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Hip pain in adult

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https://www.readbyqxmd.com/read/29222303/responsiveness-of-patient-reported-outcome-measurement-information-system-promis-pain-domains-and-disease-specific-patient-reported-outcome-measures-in-children-and-adults-with-sickle-cell-disease
#1
REVIEW
Susanna Curtis, Amanda M Brandow
Case 1: A 33-year-old man with hemoglobin SS (homozygous hemoglobin S) disease presents for his regular clinic visit. He had 6 hospital admissions for pain over the past year. He also has avascular necrosis of the right hip. He takes daily hydroxyurea with hematologic changes indicative of compliance. He also takes morphine sustained release twice daily and morphine immediate release every 6 hours as needed for pain. He feels that more optimal pain control at home would help him reduce his number of hospital admissions in the upcoming year and improve his daily functioning at home...
December 8, 2017: Hematology—the Education Program of the American Society of Hematology
https://www.readbyqxmd.com/read/29216704/-prevalence-of-x-ray-signs-of-femoroacetabular-impingement-in-mexican-population
#2
R Gutiérrez-Ramos, S A Ávalos-Calderón, L A Bahena-Peniche
BACKGROUND: Femoroacetabular impingement (FAI) is a suggested diagnosis for pain in the hip in the absence of other apparent causes. It is thought to be a cause of progressive arthrosis of the hip. Our objective was to determine the prevalence of radiographic data of FAI in the adult population without hip pathology over a period of six months. MATERIAL AND METHODS: Analytical, observational, multicentric, ambispective and transverse study based on digital X-rays analysis...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29212680/high-prevalence-of-acetabular-retroversion-in-asymptomatic-adults-a-3d-ct-based-study
#3
G I Wassilew, M O Heller, V Janz, C Perka, M Müller, L Renner
AIMS: This study sought to establish the prevalence of the cross over sign (COS) and posterior wall sign (PWS) in relation to the anterior pelvic plane (APP) in an asymptomatic population through reliable and accurate 3D-CT based assessment. MATERIALS AND METHODS: Data from pelvic CT scans of 100 asymptomatic subjects (200 hips) undertaken for conditions unrelated to disorders of the hip were available for analysis in this study. A previously established 3D analysis method was applied to assess the prevalence of the COS and PWS in relation to the APP...
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29189216/factors-contributing-to-memory-of-acute-pain-in-older-adults-undergoing-planned-and-unplanned-hip-surgery
#4
Monika Halicka, Przemysław Bąbel
OBJECTIVES: Previous research on pain memory provides inconsistent evidence about the accuracy of pain recall, and few studies have attempted to examine broad affective and contextual contributions to this phenomenon. The present research aimed to determine the accuracy of postoperative pain recall after a 3-months, with respect to the context of the surgery and the congruence of affective states concurrent with the initial experience and its recall. The study also aimed to identify predictors of remembered pain by analysing a range of sensory, cognitive and affective factors...
November 17, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29184303/the-influence-of-the-vibration-form-roller-exercise-on-the-pains-in-the-muscles-around-the-hip-joint-and-the-joint-performance
#5
Sang-Wan Han, Yeon-Seop Lee, Dong-Jin Lee
[Purpose] The purpose of this study is to examine the influence of the vibration form-roller exercise on the pain in the hip joint and the joint performances. [Subjects and Methods] 30 adult patients were randomly sampled and divided into form-roller group (15) and the vibration form-roller group (15). The two groups were exposed to an exercise regimen of 3 sessions per week, over 4 weeks. Each session was composed of warming-up (5M), main exercises (20M), and five minutes of cool-down (5M). [Results] The result of this study, in the intra-group comparison of the Performance, the PRE group increase in the flexion, extension, and abduction of the hip joint, the VPRE group increase in flexion, extension, external rotation and internal rotation...
October 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29175827/poor-overall-quality-of-clinical-practice-guidelines-for-musculoskeletal-pain-a-systematic-review
#6
REVIEW
Ivan Lin, Louise K Wiles, Robert Waller, Roger Goucke, Yusuf Nagree, Michael Gibberd, Leon Straker, Christopher G Maher, Peter P B O'Sullivan
OBJECTIVES: Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder. DESIGN: Systematic review of CPGs (PROSPERO number: CRD42016051653).Included CPGs were written in English, developed within the last 5 years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment...
November 25, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29170344/47%C3%A2-systematic-review-and-meta-analysis-of-analgesic-efficacy-and-safety-profile-of-single-injection-fascia-iliaca-compartment-blocks-in-the-acute-pre-operative-pain-management-of-hip-fractures
#7
Fiqry Fadhlillah, David Chan
BACKGROUND: It is hypothesised that a single injection fascia iliaca compartment block (FICB) administered in the pre-operative setting provides better analgesic control for traumatic hip fractures and is not associated with major adverse effects. Systemic analgesics, whilst effective, could lead to cardiovascular, respiratory and cognitive impairment. As a consequence, undertreatment of acute pain remains prevalent in adult patients with hip fractures, with a consistent decline seen in analgesic administration with age...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29167992/slow-correction-of-severe-spastic-hyperlordosis-in-an-adult-by-means-of-magnetically-expandable-rods
#8
Christof Birkenmaier, Melvin D'Anastasi, Bernd Wegener, Carolin Melcher
BACKGROUND: We describe a case of severe and progressive lumbar hyperlordosis (160°) in a 28-year-old female university student with cerebral palsy. Her main complaints were abdominal wall pain and increasing inability to sit in her custom wheelchair. METHOD: When deciding on our opinion about the most promising treatment strategy, we contemplated slow continued correction by means of percutaneously expandable magnetic rods (MAGEC) after the index surgery as a key component of a satisfactory correction in this severe and rigid curve...
