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https://www.readbyqxmd.com/read/28328564/variation-in-national-acgme-case-log-data-for-pediatric-orthopaedic-fellowships-are-fellow-coding-practices-responsible
#1
Philip K McClure, Marcella Woiczik, Lori Karol, Wudbhav N Sankar
BACKGROUND: The introduction of the 80-hour work week for Accreditation Council for Graduate Medical Education (ACGME) accredited fellowship programs initiated many efforts to optimize surgical training. One particular area of interest is on recording and tracking surgical experiences. The current standard is logging cases based on Current Procedural Terminology codes, which are primarily designed for billing. Proposed guidelines from the ACGME regarding logging exist, but their implementation is unknown, as is the variation in case volume across fellowship programs...
March 21, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28327166/arthroscopic-findings-of-a-diagnostic-dilemma-hip-pathology-with-normal-imaging
#2
Joel Glenn Buikstra, Camdon Fary, Phong Tran
BACKGROUND: Patients with groin, hip and pelvic pain but normal findings on MRI and minimal changes on x-ray can be a diagnostic problem. This paper looks at the arthroscopic findings of patients who have had hip pain and a positive response to an intra-articular anaesthetic but have non-contributory imaging. We hypothesized that standard MRI's were missing significant pathology and if there was a response to intra-articular local anaesthesia, pathology found during arthroscopy was likely...
March 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28318866/innovations-in-joint-preservation-procedures-for-the-dysplastic-hip-the-periacetabular-osteotomy
#3
Cecilia Pascual-Garrido, Michael D Harris, John C Clohisy
The Bernese periacetabular osteotomy is an effective treatment for symptomatic developmental dysplasia in the prearthritic young adult hip. Refinements in the periacetabular osteotomy technique and perioperative management have markedly improved the clinical outcomes and recovery in these patients. We will review the clinical presentation of acetabular dysplasia, indications for surgery, perioperative management, and contemporary refinements in technique including refined acetabular reduction, adjunctive hip arthroscopy, femoral head-neck osteochondroplasty, femoral procedures, and rapid recovery protocols...
February 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28316958/comprehensive-review-of-advancements-in-hip-arthroscopy
#4
REVIEW
Deuk-Soo Hwang, Chang-Kyun Noh
Hip arthroscopy is currently being leveraged in the diagnosis and treatment of a wide range of hip joint problems. In fact, great advancements in hip arthroscopy have resulted in an ever-expanding number of indications to which it is being applied. Minimally invasive hip arthroscopy allows for quicker initiation of rehabilitation and has attracted much attention as the field becomes increasingly focused on surgeries designed to preserve joints. This review aims to summarize the recent advances, applications, and impact of hip arthroscopy...
March 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/28302428/comparison-of-intraoperative-fluoroscopic-dunn-view-with-magnetic-resonance-imaging-to-determine-femoral-version
#5
Cara Beth Lee, Hillard T Spencer
PURPOSE: To compare femoral version measured with a fluoroscopic Dunn view taken at the time of hip arthroscopy with values derived from axial magnetic resonance imaging (MRI) scans. METHODS: Of 159 hip arthroscopies performed from January 2014 through March 2015, 50 patients had magnetic resonance imaging (MRI) scans with a protocol that incorporates femoral version analysis. Dunn views are performed as a routine part of the preoperative fluoroscopic examination at the time of arthroscopy...
March 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28297618/hip-arthroscopy-for-atypical-posterior-hip-pain-a-comparative-matched-pair-analysis
#6
David M Levy, Gregory L Cvetanovich, Benjamin D Kuhns, Mitchell J Greenberg, Jennifer M Alter, Shane J Nho
BACKGROUND: Femoroacetabular impingement (FAI) most commonly manifests as anterior groin pain. Patients occasionally have posterior pain but otherwise have clinical and radiographic evidence of FAI. PURPOSE: To compare outcomes of hip arthroscopy for FAI in patients with atypical posterior pain versus a matched group with the typical anterior pain presentation. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients undergoing primary hip arthroscopy for FAI were identified from a clinical repository between January 2012 and 2014...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28290757/hip-musculoskeletal-conditions-and-associated-factors-that-influence-squat-performance-a-systematic-review
#7
Scott W Cheatham, Kyle R Stull, Mike Fantigrassi, Ian Montel
CONTEXT: The squat is a fundamental movement for weight lifting and sports performance. Both unilateral and bilateral squats are also used to assess transitional and dynamic lower extremity control. Common lower extremity conditions can have an influence on squat performance. Of interest, are the effects of hip musculoskeletal conditions and associated factors such as hip muscle pain, fatigue, and tightness on squat performance. Currently, there has been no appraisal of the evidence regarding the association of these conditions and associated factors on squat performance...
