT) has traditionally been described as a redundant structure with no contribution to hip biomechanics or function. There has been renewed interest in the LT as a source of hip pathology due to the high prevalence of LT pathology observed at the time of hip arthroscopy. The LT acts a secondary stabilizer to supplement the work of the capsular ligaments and works in a sling-like manner to prevent subluxation of the hip at the extremes of motion. The presence of free nerve endings within the LT indicates a definite role in pain generation, with the LT undergoing various mechanical and histological adaptations to hip pathology...
January 2018: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29419468/disparities-in-outcomes-for-blacks-versus-whites-undergoing-total-hip-arthroplasty-a-systematic-literature-review
#3
Bella Y Mehta, Anne R Bass, Rie Goto, Linda A Russell, Michael L Parks, Mark P Figgie, Susan M Goodman
OBJECTIVE: Total hip replacement (THA) surgery is a successful procedure, yet blacks in the United States undergo THA less often and reflect poorer outcomes than whites. The purpose of this study is to systematically review the literature on health-related quality of life after THA, comparing blacks and whites. METHODS: A librarian-assisted search was performed in Medline through PubMed, Embase, and Cochrane Library on February 27, 2017. Original cohort studies examining pain, function, and satisfaction in blacks and whites 1 year after elective THA were included...
February 1, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29411349/lumbopelvic-pain-and-threats-to-walking-ability-in-well-functioning-older-adults-findings-from-the-baltimore-longitudinal-study-of-aging
#4
Eleanor M Simonsick, Benjamin Aronson, Jennifer A Schrack, Gregory E Hicks, Gerald J Jerome, Kushang V Patel, Stephanie A Studenski, Luigi Ferrucci
OBJECTIVES: To examine the potential contribution of severity of lumbopelvic pain (LPP) in well-functioning older adults to poorer walking efficiency, lack of endurance, slower gait speed, and decline in these mobility parameters over 1 to 5 years. DESIGN: Longitudinal analysis of Baltimore Longitudinal Study of Aging data. SETTING: National Institute on Aging, Clinical Research Unit, Baltimore, Maryland. PARTICIPANTS: Well-functioning men and women aged 60 to 89 (N=878)...
February 7, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29408538/lower-quadriceps-rate-of-force-development-is-associated-with-worsening-physical-function-in-adults-with-or-at-risk-for-knee-osteoarthritis-36-month-follow-up-data-from-the-osteoarthritis-initiative
#5
Bo Hu, Søren Thorgaard Skou, Barton L Wise, Glenn N Williams, Michael C Nevitt, Neil A Segal
OBJECTIVE: The purpose of this study was to determine the association between quadriceps rate of force development (RFD) and decline in self-reported physical function and objective measures of physical performance. DESIGN: Longitudinal cohort study SETTING: Community-based sample from 4 urban areas PARTICIPANTS: Osteoarthritis Initiative participants with or at risk for knee OA, who had no history of knee/hip replacement, knee injury, or rheumatoid arthritis (N=2630)...
January 30, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29406338/excess-opioid-medication-and-variation-in-prescribing-patterns-following-common-orthopaedic-procedures
#6
Matthew J Sabatino, Samuel T Kunkel, Dipak B Ramkumar, Benjamin J Keeney, David S Jevsevar
BACKGROUND: Postoperative pain management in orthopaedic surgery accounts for a substantial portion of opioid medications prescribed in the United States. Understanding prescribing habits and patient utilization of these medications following a surgical procedure is critical to establishing appropriate prescribing protocols that effectively control pain while minimizing unused opioid distribution. We evaluated prescribing habits and patient utilization following elective orthopaedic surgical procedures to identify ways of improving postoperative opioid-prescribing practices...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29392329/effectiveness-of-conservative-treatment-for-patellofemoral-pain-syndrome-a-systematic-review-and-meta-analysis
#7
Mikhail Saltychev, Rebecca A Dutton, Katri Laimi, Gary S Beaupré, Petri Virolainen, Michael Fredericson
OBJECTIVE: To evaluate the evidence regarding the effectiveness of conservative treatment in reducing patellofemoral pain. DATA SOURCES: CENTRAL, MEDLINE, CINAHL, and PEDro databases. STUDY SELECTION: Adults with patellofemoral pain, randomized controlled trials only, any conservative treatment compared with placebo, sham, other conservative treatment, or no treatment. Two independent reviewers. DATA EXTRACTION: Data were extracted from the full-text of the articles, based on Cochrane Collaboration recommendations...