November 22, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29157844/prevalence-of-asymptomatic-femoroacetabular-impingement-in-turkey-cross-sectional-study
#9
Gökhan Polat, Koray Şahin, Ufuk Arzu, Alper Şükrü Kendirci, Mehmet Aşık
OBJECTIVES: Femoroacetabular impingement (FAI) is one of the causes of hip pain in young-adult patients. The purpose of our study is to determine the prevalence of radiological FAI findings in asymptomatic population in Turkey. METHODS: Trauma patients aged 18-65 years who applied to the emergency service between September 2015 and September 2016 were retrospectively evaluated for this study. After a preliminary study and power analysis, 2152 hips of the 1076 previously asymptomatic patients were evaluated radiologically with pelvis antero-posterior and frog-leg radiographs...
November 17, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29121961/a-multicomponent-intervention-for-the-management-of-chronic-pain-in-older-adults-study-protocol-for-a-randomized-controlled-trial
#10
Sheung-Tak Cheng, Ka Long Chan, Rosanna W L Lam, Monique H T Mok, Phoon Ping Chen, Yu Fat Chow, Joanne W Y Chung, Alexander C B Law, Jenny S W Lee, Edward M F Leung, Cindy W C Tam
BACKGROUND: Studies have shown that physical interventions and psychological methods based on the cognitive behavioral approach are efficacious in alleviating pain and that combining both tends to yield more benefits than either intervention alone. In view of the aging population with chronic pain and the lack of evidence-based pain management programs locally, we developed a multicomponent intervention incorporating physical exercise and cognitive behavioral techniques and examined its long-term effects against treatment as usual (i...
November 9, 2017: Trials
https://www.readbyqxmd.com/read/29121296/are-perioperative-therapeutic-doses-of-statins-associated-with-postoperative-pain-and-opioid-consumption-after-hip-surgery-under-spinal-anaesthesia
#11
W Saasouh, S Leung, H O Yilmaz, O Koyuncu, J You, N M Zimmerman, K Ruetzler, A Turan
Background: The anti-inflammatory effects of statins have been suggested to relieve postoperative pain. This retrospective study tested the association between the perioperative routine use of statins in therapeutic doses, and opioid requirements and pain scores, after hip replacement surgery. Methods: With IRB approval, data was obtained for adult patients who had elective hip replacement surgery under spinal anaesthesia at Cleveland Clinic between 2005 and 2015...
October 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29111466/anxiety-and-insomnia-in-young-and-middle-aged-adult-hip-pain-patients-with-and-without-femoroacetabular-impingement-and-developmental-hip-dysplasia
#12
Heidi Prather, Andrew Creighton, Chris Sorenson, Scott Simpson, Maria Reese, Devyani Hunt, Monica Rho
BACKGROUND: Hip pain in young and middle- aged adults with and without hip deformity receive treatment focused primarily related to hip structure. Because their hip pain may be chronic, these patients develop other modifiable co-existing disorders related to pain that go undiagnosed in this young and active population including insomnia and anxiety. OBJECTIVE: The objective is to compare assessments of insomnia and anxiety in young and middle-aged adults presenting with hip pain with no greater than minimal osteoarthritis (OA) compared to asymptomatic (healthy) controls...
October 27, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29111171/hip-symptoms-physical-performance-and-health-status-in-older-adults-with-chronic-low-back-pain-a-preliminary-investigation
#13
Gregory E Hicks, J Megan Sions, Teonette O Velasco
OBJECTIVE: The purposes of this study were to determine: a) if there are differences in the prevalence of clinical hip symptoms between older adults with and without CLBP; and b) whether co-existing hip symptoms are associated with worse physical performance and poorer health-related quality of life (HRQOL). DESIGN: Case-control study SETTING: Individuals participated in a standardized evaluation in a clinical laboratory. PATIENT SAMPLE: Clinical hip symptoms, which are proposed predictors of radiographic hip osteoarthritis according to American College of Rheumatology guidelines, were evaluated in a volunteer sample of 54 community-dwelling older adults, aged 60-85, with CLBP and 54 age- and sex-matched healthy controls...
