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Hayri Ogul, Veysel Ayyildiz, Berhan Pirimoglu, Gokhan Polat, Kutsi Tuncer, Mehmet Kose, Mecit Kantarci
OBJECTIVE: The objective of this study was to evaluate retrospectively the full extent of anterior labral tear and associated other labral tears on magnetic resonance arthrographic images in patients with anterior shoulder instability. MATERIALS AND METHODS: One hundred ten magnetic resonance arthrography images with anterior labral tear were retrieved from the database of the Radiology Department. Two skeletal radiologists, one with 15 years of experience and the other with 5 years of experience analyzed the images in random order...
July 14, 2018: Journal of Computer Assisted Tomography
Mitsunori Kaya, Masashi Fujii, Yosuke Iwamoto, Itsuki Nagahata
Groin pain is a common problem that is known to be a complex issue. The wide variety of possible pathologies in numerous anatomical structures contributes to this complexity. For patients who have anterior hip pain in Patrick's test and tenderness at Scarpa's triangle, we perform periarticular debridement based on the hypothesis that rectus femoris tendinosis, subacute/chronic fibrosis of the anterior inferior iliac spine fat pad, and gluteal muscle adhesion are responsible for such anterior hip pain. This Technical note illustrates the surgical procedure of periarticular debridement for extra-articular pathology-associated anterior hip pain...
June 2018: Arthroscopy Techniques
Roshan Wade, Bhanuprakash Reddy P V
Introduction: The shoulder joint is the most common major joint to dislocate. Population aged younger than 20 years, recurrent dislocation rates have been reported to be as high as 90%. For those individuals that continue to experience dislocations surgery is often a good decision. The goal of the Bankart surgery is to reconnect the torn labrum to the glenoid fossa. Double-row Bankart repair can both achieve anatomic reduction and enhance fixation stability. The purpose of our study is to assess the clinical outcome of arthroscopic double row repair...
September 2018: Journal of Orthopaedics
Joseph T Labrum, Asif M Ilyas
BACKGROUND: Perioperative pain management in hand and upper extremity surgery has become increasingly challenging following recent efforts to accelerate postoperative recovery, decrease length of stay, and maximize the number and complexity of surgical interventions provided in an ambulatory setting. This issue has been further complicated by the growing opioid epidemic in the United States and increasing insights into its detrimental effects on society. Practicing hand surgeons must acknowledge this ongoing public health crisis and adapt their clinical practices to minimize and optimize distribution of prescription opioids...
July 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
Ritesh Rathi, Jacek Mazek
Background: The native labrum has been shown to play a critical role in the maintenance of overall health of the cartilage of the hip. Disruption of the labral seal could be detrimental to the overall nutrition of the cartilage, leading to its premature degeneration. Purpose: This study sought to investigate patients undergoing labral reconstruction with indirect head of rectus femoris autograft, to determine the subjective improvement in pain they experienced, the complications and reoperation rates including conversion to Total hip replacement(THR)...
September 2018: Journal of Orthopaedics
Jan Neumann, Alan L Zhang, Benedikt J Schwaiger, Michael A Samaan, Richard Souza, Sarah C Foreman, Gabby B Joseph, Trevor Grace, Sharmila Majumdar, Thomas M Link
PURPOSE: To validate SHOMRI gradings in preoperative hip magnetic resonance imaging (MRI) with intra-arthroscopic evaluation of intraarticular hip abnormalities. METHODS: Preoperative non-arthrographic 3.0-T MRIs of 40 hips in 39 patients (1 patient with bilateral hip surgery) with femoroacetabular impingement (FAI) syndrome (mean age, 34.7 years ± 9.0; n = 16 females), refractory to conservative measures, that underwent hip arthroscopy were retrospectively assessed by two radiologists for chondrolabral abnormalities and compared with intra-arthroscopic findings as the standard of reference...
July 9, 2018: European Radiology
P Deroulers, V Bretagnolle
Seedbank control has been the cornerstone of agricultural management practices. Regulating weeds by using their predators, as a weed control strategy, may be a prerequisite of decreasing herbicide use, and has thus attracted much research investigating the possible contribution of both vertebrates and invertebrates as weed seed predators. Carabid beetles are considered as one of the most important invertebrate seed predators in agroecosystems. We aimed at investigating carabid beetle preferences to a single prey type, seeds of Viola arvensis...