January 25, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29373805/systematic-review-and-meta-analysis-of-outcomes-after-hip-arthroscopy-in-femoroacetabular-impingement
#8
Anas A Minkara, Robert W Westermann, James Rosneck, T Sean Lynch
BACKGROUND: Femoroacetabular impingement (FAI) has become a more commonly recognized cause of limited hip range of motion and hip pain among young adults and athletes. Hip arthroscopy is recommended for the surgical treatment of this disorder, unless specific contraindications exist. Despite the increasing rate of published studies in this area, there remains no aggregate data for outcomes after this approach. PURPOSE: To evaluate risk factors and outcomes after arthroscopic management of FAI, including return to play, revision rate, surgical and nonsurgical complications, change in α-angle, intraoperative bone resection, and patient-reported outcomes...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29369113/the-influence-of-presurgical-factors-on-the-rehabilitation-outcome-of-patients-following-hip-arthroplasty
#9
João Lindo Simões, Soraia Soares, Pedro Sa-Couto, Carla Lopes, Daniela Magina, Elsa Melo, David Voegeli, Isabel Bolhão
PURPOSE: The aims of this study were to evaluate the relationship between sociodemographic information, anthropometric values, clinical and presurgery factors, and length of stay (LOS) in older adult patients undergoing total hip arthroplasty (THA) and to predict which factors can delay the start of the rehabilitation program and increase the corresponding LOS. METHODS: A prospective cohort study was conducted in an orthopedic inpatient unit with 40 patients undergoing THA...
January 24, 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29361346/novel-antibiotic-loaded-cement-femoral-head-spacer-for-the-treatment-of-advanced-pyogenic-arthritis-in-adult-hip
#10
Yoon Je Cho, Dhrumil Patel, Young Soo Chun, Won Ju Shin, Kee Hyung Rhyu
BACKGROUND: The aim of this study is to present a treatment for end-stage pyogenic arthritis of the hip using a novel cement spacer. This spacer caused less damage to the proximal femoral bone and made the conversion to total hip arthroplasty (THA) more convenient while maintaining the advantages of current cement spacers loaded with antibiotics. METHODS: We retrospectively reviewed 10 consecutive cases of hip pyogenic arthritis with joint destruction. These cases occurred from September 2009 to June 2015...
December 29, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29353742/trunk-pelvis-and-hip-biomechanics-in-individuals-with-femoroacetabular-impingement-syndrome-strategies-for-step-ascent
#11
Laura E Diamond, Kim L Bennell, Tim V Wrigley, Rana S Hinman, Michelle Hall, John O'Donnell, Paul W Hodges
BACKGROUND: Femoroacetabular impingment (FAI) syndrome is common among young active adults and a proposed risk factor for the future development of hip osteoarthritis. Pain is dominant and drives clinical decision-making. Evidence for altered hip joint function in this patient population is inconsistent, making the identification of treatment targets challenging. A broader assessment, considering adjacent body segments (i.e. pelvis, trunk) and individual movement strategies, may better inform treatment programs...
January 11, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29345526/differential-gait-patterns-by-falls-history-and-knee-pain-status-in-healthy-older-adults-results-from-the-baltimore-longitudinal-study-of-aging
#12
Seung-Uk Ko, Gerald J Jerome, Eleanor M Simonsick, Stephanie Studenski, Luigi Ferrucci
Consideration of knee pain can be crucial for identifying fall-related gait patterns. Gait parameters while walking at usual speed were examined in persons with different falls and knee pain status. Study participants were 439 adults aged 60 to 92 years. Persons with a falls history had a wider stride width (p = 0.036) and longer double support time (p = 0.034) than non-fallers. In the absence of knee pain, fallers had longer double support time than non-fallers (p = 0.012), but no differences in double support time by fall history was observed in participants with knee pain...
January 18, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29333031/a-case-of-multifocal-eosinophilic-granuloma-involving-spine-and-pelvis-in-a-young-adult-a-radiopathological-correlation
#13
Santosh Rai, H B Sridevi, Radha R Pai, Pulastya Sanyal
We present a case of multiple osteolytic lesions in a 28-year-old adult who presented with headache, back pain, and hip pain of 6 months. There was no history of localized swelling or rise of temperature, no history of weight loss or evening rise of temperature. On examination, there were no focal neurological deficits. Routine laboratory investigations, including total leukocyte counts, differential leukocyte counts, hemoglobin, and platelet counts, were within normal limits. There was a borderline elevation of erythrocyte sedimentation rate...
October 2017: Indian Journal of Medical and Paediatric Oncology
https://www.readbyqxmd.com/read/29329303/efficacy-of-lateral-versus-medial-approach-hip-joint-capsule-denervation-as-surgical-treatments-of-the-hip-joint-pain-a-neuronal-tract-tracing-study-in-the-sheep
#14
Waldemar Sienkiewicz, Agnieszka Dudek, Krzysztof Czaja, Maciej Janeczek, Aleksander Chrószcz, Jerzy Kaleczyc
OBJECTIVE: To evaluate efficacy of denervation of the of the hip joint capsule (HJC), as a treatment of hip joint pain. Specifically, we tested the hypothesis that HJC denervation will significantly reduce the number of sensory neurons innervating the capsule. STUDY DESIGN: Denervation of the HJC from a medial or lateral approach was followed by retrograde tracing of sensory neurons innervating the capsule. ANIMALS: Twenty adult male sheep (30-40 kg of body weight; Polish merino breed) were used in the study...
