keyword
https://read.qxmd.com/read/38328808/hip-dysplasia-in-a-patient-in-late-adolescence-with-charcot-marie-tooth-and-multiple-acyl-coa-dehydrogenase-deficiency
#21
Amirmohammad Heidari, Cameron Stephen, Benan Dala-Ali, Jane Webber, Oliver Pearce, Mohamed H Ahmed
This case report explores a unique presentation of hip dysplasia in a female patient aged 21 years old diagnosed with Charcot-Marie-Tooth disease (CMT) type 1A and multiple acyl-CoA dehydrogenase deficiency (MADD). The coexistence of these neuromuscular and metabolic disorders in a patient with hip dysplasia provides an opportunity to investigate their potential interactions and impact on diagnosis, treatment, and prognosis. The patient underwent labral repair with shelf osteotomy and later a total hip replacement...
January 2024: Journal of Medical Cases
https://read.qxmd.com/read/38323953/editorial-commentary-extreme-hip-labral-size-both-small-and-large-shows-inferior-outcomes-after-arthroscopic-labral-repair-with-femoroacetabular-impingement-treatment
#22
EDITORIAL
Joseph C Brinkman
Arthroscopic management of hip femoroacetabular impingement shows reliable improvement in pain and patient-reported outcomes, high survivorship, and low conversion to total hip arthroplasty, particularly in the absence of dysplasia. Concomitant labral repair-or augmentation versus reconstruction when indicated- consistently shows better results than labral debridement. The effect of labral size on outcomes has been studies in several series. Some studies show that smaller labra show inferior outcomes after repair, others show labral size makes no difference in outcomes, and one showed that patients large labra actually had worse outcomes...
January 12, 2024: Arthroscopy
https://read.qxmd.com/read/38318815/the-contribution-of-soft-tissue-and-bony-stabilizers-to-the-hip-suction-seal-a-systematic-review-of-biomechanical-studies
#23
JOURNAL ARTICLE
Alexander J Hoffer, Wouter Beel, K C Geoffrey Ng, Ryan M Degen
BACKGROUND: Previous biomechanical studies have identified capsular closure, labral repair or reconstruction, and osteochondroplasty as important surgical interventions to improve hip stability. PURPOSE: To investigate the outcome metrics used to quantify hip stability and assess and measure the relative contributions of the labrum, capsule, and bone to hip stability through a quantitative analysis. STUDY DESIGN: Systematic review and meta-analysis; Level of evidence, 4...
February 6, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38316235/evolution-of-the-throwing-shoulder-why-apes-don-t-throw-well-and-how-that-applies-to-throwing-athletes
#24
REVIEW
Heinz Hoenecke, Joseph Fiske, Adriana E Tamayo, Darryl D D'Lima
BACKGROUND: Humans have unique characteristics making us the only primate that can throw well while most other primates throw predominately underhand with poor speed and accuracy. The purpose of this study is to illuminate the uniquely human characteristics that allow us to throw so well. When treating an injury such as a labral tear or capsule tear, this study hopes the reader can gain a better understanding of the issues that lead to the tear and those that may determine the success of treatment besides the actual repair...
February 3, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38312889/arthroscopic-hip-labral-repair-using-needle-arthroscopic-visualization
#25
JOURNAL ARTICLE
Sean McMillan, Elizabeth Ford, Vincent Lau
Hip arthroscopy has become increasingly popular in recent years and continues to grow as techniques and understanding of hip arthroscopy evolve. Needle hip arthroscopy is emerging as a technique that can offer potential advantages compared with a traditional arthroscope. These benefits include a higher degree field of view, lower profile design for easier maneuverability, decreased arthroscopic fluid, and potentially decreased postoperative pain and swelling. We herein present and describe a technique of needle hip arthroscopy as a viable option in the treatment of hip pathology...
January 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38311271/capsular-repair-labral-repair-and-femoroplasty-are-increasing-for-the-arthroscopic-treatment-of-femoroacetabular-impingement
#26
JOURNAL ARTICLE
Lucas Bartlett, Shebin Tharakan, Brandon Klein, Robert G Trasolini, Nicholas A Sgaglione, Randy M Cohn
PURPOSE: The purpose of our study was to provide an updated assessment of hip arthroscopy utilization using an institutional database that is specific to the treatment of femoroacetabular impingement syndrome (FAIS). METHODS: All patients undergoing hip arthroscopy for the treatment of FAIS were retrospectively identified between the years 2014 and 2022 via Current Procedural Terminology (CPT) coding in a multi-institutional, single health-system database. A longitudinal analysis was performed to identify trends in the utilization of arthroscopic techniques including capsular and labral treatment, osteoplasty, and traction set-up...
