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https://www.readbyqxmd.com/read/29349019/arthroscopic-decompression-of-greater-trochanteric-sciatic-nerve-impingement
#1
Shane Tipton, Ian Alkhafaji, Rebecca Senehi, Allston Stubbs
Therapeutic extra-articular hip endoscopy is an effective treatment of greater trochanteric sciatic nerve impingement. We describe in detail technical pearls of the procedure including positioning, portal placement, and steps to obtaining adequate decompression while avoiding iatrogenic nerve injury.
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29327108/computed-tomography-for-occult-fractures-of-the-proximal-femur-pelvis-and-sacrum-in-clinical-practice-single-institution-dual-site-experience
#2
Jacob C Mandell, Michael J Weaver, Bharti Khurana
PURPOSE: The purpose of this study was to evaluate the diagnostic performance of CT for assessment of occult fractures of the proximal femur, pelvis, and sacrum. MATERIALS AND METHODS: A retrospective review was performed on patients who received a CT of the hip or pelvis for suspected occult fracture after negative or equivocal radiographs performed within 24 h. The official radiology report was utilized for the determination of CT findings and calculation of sensitivity and specificity...
January 11, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/29324458/ultrasound-imaging-and-guided-injection-for-the-lateral-and-posterior-hip
#3
Ke-Vin Chang, Wei-Ting Wu, Henry L Lew, Levent Özçakar
Ultrasound has emerged as one of the most utilized tools to diagnose musculoskeletal disorders and to assist in interventions. Traditionally, sonographic examination of the hip joint has been challenging because most of the major structures are deeply situated, thus requiring the use of curvilinear transducer for better penetrance. The posterior lateral hip is a frequent area for musculoskeletal pain and nerve entrapments. Common disorders include greater trochanteric pain syndrome, gluteus medius tendinopathy, piriformis syndrome, pudendal neuralgia and proximal hamstring tendinopathy...
January 11, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29322895/union-rates-and-midterm-results-after-extended-trochanteric-osteotomy-in-revision-hip-arthroplasty-useful-and-safe-technique
#4
K S Wronka, P H J Cnudde
Aim of this study was to evaluate the outcome fol-lowing extended trochanteric osteotomy in series of single surgeon, with emphasis on complications and union of osteotomy. Retrospective Case Series of all patients who had revision total hip replacement surgery performed by senior author between 2003 and 2012, with follow up between 1 and 10 years. 108 cases of revision hip arthroplasty with use of Extended Trochanteric Osteotomy were evaluated. In 101 cases solid bony union was achieved. In 7 cases where the bony union was not established, an asymptomatic and stable position was achieved...
March 2017: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29318091/nerve-blocks-in-the-geriatric-patient-with-hip-fracture-a-review-of-the-current-literature-and-relevant-neuroanatomy
#5
REVIEW
Nirav H Amin, Jacob A West, Travis Farmer, Hrayr G Basmajian
Introduction: Hip fracture is a common occurrence in the elderly population with high morbidity and mortality due to postoperative pain and opioid use. The goal of this article is to review the current literature on the neuroanatomy of the hip and the use of localized nerve block in controlling hip fracture pain. Methods: A thorough search of MEDLINE/PubMed, Embase, and the Cochrane Database of Systematic Reviews was conducted using the search terms "hip fracture" and "fascia iliaca block (FICB)...
December 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29273226/do-ultrasound-guided-trochanteric-bursa-injections-of-corticosteroid-for-greater-trochanteric-pain-syndrome-provide-sustained-benefit-and-are-imaging-features-associated-with-treatment-response
#6
W S Bolton, D Kidanu, B Dube, A J Grainger, E Rowbotham, P Robinson
AIM: To assess intra-bursal corticosteroid injections (ICSI) efficacy and duration of action in the management of greater trochanteric pain syndrome (GTPS). The secondary aim was to identify patient and ultrasound (US) features predictive of treatment response. MATERIALS AND METHODS: Consecutive prospectively recruited patients undergoing US-guided ICSI therapy for GTPS received baseline pre-injection questionnaires assessing pain at rest and activity, demographics and comorbidities...
