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Hip pain in adult

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https://www.readbyqxmd.com/read/29657467/painless-period-after-spitzy-shelf-operation-for-residual-hip-dysplasia-a-long-term-study-of-47-children-and-young-adults
#1
Anne Guro Vreim Holm, Olav Reikerås, Terje Terjesen
Objective: To study the effects of the Spitzy shelf operation on hip pain. Method: A modified Spitzy shelf procedure was performed in 60 hips with residual hip dysplasia. The mean age at surgery was 11.7 years (range 5.5-22.4 years). Results: Twenty-one hips had pain preoperatively. One year postoperatively 57 hips (95%) were painless. The mean postoperative painless period in patients with >10 years follow-up was 24.1 years (range 5...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29651640/characteristics-of-new-onset-and-chronic-sleep-medication-users-among-older-adults-a-retrospective-study-of-a-us-medigap-plan-population-using-propensity-score-matching
#2
Shirley Musich, Shaohung S Wang, Luke B Slindee, Lynn Saphire, Ellen Wicker
BACKGROUND: Prescription sleep medications are often utilized to manage sleep problems among older adults even though these drugs are associated with multiple risks. OBJECTIVE: The aim was to determine the prevalence and characteristics of new-onset compared to chronic sleep medication users and to examine factors associated with the conversion from new to chronic use. A secondary objective was to investigate the impact of sleep medications on health outcomes of injurious falls and patterns of healthcare utilization and expenditures...
April 12, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29629614/physical-impairments-in-adults-with-ankle-osteoarthritis-a-systematic-review-and-meta-analysis
#3
Munira Mohammed Al-Mahrouqi, David Allan MacDonald, Bill Vicenzino, Michelle Dawn Smith
Study Design Systematic review with meta-analysis. Background Lower limb osteoarthritis (OA) is associated with pain and reduced function. Most research focusses on hip and knee OA related impairments and as consequence impairments that characterise ankle OA are not well understood. Objective To systematically review available evidence of physical impairments in individuals with ankle OA. Methods A comprehensive search of electronic databases was conducted up until July 2017. Studies were screened using pre-defined inclusion/exclusion criteria...
April 7, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607768/the-dutch-hip-and-groin-outcome-score-cross-cultural-adaptation-and-validation-according-to-the-cosmin-checklist
#4
Igor Tak, Marsha Tijssen, Thijs Schamp, Inger Sierevelt, Kristian Thorborg, Gino Kerkhoffs, Janine Stubbe, Anne-Marie van Beijsterveldt, Daniel Haverkamp
Study Design Clinical measurement. Background The Copenhagen Hip and Groin Outcome Score (HAGOS) was developed as a patient-reported outcome measure for young, active individuals with hip and groin pain. Objectives To cross-culturally adapt and validate a Dutch version of the HAGOS. Methods Adaptation and validation were performed according to existing guidelines and the COnsensus-based Standards for the selection of health Measurement INstruments checklist. Physically active (Tegner activity score of greater than 2) adults between 18 and 50 years of age with hip and groin pain (numeric pain score of 1 or greater) were included in the study...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
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/29600202/late-and-vague-presentation-of-septic-arthritis-of-hip-in-a-ivdrug-abuser
#6
Anantha Krishnan Raghupathi, Avinash Joshi
Introduction: Septic arthritis of the hip is a rare entity in acute presentation of hip pain in adults. Even though hip is the second most commonly affected joint, adult patients with septic arthritis not related to a surgical procedure represent <0.00001% of total acute admissions. Case Report: We present a 32-year-old female intravenous drug abuser, positive for Hepatitis B and C who had started to inject her femoral veins 2 years ago. She presented with a 10 weeks history of radiating pain in the leg which was full, constant and diffuse in nature with hip stiffness...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29600200/primary-lymphoma-of-the-pelvis-a-case-report
#7
Karem M Zekry, Norio Yamamoto, Katsuhiro Hayashi, Akihiko Takeuchi, Hiroyuki Tsuchiya
Introduction: Primary lymphoma of the bone (PLB) is uncommon clinical entity with the vast majority of the cases are non-Hodgkin's lymphoma. Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of PLB. Case Report: We report a case of 60-year-old female presented with pain in the right hip that persisted for 2 months. Plain X-ray, computed tomography, and magnetic resonance imaging of the right hip showed a lytic lesion involving the right acetabulum and adjoining iliac bone with extraosseous mass...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29573116/impacts-of-persistent-general-and-site-specific-pain-on-activities-of-daily-living-and-physical-performance-a-prospective-analysis-of-the-english-longitudinal-study-of-ageing
#8
Vasoontara Yiengprugsawan, Andrew Steptoe
AIM: Pain is an increasingly common phenomenon as people age; pain over a long period can result in limited functioning. The present study investigated the impacts of general and multisite-specific pain on activities of daily living and physical performance among older adults. METHODS: Data were analyzed from the English Longitudinal Study of Ageing, a representative sample of the population aged ≥50 years. Face-to-face interview and nurse records were used from waves 2-6 (2004-2012) for analyses...