July 5, 2018: Bulletin of Entomological Research
Heike Jacobi, Sophie Tezenas du Montcel, Peter Bauer, Paola Giunti, Arron Cook, Robyn Labrum, Michael H Parkinson, Alexandra Durr, Alexis Brice, Perrine Charles, Cecilia Marelli, Caterina Mariotti, Lorenzo Nanetti, Lidia Sarro, Maria Rakowicz, Anna Sulek, Anna Sobanska, Tanja Schmitz-Hübsch, Ludger Schöls, Holger Hengel, Laszlo Baliko, Bela Melegh, Alessandro Filla, Antonella Antenora, Jon Infante, José Berciano, Bart P van de Warrenburg, Dagmar Timmann, Sandra Szymanski, Sylvia Boesch, Wolfgang Nachbauer, Jun-Suk Kang, Massimo Pandolfo, Jörg B Schulz, Audrey Tanguy Melac, Alhassane Diallo, Thomas Klockgether
INTRODUCTION: To study the long-term evolution of patient-reported outcome measures (PROMs) in the most common spinocerebellar ataxias (SCAs), we analyzed 8 years follow-up data of the EUROSCA Natural History Study, a cohort study of 526 patients with SCA1, SCA2, SCA3 and SCA6. METHODS: To assess the functional capacity in daily living, we used the functional assessment (part IV) of the Unified Huntington's Disease Rating Scale (UHDRS-IV), for health-related quality of life the visual analogue scale of the EuroQol Five Dimensions Questionnaire (EQ-5D VAS), and for depressive symptoms the Patient Health Questionnaire (PHQ-9)...
June 29, 2018: Journal of Neurology
Ramin Javan, Amy L Ellenbogen, Nicholas Greek, Shawn Haji-Momenian
PURPOSE: To describe the methodology of constructing a three-dimensional (3D) printed model of the glenohumeral joint, to serve as an interventional phantom for fluoroscopy-guided shoulder arthrography training. MATERIALS AND METHODS: The osseous structures, intra-articular space and skin surface of the shoulder were digitally extracted as separate 3D meshes from a normal CT arthrogram of the shoulder, using commercially available software. The osseous structures were 3D-printed in gypsum, a fluoroscopically radiopaque mineral, using binder jet technology...
June 9, 2018: Skeletal Radiology
Lauri Kavaja, Tuomas Lähdeoja, Antti Malmivaara, Mika Paavola
OBJECTIVE: To review and compare treatments (1) after primary traumatic shoulder dislocation aimed at minimising the risk of chronic shoulder instability and (2) for chronic post-traumatic shoulder instability. DESIGN: Intervention systematic review with random effects network meta-analysis and direct comparison meta-analyses. DATA SOURCES: Electronic databases (Ovid MEDLINE, Cochrane Clinical Trials Register, Cochrane Database of Systematic Reviews, Embase, Scopus, CINAHL, Ovid MEDLINE Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE Daily, DARE, HTA, NHSEED, Web of Science) and reference lists were searched from inception to 15 January 2018...
June 23, 2018: British Journal of Sports Medicine
Phob Ganokroj, Pisit Lertwanich
A groin mass is an unusual presentation of hip-related problems. Paralabral cysts are common radiographic findings that are often associated with intraarticular pathology. The authors describe a 57-year-old woman who presented with a left groin mass for 6 months. Magnetic resonance imaging showed an acetabular paralabral cyst at the anterior aspect of the hip joint. Arthroscopic paralabral cyst decompression was performed. An associated degenerative anterosuperior labrum and partial tear of the ligamentum teres were also identified and treated with arthroscopic debridement...
June 18, 2018: Orthopedics
Travis Labrum, Phyllis Solomon
In this period of post-deinstitutionalization, much of the care for people with severe psychiatric disorders (PD) is provided by their families. A primary stressor for caregivers is fears regarding their own safety and that of others, which has been virtually unexplored. To fill this gap, factors in three domains were assessed: (1) relatives with PD, (2) family caregivers, and (3) interactions with each other. This investigation was a secondary analysis of data obtained from a national survey of caregivers of adults with mental illness conducted by the National Alliance for Caregiving...
June 13, 2018: Health & Social Work
Bruno Gonçalves Schröder E Souza, Ranieri Monteiro Cardoso, Rodrigo Silva Loque, Luiz Fernando Ribeiro Monte, José Paulo Sabino, Valdeci Manoel de Oliveira
To describe the arthroscopic surgical technique for subspine impingement (SSI) of the anterior inferior iliac spine (AIIS) associated with mixed type femoroacetabular impingement (FAI), through two standard arthroscopic portals (anterolateral and distal mid-anterior) in two patients with trifocal impingement. The authors report the cases of two young male patients, aged 32 and 36 years old, with trifocal femoropelvic impingement (TFPI). The technique consists of segmental capsulectomy, arthroscopic dissection of the AIIS, partial release of the direct head of the rectus femoris, resection of the AIIS projection with a burr and with fluoroscopic aid, correction of the pincer deformity, repair of the labrum with bioabsorbable anchors, and femoral osteoplasty...