December 19, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/29250501/fixation-of-trochanteric-fragments-in-cementless-bipolar-hemiarthroplasty-of-unstable-intertrochanteric-fracture-cerclage-wiring
#7
Young-Kyun Lee, Chan Ho Park, Kyung-Hoi Koo
Purpose: Bipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstable intertrochanteric fracture. Materials and Methods: We reviewed 92 cementless bipolar HAs using a grit-blasted long stem design for unstable intertrochanteric fractures in 91 elderly patients with a mean age of 81...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29182125/locked-rigid-antegrade-intramedullary-nailing-of-adolescent-femoral-fractures-using-a-lateral-trochanteric-entry-point
#8
M Hampton, N Maripuri, S Khandekar, S Giles, J Fernandes, S Jones
The purpose of this study is to present our experience of treating adolescent femoral fractures using a locked intramedullary nail with a lateral trochanteric entry point. We retrospectively reviewed 15 femoral fractures in 13 adolescents who were treated in our unit between 2011 and 2014. Data collected included patient demographics, mechanism of injury, type of fracture, associated injuries, time to union and complications. A radiographic review was also undertaken. The mean time to radiological union in 14 out of the 15 fractures was 13 weeks (range, 10-20 weeks)...
December 2017: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29182124/hip-preservation-surgery-for-adolescents-and-young-adults-with-post-perthes-sequelae
#9
M A Eid
BACKGROUND: Impingement ensures a narrow arc of pathologic loading in adolescent hips with sequelae of Perthes Disease. Proper surgical interference when the hip is still in the pre-arthritic stage restores function and protects the young hip from early degenerative changes. METHODS: Osteochondroplasty at the femoral head-neck junction and relative lengthening of the femoral neck by distal transfer of the greater trochanter was performed for 12 adolescents with combined intra-articular/extra-articular impingement due to sequelae of Perthes disease in terms of coxa magna, coxa plana, coxa brevis, with an overriding greater trochanter...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29182042/greater-trochanteric-pain-syndrome-and-gluteus-medius-and-minimus-tendinosis-nonsurgical-treatment
#10
Ana Torres, Mariano Fernández-Fairen, José Sueiro-Fernández
Greater trochanteric pain syndrome (GTPS) affects 10-25% of people in developed countries. The underlying etiology for GTPS is most commonly the tendinosis or a tendon tear of the gluteus medius, minimus or both at the greater trochanter; the inflammation of the tendon is not a major feature. We critically evaluated conservative treatment, for which we reviewed 76 publications, grading them according to four levels of evidence. We identified a wide variety of conservative treatment options: home therapy (insoles, walking sticks/crutches, orthotic devices, stretching exercises and preventive measures); physiotherapy (massage and stretching exercises); infiltrations (corticosteroids and local anesthetics); image-guided infiltrations (fluoroscopy and ultrasound); shockwave therapy; platelet-rich plasma injection; and drug therapy...
January 2018: Pain Management
https://www.readbyqxmd.com/read/29181348/focal-periphyseal-edema-zone-on-magnetic-resonance-imaging-in-the-greater-trochanter-apophysis-a-case-report
#11
Akio Sakamoto, Shuichi Matsuda
Introduction: Magnetic resonance imaging (MRI) has been used to identify focal bone marrow edema or a focal periphyseal edema (FOPE) zone, in the closing growth plates of adolescent knees. Case Report: In the current case, an 11-year-old boy reported pain in his left hip. He had been participating in gymnastic classes at school, but otherwise, he was not an active athlete. Based on MRI findings, he was diagnosed with a FOPE zone in his greater trochanteric apophysis...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29162265/the-impact-of-antegrade-intramedullary-nailing-start-site-using-the-sign-nail-in-proximal-femoral-fractures-a-prospective-cohort-study
#12
Mohamed Mustafa Diab, Hao-Hua Wu, Edmund Eliezer, Billy Haonga, Saam Morshed, David W Shearer
INTRODUCTION: In many low and middle-income countries (LMICs) SIGN nail is commonly used for antegrade femoral intramedullary (IM) nailing, using a start site either at the tip of the greater trochanter or piriformis fossa. While a correct start site is considered an essential technical step; few studies have evaluated the impact of using an erroneous start site. This is particularly relevant in settings with limited access to fluoroscopy to aid in creating a nail entry point. The purpose of this study was to evaluate the impact of antegrade SIGN IM nailing start site on radiographic alignment and health-related quality of life...