March 23, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29523533/randomized-trial-of-oral-versus-intravenous-acetaminophen-for-postoperative-pain-control
#9
Skip R Hickman, Kathleen M Mathieson, Lynne M Bradford, Casey D Garman, Richard W Gregg, Douglas W Lukens
PURPOSE: Results of a study comparing pain control outcomes with preoperative oral versus intraoperative i.v. acetaminophen use in adults undergoing total hip or knee arthroplasty are reported. METHODS: A single-center, randomized, placebo-controlled, equivalence trial was conducted. Patients were assigned (1:1) to receive 2 500-mg capsules of acetaminophen before surgery, with an i.v. placebo infusion during surgery (the oral group), or 2 oral placebo capsules followed by an i...
March 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29511014/protocol-for-a-single-centre-prospective-observational-study-of-postoperative-delirium-following-total-joint-arthroplasties-among-south-east-asians
#10
Hairil Rizal Abdullah, Sapphire RouXi Tan, Si Jia Lee, Hamid Rahmatullah Bin Abd Razak, Rachel Huiqi Seet, Hao Ying, Ervin Sethi, Eileen Yilin Sim
INTRODUCTION: Postoperative delirium is a serious and common complication in older adults following total joint arthroplasties (TJA). It is associated with increased risk of postoperative complications, mortality, length of hospital stay and postdischarge institutionalisation. Thus, it has a negative impact on the health-related quality of life of the patient and poses a large economic burden. This study aims to characterise the incidence of postoperative delirium following TJA in the South East Asian population and investigate any risk factors or associated outcomes...
March 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29486364/gluteal-tendinopathy-and-hip-osteoarthritis-different-pathologies-different-hip-biomechanics
#11
Kim Allison, Michelle Hall, Paul W Hodges, Tim V Wrigley, Bill Vicenzino, Yong-Hao Pua, Ben Metcalf, Alison Grimaldi, Kim L Bennell
BACKGROUND: Gluteal tendinopathy (GT) and hip osteoarthritis (OA) are the most common causes of hip pain and associated disability in older adults. Pain and altered walking biomechanics are common to both conditions. This study aimed to compare three-dimensional walking biomechanics between individuals with unilateral, symptomatic GT and HOA. METHODS: Sixty individuals with symptomatic unilateral GT confirmed by magnetic-resonance-imaging and 73 individuals with symptomatic unilateral HOA (Kellgren-Lawrence Grade ≥ 2) underwent three-dimensional gait analysis...
March 2018: Gait & Posture
https://www.readbyqxmd.com/read/29474345/opioid-related-genetic-polymorphisms-do-not-influence-postoperative-opioid-requirement-a-prospective-observational-study
#12
Frédéric Aubrun, Noël Zahr, Olivier Langeron, Nicolas Boccheciampe, Nathalie Cozic, Lisa Belin, Jean-Sebastien Hulot, Frederic Khiami, Bruno Riou
BACKGROUND: Among the various factors that may influence the pharmacological response to opioids, genetic polymorphisms [single nucleotide polymorphisms (SNP)] have generated some interest. OBJECTIVES: To examine the influence on morphine dose requirements and adverse events in the postoperative period of four SNP [opioid receptor mu1 (OPRM1), ATP-binding cassette subfamily B, member 1 (ABCB1) ex-21 and ex-26, catechol-o-methyltransferase (COMT)] in candidate genes involved in morphine pharmacodynamics and pharmacokinetics...
February 22, 2018: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29463934/total-hip-arthroplasty-for-patients-with-residual-poliomyelitis-at-a-mean-eight-years-of-follow-up
#13
Mayumi Sonekatsu, Motoki Sonohata, Masaru Kitajima, Shunsuke Kawano, Masaaki Mawatari
In patients with poliomyelitis, degenerative arthritis of the hip may be encountered in the paralytic or normal contralateral limb because of leg length discrepancy, pelvic obliquity, or severe deformities of the affected hip. Although total hip arthroplasty (THA) is one of the most common orthopedic procedures, there are few reports of THA in adult patients with residual poliomyelitis. From March 2001 to January 2011, 5 patients with residual poliomyelitis (6 hips) underwent THA using uncemented implants at our hospital...
February 2018: Acta Medica Okayama
https://www.readbyqxmd.com/read/29454228/obturator-internus-muscle-abscess-caused-by-methicillin-resistant-staphylococcus-aureus-in-an-adult-a-case-report
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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