2018: PloS One
https://www.readbyqxmd.com/read/29327826/correlation-between-hypermobility-score-and-injury-rate-in-artistic-gymnastics
#15
Bojan Bukva, Goran Vrgoč, Dejan Madić, Goran Sporiš, Nebojša Trajković
BACKGROUND: Generalized Joint Hypermobility (GJH) is suggested as a contributing factor for injuries in young athletes and adults. It is presumed that GJH causes decreased joint stability, thereby increasing the risk of joint and soft tissue injuries during sports activities. The aim of this study was to determine the correlation between the hypermobility rate (using the Beighton`s modification of the Carter-Wilkinson criteria of hypermobility) in gymnasts and injury rate, during the period of one year...
January 10, 2018: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29326375/group-b-streptococcus-septic-arthritis-of-the-hip-following-spontaneous-abortion
#16
Madeline Lyons, Elizabeth Zielinski, Jibanananda Satpathy
Group B streptococcus (GBS) infection of the hip in otherwise healthy adults is a rare entity that is previously only reported following peripartum gynaecological procedure and instrumentation. We report a case of infection of the hip with GBS following spontaneous abortion. Delay in identification of infection as the cause of pain ultimately leads to irreversible joint destruction. This case report will heighten the awareness of the first contact providers as well as orthopaedic surgeons to be more vigilant for possible septic complications associated with gynaecological procedures/complications and subsequent painful joints...
January 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29310397/massive-rare-desmoplastic-fibroma-of-the-ilium-and-ischium-in-a-young-adult-a-case-report
#17
Xin-Nan Ma, Shuai Qiang, Tian-Yi Liu, Mei-Yu Cao, Song-Cen Lv
RATIONALE: Desmoplastic fibroma (DF) is a rare, locally invasive but benign bone tumor. It represents one of the rarest bone diseases, with an incidence of only 0.11% of all primary bone tumors. PATIENT CONCERNS: Herein, a case of massive and unusual DF, with simultaneous involvement of ilium and ischium, is described. A 29-year-old man suffered minor pain in his right hip for 2 years. It worsened after sudden movements, which prevented him from walking normally...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29304961/editorial-commentary-invisible-odorless-and-deadly-do-computed-tomography-scans-in-young-patients-with-hip-pain-cause-cancer
#18
EDITORIAL
Erik Hohmann
Does imaging of the pelvis using a set of radiographs and computed tomography (CT) cause cancer? A computer-based simulation study using 5 different imaging and radiation dose protocols has calculated the lifetime risk of malignancy for young adults for pelvic radiographs and CT scans. The cumulative lifetime-attributable risk of cancer was 0.2% for males and 0.35% for females. This appears low but the numbers needed to harm were 952 for males and 564 for females. However, the authors have based their calculations on the linear no-threshold model, which is controversial, and a linear relationship between dose and risk may not exist...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29304750/lower-body-functioning-and-correlates-among-older-american-indians-the-cerebrovascular-disease-and-its-consequences-in-american-indians-study
#19
R Turner Goins, Mark Schure, Paul N Jensen, Astrid Suchy-Dicey, Lonnie Nelson, Steven P Verney, Barbara V Howard, Dedra Buchwald
BACKGROUND: More than six million American Indians live in the United States, and an estimated 1.6 million will be aged ≥65 years old by 2050 tripling in numbers since 2012. Physical functioning and related factors in this population are poorly understood. Our study aimed to assess lower body functioning and identify the prevalence and correlates of "good" functioning in a multi-tribe, community-based sample of older American Indians. METHODS: Assessments used the Short Physical Performance Battery (SPPB)...
January 5, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29283748/femoral-neck-stress-in-older-adults-during-stair-ascent-and-descent
#20
Chen Deng, Jason C Gillette, Timothy R Derrick
A detailed understanding of the hip loading environment is needed to help prevent hip fractures, minimize hip pain, rehabilitate hip injuries and design osteogenic exercises for the hip. The purpose of this study was to compare femoral neck stress during stair ascent and descent and to identify the contribution of muscles and reaction forces to the stress environment in mature adult subjects (n=17; age: 50-65 years). Motion analysis and inverse dynamics were combined with musculoskeletal modelling and optimization, then used as input to an elliptical femoral neck cross-section model to estimate femoral neck stress...
December 28, 2017: Journal of Applied Biomechanics
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