March 14, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28275623/for-the-outcomes-of-hip-arthroscopy-you-need-to-consider-not-only-the-patient-s-sex-and-age
#8
EDITORIAL
Fei Han, Pengfei Lei, Yihe Hu
No abstract text is available yet for this article.
February 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28259588/complication-rates-for-hip-arthroscopy-are-underestimated-a-population-based-study
#9
Jeremy N Truntzer, Daniel J Hoppe, Lauren M Shapiro, Geoffrey D Abrams, Marc Safran
PURPOSE: To identify major and minor complication rates associated with hip arthroscopy from a payer-based national database and compare with the rates reported in the existing literature. METHODS: Patients who underwent hip arthroscopy between 2007 and 2014 were identified using PearlDiver, a publicly available database. Rates of major and minor complications, as well as conversion to total hip arthroscopy (THA), were determined by using Current Procedural Terminology (CPT) and International Classification of Diseases, Ninth Revision (ICD-9), codes...
March 1, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28259167/diagnostic-accuracy-of-arthroscopic-biopsy-in-periprosthetic-infections-of-the-hip
#10
Florian Pohlig, Heinrich M L Mühlhofer, Ulrich Lenze, Florian W Lenze, Christian Suren, Norbert Harrasser, Rüdiger von Eisenhart-Rothe, Johannes Schauwecker
BACKGROUND: Diagnosis of a low-grade periprosthetic joint infection (PJI) prior to revision surgery can be challenging, despite paramount importance for further treatment. Arthroscopic biopsy of synovial and periprosthetic tissue with subsequent microbiological and histological examination can be beneficial but its specific diagnostic value has not been clearly defined. METHODS: 20 consecutive patients who underwent percutaneous synovial fluid aspiration as well as arthroscopic biopsy due to suspected PJI of the hip and subsequent one- or two-stage revision surgery at our institution between January 2012 and May 2015 were enrolled...
March 4, 2017: European Journal of Medical Research
https://www.readbyqxmd.com/read/28258773/efficacy-of-celecoxib-for-early-postoperative-pain-management-in-hip-arthroscopy-a-prospective-randomized-placebo-controlled-study
#11
Cynthia A Kahlenberg, Ronak M Patel, Michael Knesek, Vehniah K Tjong, Kevin Sonn, Michael A Terry
PURPOSE: To determine whether 400 mg of celecoxib administered 1 hour before hip arthroscopy surgery would reduce pain, provide reduction in overall narcotic consumption, and lead to more rapid discharge from recovery rooms. METHODS: Ninety-eight patients were randomized to either the celecoxib group (n = 50) or the placebo group (n = 48). An a priori power analysis was done set to detect a difference of 0.50 on the visual analog scale (VAS), based on the senior author's preference...
February 28, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28253949/-bilateral-asymmetric-traumatic-dislocation-of-hip-joints
#12
L Paša, R Veselý, M Kelbl
The authors present a rare case of bilateral asymmetric traumatic dislocation of hip joints, where the left joint was treated conservatively after the reduction, while the right joint, with an acetabular fragment interposition, was treated surgically - by arthroscopically assisted reduction and fixation of an osteochondral fragment of posterior wall of the acetabulum. The female patient healed with no complications, showing an excellent clinical outcome with no signs of instability or limited mobility of hip joints, and also with no signs of para-articular calcification or necrosis of the hip at 1 year after the injury and treatment...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28237249/t%C3%A3-nnis-stage-0-and-1-acetabular-rim-cartilage-injuries-incidence-grade-location-and-associated-pre-surgical-factors
#13
J Más Martínez, J Sanz-Reig, C M Verdú Román, D Bustamante Suárez de Puga, M Morales Santías, E Martínez Giménez
INTRODUCTION AND PURPOSE: Articular cartilage lesions have a direct effect on the success of surgical treatment. The aim of this study was to determine the prevalence rate, location, grade, and factors associated with acetabular rim articular cartilage lesions in patients undergoing hip arthroscopy. MATERIAL AND METHODS: A prospective study was conducted by analysing the intraoperative data of 152 hips in 122 patients treated with hip arthroscopy for femoroacetabular impingement from January 2011 to May 2016...