May 2018: Revista Brasileira de Ortopedia
Roman Rakitov
Pharate 1st instar nymphs enclosed in the embryonic cuticle, referred to as pronymphs, were studied in a froghopper Aphrophora pectoralis Mats. (Aphrophoridae) and the leafhoppers Oncopsis flavicollis (L.), Populicerus populi (L.), Alebra wahlbergi (Boh.), Igutettix oculatus (Lindb.), and Scenergates viridis (Vilb.) (Cicadellidae). The species vary in the relative length of the pronymphal antennae and details of sculpturing of the cephalic region. No egg bursting structures were observed, except small denticles on the crown region of S...
June 19, 2018: Arthropod Structure & Development
Brian J White, Alexandra M Scoles, Mackenzie M Herzog
This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented following two left hip dislocations. A labral reconstruction was performed utilizing an iliotibial band allograft tissue with a concomitant ligamentum teres reconstruction using a tibialis anterior allograft...
July 2018: Journal of Hip Preservation Surgery
Nicholas Elena, Brittany M Woodall, Sohyun Ahn, Patrick J McGahan, Neil P Pathare, Edward C Shin, James L Chen
Open Bankart repair was the standard technique used in the past, but the request for less invasiveness, always pursued by every surgeon, pushed the development of the arthroscopic procedure. Nowadays the stabilization of the anteroinferior labrum is usually performed with an arthroscopic technique that uses the classic posterior portal and 2 anterior working portals. Because arthroscopy is progressing steadily under every aspect, there is now the chance to use only one working portal with the aid of a suture passer...
May 2018: Arthroscopy Techniques
Philipp Moroder, Elisabeth Böhm, Markus Scheibel
To date, specific surgical procedures are available for the treatment of anterior shoulder instability with substantial bony glenoid defects, as well as for patients without osseous lesions. However, specific treatment options are lacking for the frequently observed small to intermediate glenoid defects, which may not necessitate glenoid reconstruction surgery according to current guidelines but can still jeopardize the outcome after mere soft-tissue stabilization procedures. This article describes the so-called arthroscopic Bankart-Plus procedure for the treatment of anterior shoulder instability with small to intermediate bony glenoid defects...
April 2018: Arthroscopy Techniques
Burak Altintas, Rafael Pitta, Erik M Fritz, Brendan Higgins, Peter J Millett
Type IV SLAP tears involve bucket-handle tears of the superior labrum with the tears extending into the biceps tendon. Surgical treatment options involve either primary repair or biceps tenodesis. Recent literature has shown good clinical outcomes after subpectoral biceps tenodesis for the treatment of type II and IV SLAP lesions. The purpose of this article is to present our technique for arthroscopic superior labrum repair with suture anchors and open subpectoral biceps tenodesis with an interference screw...
April 2018: Arthroscopy Techniques
Carlos César Vassalo, Antônio Augusto Guimarães Barros, Lincoln Paiva Costa, Euler de Carvalho Guedes, Marco Antônio Percope de Andrade
Purpose: To evaluate the primary clinical outcomes of arthroscopic labral repair. Methods: All patients who underwent arthroscopic repair of the acetabular labrum performed by a senior surgeon between October 2010 and December 2013 were invited to participate in this prospective study. Patients included were those who had a preoperative diagnosis of labral tears, a lateral centre edge greater than 25° and a labral tear believed to be suturable during the intraoperative evaluation...
2018: BMJ Open Sport & Exercise Medicine
Thelonius Hawellek, Jan Hubert, Sandra Hischke, Matthias Krause, Jessica Bertrand, Burkhard C Schmidt, Andreas Kronz, Klaus Püschel, Wolfgang Rüther, Andreas Niemeier
BACKGROUND: Meniscal calcification is considered to play a relevant role in the pathogenesis of osteoarthritis of the knee. Little is known about the biology of acetabular labral disease and its importance in hip pathology. Here, we analyze for the first time the calcification of the acetabular labrum of the hip (ALH) and its relation to hip cartilage degeneration. METHODS: In this cross-sectional post-mortem study of an unselected sample of the general population, 170 ALH specimens and 170 femoral heads from 85 donors (38 female, 47 male; mean age 62...
May 30, 2018: Arthritis Research & Therapy
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