November 18, 2017: Injury
https://www.readbyqxmd.com/read/29157107/the-impact-of-surgery-for-trochanteric-femur-fracture-on-sexuality-in-men-and-their-female-partners
#13
Melih Balci, Deniz Cankaya, Altug Tuncel, Burak Yoldas, Ozer Guzel, Cagdas Senel
PURPOSE: This study was aimed to investigate the effects of trochanteric femur fracture treatment methods on erectile functions of the patients and on sexual functions with their female partners. MATERIALS AND METHODS: A total of 43 patients with trochanteric femur fracture who underwent proximal femoral nail (PFN) or proximal femur locking compression plate (PF-LCP) surgery were included in the study. The PFN implant was applied to group 1 ( n = 23) and the PF-LCP implant to group 2 ( n = 20)...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29110905/extra-articular-hip-impingement-a-review-of-the-literature
#14
N Arévalo Galeano, N Santamaría Guinea, J Gredilla Molinero, M Grande Bárez
Hip and groin pain is a common clinical problem. Multiple causes can generate hip or groin pain, often sharing clinical and demographic characteristics. Diagnostic imaging tests play an important role in the etiological diagnosis. New forms of extra-articular hip impingement have recently been recognized as a cause of hip pain and limited function especially in young active patients. These conditions include ischiofemoral impingement, anterior inferior iliac spine and subspine impingement, iliopsoas impingement and greater trochanteric-pelvic impingement...
October 27, 2017: Radiología
https://www.readbyqxmd.com/read/29066111/internet-promotion-of-direct-anterior-approach-total-hip-arthroplasty-by-members-of-the-american-association-of-hip-and-knee-surgeons
#15
Ademola I Shofoluwe, Neal B Naveen, Avinash Inabathula, Mary Ziemba-Davis, R Michael Meneghini, John J Callaghan, Lucian C Warth
BACKGROUND: The direct anterior approach (DAA) in total hip arthroplasty is of significant interest to both patients and surgeons, largely due to intense marketing. This study addressed the question, "What is the level of promotion of DAA total hip arthroplasty on the internet by American Association of Hip and Knee Surgeons (AAHKS) members?" METHODS: An internet search was performed to identify surgeon-specific websites for each member of the AAHKS using the members' full name and a previously published set of criteria...
August 23, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29058079/extended-trochanteric-osteotomy-eto-fixation-for-femoral-stem-revision-in-periprosthetic-fractures-dall-miles-plate-versus-cables
#16
Gerard A Sheridan, Adam Galbraith, Stephen R Kearns, William Curtin, Colin G Murphy
BACKGROUND: Extended trochanteric osteotomy (ETO) is a well-established surgical technique used for femoral stem retrieval in revision hip arthroplasty procedures. Fixation of ETO is commonly achieved through wire, cable or cable-plate fixation. No evidence exists to date to suggest which method is superior when used in an acute traumatic setting. METHODS: Thirty cases of acute periprosthetic fracture requiring femoral stem revision with an ETO were identified over a 10-year period...
October 20, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29025184/greater-trochanteric-pain-syndrome-abductors-external-rotators
#17
Anna Hirschmann, Anna L Falkowski, Balazs Kovacs
No abstract text is available yet for this article.
November 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28967055/clinical-and-functional-outcomes-after-augmented-hip-abductor-tendon-repair
#18
Jay R Ebert, Thomas A Bucher, Conor J Mullan, Gregory C Janes
INTRODUCTION: Hip abductor tendon (HAT) tearing is commonly implicated in greater trochanteric pain syndrome. Surgical studies are often reported in small cohorts and with limited information on functional improvement. This study reports the clinical and functional outcomes after HAT repair. METHODS: 112 patients with symptomatic HAT tears, diagnosed via magnetic resonance imaging, underwent open bursectomy, V-Y lengthening of the iliotibial band, debridement of the diseased tendon, decortication of the trochanteric foot-plate and reattachment of the tendon with suture anchors, augmented with a LARS ligament through a trans-osseous tunnel...
September 21, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28963433/greater-trochanteric-pain-syndrome-a-review-of-diagnosis-and-management-in-general-practice
#19
Christopher Jb Speers, Gurjit S Bhogal
No abstract text is available yet for this article.
October 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28954794/the-effectiveness-of-extracorporeal-shockwave-therapy-in-common-lower-limb-conditions-a-systematic-review-including-quantification-of-patient-rated-pain-reduction
#20
REVIEW
Vasileios Korakakis, Rodney Whiteley, Alexander Tzavara, Nikolaos Malliaropoulos
OBJECTIVE: To evaluate extracorporeal shockwave therapy (ESWT) in treating Achilles tendinopathy (AT), greater trochanteric pain syndrome (GTPS), medial tibial stress syndrome (MTSS), patellar tendinopathy (PT) and proximal hamstring tendinopathy (PHT). DESIGN: Systematic review. ELIGIBILITY CRITERIA: Randomised and non-randomised studies assessing ESWT in patients with AT, GTPS, MTSS, PT and PHT were included. Risk of bias and quality of studies were evaluated...
September 27, 2017: British Journal of Sports Medicine
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