February 22, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28224075/endoscopic-trochanteric-bursectomy-and-iliotibial-band-release-for-persistent-trochanteric-bursitis
#14
Justin J Mitchell, Jorge Chahla, Alexander R Vap, Travis J Menge, Eduardo Soares, Jonathan M Frank, Chase S Dean, Marc J Philippon
Lateral hip pain associated with trochanteric bursitis is a common orthopedic condition, and can be debilitating in chronic or recalcitrant situations. Conservative management is the most common initial treatment and often results in resolution of symptoms and improved patient outcomes. These modalities include rest, activity modification, physical therapy, anti-inflammatory medication, or corticosteroid injections. However, there is a subset of patients in which symptoms persist despite exhaustive conservative modalities...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28169108/prevalence-and-clinical-significance-of-hypertrophic-labrum-in-non-dysplastic-hips
#15
Yong-Chan Ha, Young-Kyun Lee, Kyung-Hoi Koo, Ki-Bum Kwon, Sang-Heon Song
BACKGROUND: Hypertrophic labrum in dysplastic hip has been frequently reported and is known as limbus in developmental dysplasia of the hip. However, hypertrophic labrum without hip dysplasia has not been reported to date. The purpose of this study was to define hypertrophic labrum and to investigate the prevalence and clinical significance of an abnormally hypertrophic labrum in non-dysplastic hips. METHODS: Between 2007 and 2014, direct CT arthrography was performed in 464 patients (470 hips) who had chronic groin pain and positive impingement or Faber test...
February 3, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28164046/treatment-of-the-bullet-traversing-femoral-neck-lodged-in-hip-joint-initial-arthroscopic-removal-and-subsequent-cartilage-repair
#16
Mehmet Faruk Çatma, Serhan Ünlü, Önder Ersan, Alper Öztürk
INTRODUCTION: There have been several reports on arthroscopically assisted removal of the bullet imbedded in hip joint in the literature. Similarly, in this case, a bullet lodged in acetabulum was extracted with arthroscopic technique. What makes this case unique in the literature is that the bullet removed from the acetabulum traversed the femoral neck. CASE REPORT: Male patient aged 32 years with a low-velocity gunshot wound was referred to the emergency room on August 28, 2012...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28160935/editorial-commentary-40-the-new-30-maybe-not-for-the-hip
#17
EDITORIAL
Karen K Briggs
We are all supposed to believe that with the advancement of medicine, nutrition, vitamins, and so on, we can live like we are 10 years younger, but our joints don't seem to believe this yet. The impact of age on outcomes after hip arthroscopy continues to be an important question.
February 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28149744/arthroscopic-psoas-management-techniques-for-psoas-preservation-and-psoas-tenotomy
#18
Andrea M Spiker, Ryan M Degen, Christopher L Camp, Struan H Coleman
The iliopsoas tendon is an important dynamic stabilizer of the hip joint, and it should be carefully identified and preserved during routine hip arthroscopy. However, it may also be a source of hip pain manifesting as iliopsoas tendinitis or a snapping hip or contributing to the development of labral pathology caused by psoas impingement. In the appropriately indicated, refractory cases of iliopsoas-related hip pain, surgical intervention in the form of an iliopsoas tenotomy at the level of the labrum can result in reliable pain relief...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28149735/dynamic-hip-examination-for-assessment-of-impingement-during-hip-arthroscopy
#19
Renato Locks, Jorge Chahla, Justin J Mitchell, Eduardo Soares, Marc J Philippon
Arthroscopic procedures for treatment of hip pathology are growing exponentially as a result of continued improvements in the understanding of intra- and extra-articular hip anatomy and technological advancements in instrumentation. Nevertheless, it has been reported that the main cause of revision hip arthroscopy is related to a suboptimal intrasurgical management of the abnormal morphology in femoroacetabular impingement (FAI). Under-resection, over-resection, and in some cases combined under-resection and over-resection at different locations of the cam lesion at the femoral head-neck junction may lead to poor outcomes as a result of residual impingement or the iatrogenic creation of structural instability...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28149716/hip-arthroscopy-for-removal-of-an-acetabular-rim-based-osteoid-osteoma-and-concomitant-femoroacetabular-impingement-correction
#20
Jacques A Denker, Hollis M Fritts, Rebecca M Stone, Christopher M Larson
Minimally invasive percutaneous radiofrequency ablation (RFA) techniques are the standard of care for treating simple osteoid osteomas (OOs). Historically, OOs were treated with open en bloc resection or curettage of the nidus. RFA procedures have been linked to soft-tissue complications of varying severity. In addition, RFA may be a poor choice for periarticular OOs because of the potential for procedure-related articular cartilage damage. Hip arthroscopy is a widely accepted approach for the treatment of femoroacetabular impingement...
December 2016: Arthroscopy Techniques
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