October 27, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29100768/computed-tomography-scans-in-patients-with-young-adult-hip-pain-carry-a-lifetime-risk-of-malignancy
#14
James D Wylie, Peter A Jenkins, James T Beckmann, Christopher L Peters, Stephen K Aoki, Travis G Maak
PURPOSE: To calculate the lifetime risk of malignancy in young adult patients with hip pain using 5 different imaging and radiation dose protocols with or without pre- and postoperative computed tomography (CT). METHODS: Radiographic and CT patient radiation doses were retrospectively reviewed. Imaging protocols for hip pain composed of radiographs with or without pre- and postoperative CT scans were modeled and radiation doses were estimated using the PCXMC computer code...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29077218/hip-abductor-strength-and-fatigue-are-associated-with-activity-levels-more-than-one-year-after-total-hip-replacement
#15
Kharma C Foucher, Christopher C Cinnamon, Colleen A Ryan, Samuel J Chmell, Kris Dapiton
Despite improvements in pain and function, people who undergo total hip arthroplasty (THR) may not always return to desired levels of physical activity (PA). The factors associated with low activity levels are not fully understood. Abductor weakness and fatigue have both been proposed as factors that limit activity in older adults or people with hip osteoarthritis, but have not been investigated after THR. We hypothesized that abductor weakness and fatigue are associated with lower activity levels in people who have undergone a THR and that fatigue mediates the association between abductor strength and activity...
October 27, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29074345/effects-of-a-hip-brace-on-biomechanics-and-pain-in-people-with-femoroacetabular-impingement
#16
Nicolas R A Newcomb, Tim V Wrigley, Rana S Hinman, Jessica Kasza, Libby Spiers, John O'Donnell, Kim L Bennell
OBJECTIVES: This study evaluates whether hip bracing in patients with femoroacetabular impingement (FAI) (a) immediately reduces range of hip internal rotation, flexion, adduction, and pain during functional tasks; and (b) improves patient-reported outcomes when worn daily over 4 weeks. DESIGN: Within-participant design followed by a case series. METHODS: Twenty-five adults with symptomatic FAI underwent 3D kinematic assessment with and without a hip brace during single-leg squat, double-leg squat, stair ascent, and stair descent...
October 3, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29068805/outcomes-of-preoperative-versus-postoperative-radiation-for-heterotopic-ossification-prevention-in-children-with-neuromuscular-hip-dysplasia-undergoing-proximal-femoral-resection
#17
Clayton B Hess, Rebecca Stein-Wexler, LiHong Qi, Jon R Davids, Ruben C Fragoso
BACKGROUND: Few studies exist to inform the extrapolated practice of irradiating children for heterotopic ossification (HO) prevention. We report the incidence of HO formation following prophylactic preoperative compared with postoperative radiation therapy (RT) in children with neuromuscular hip dysplasia (NHD) following proximal femoral resection (PFR). METHODS: A retrospective, 2-institution chart review was performed. Eligibility was limited to patients with at least 1 year of follow-up...
October 24, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29044835/screening-and-referral-for-children-with-physical-disabilities
#18
REVIEW
Andrew G Georgiadis, Pam Thomason, Kate Willoughby, H Kerr Graham
The clinical care of children with physical disabilities is a major priority for paediatricians and paediatric orthopaedic surgeons. Cerebral palsy (CP) is the prototypical condition and remains the most common cause of physical disability in developed countries. The incidence is approximately 2 per 1000 live births, translating to between 600 and 700 new children per annum in Australia, with approximately 34 000 children and adults currently living with CP. This figure is predicted to rise inexorably over the next 20 years...
October 17, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28991122/peripheral-nerve-blocks-for-hip-fractures-a-cochrane-review
#19
Joanne Guay, Martyn J Parker, Richard Griffiths, Sandra L Kopp
BACKGROUND: This review focuses on the use of peripheral nerve blocks as preoperative analgesia, as postoperative analgesia, or as a supplement to general anesthesia for hip fracture surgery and tries to determine if they offer any benefit in terms of pain on movement at 30 minutes after block placement, acute confusional state, myocardial infarction/ischemia, pneumonia, mortality, time to first mobilization, and cost of analgesic. METHODS: Trials were identified by computerized searches of Cochrane Central Register of Controlled Trials (2016, Issue 8), MEDLINE (Ovid SP, 1966 to 2016 August week 1), Embase (Ovid SP, 1988 to 2016 August week 1), and the Cumulative Index to Nursing and Allied Health Literature (EBSCO, 1982 to 2016 August week 1), trials registers, and reference lists of relevant articles...
October 4, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28955167/mortality-and-function-after-surgically-treated-hip-fracture-in-adults-younger-than-age-60
#20
Babak Pourabbas, Mohammad Jafar Emami, Amir Reza Vosoughi, Hamideh Mahdaviazad, Zeinab Kargarshouroki
OBJECTIVE: Hip fractures in young adults can cause poor functional capacity throughout life because of several complications. The purpose of this study was to prospectively evaluate 1-year mortality and functional outcomes for patients aged 60 years or younger with hip fracture . METHODS: We prospectively obtained data for all consecutive patients aged 60 or younger with any type of hip fracture who were treated operatively between 2008 and 2014. After one year, patient outcomes were evaluated according to changes in pain severity, functional status (modified Barthel index), and mortality rate ...
July 2017: Acta Ortopedica Brasileira
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