February 2, 2024: Arthroscopy
https://read.qxmd.com/read/38311266/biceps-rerouting-regardless-of-a-biceps-labral-lesion-during-rotator-cuff-repair-results-in-lower-retear-rates-and-comparable-clinical-outcomes-to-subpectoral-biceps-tenodesis
#27
JOURNAL ARTICLE
Yong Tae Kim, Kyung Jae Lee, Sae Hoon Kim
PURPOSE: To evaluate the radiographic and clinical outcomes when rerouting a pathologic biceps during arthroscopic rotator cuff repair by comparing it with concomitant subpectoral biceps tenodesis (SPBT). METHODS: This retrospective, historical cohort study was conducted with patients who underwent an arthroscopic repair of a full-thickness rotator cuff tear, with intraoperative confirmation of biceps pathology including partial tears, subluxation, pulley lesions, or type II SLAP lesions...
February 3, 2024: Arthroscopy
https://read.qxmd.com/read/38311265/labral-augmentation-with-either-iliotibial-band-allograft-or-dermis-allograft-perform-similarly-regarding-peak-force-displacement-and-work-to-labral-repair-in-suction-seal-restoration-a-biomechanical-study
#28
JOURNAL ARTICLE
Daniel J Kaplan, Thomas W Fenn, Safa Gursoy, Enzo S Mameri, Morgan W Rice, Reagan S Chapman, Elizabeth F Shewman, Shane J Nho
PURPOSE: In order to investigate if allograft substitutes may be utilized to restore suctional seal properties with labral augmentation, the purpose of the current study was to evaluate the biomechanical properties of the labral suction seal under several scenarios, including: (1)intact labrum, (2)rim preparation, (3)labral repair, (4)labral augmentation with iliotibial band (ITB), (5)labral augmentation with a dermis allograft. METHODS: Eleven hemi-pelvises were dissected to the level of the labrum and placed in a material testing system (MTS) for biomechanical axial distraction...
February 2, 2024: Arthroscopy
https://read.qxmd.com/read/38300815/hip-capsulolabral-complex-anatomy-disease-mri-features-and-postoperative-appearance
#29
JOURNAL ARTICLE
Dyan V Flores, Ryan C B Foster, Marcos Loreto Sampaio, Kawan S Rakhra
The hip is a uniquely constrained joint with critical static stability provided by the labrum, capsule and capsular ligaments, and ligamentum teres. The labrum is a fibrocartilaginous structure along the acetabular rim that encircles most of the femoral head. Labral tears are localized based on the clock-face method, which determines the extent of the tear while providing consistent terminology for reporting. Normal labral variants can mimic labral disease and can be differentiated by assessment of thickness or width, shape, borders, location, and associated abnormalities...
February 2024: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://read.qxmd.com/read/38296454/editorial-commentary-irreparable-symptomatic-hip-labral-tears-should-be-reconstructed-in-patients-without-osteoarthritis-however-comparison-of-the-two-as-well-as-allograft-versus-autograft-reconstruction-is-challenging
#30
EDITORIAL
Justin R Zhu, Andrew E Jimenez
Hip acetabular labrum plays a chondroprotective role by maintaining stability, providing a suction seal, and contributing to load distribution. In symptomatic patients without osteoarthritis, arthroscopic labral repair has strong clinical and biomechanical data to support its use. For irreparable tears, the labrum should be reconstructed. Biomechanically, labral reconstruction does not demonstrate superiority when compared to labral repair or the intact native labrum state. However, it is superior to labral excision...
February 2024: Arthroscopy
https://read.qxmd.com/read/38296439/editorial-commentary-indications-for-acetabular-labral-debridement-versus-repair-and-reconstruction-there-is-still-a-role-for-selective-labral-debridement
#31
EDITORIAL
Timothy J Jackson
Not all acetabular labral tears, tissue quality, and size are the same. There is still a role for selective debridement of the acetabular labrum when stable, functional labral tissue remains. An unstable labrum that appears very different than the rest of the labrum is an easy target for repair. Tears requiring resection require graft augmentation or reconstruction.
February 2024: Arthroscopy
https://read.qxmd.com/read/38284285/knotless-bioabsorbable-anchors-placed-on-the-glenoid-face-for-arthroscopic-bankart-repair
#32
JOURNAL ARTICLE
Su Cheol Kim, Hyun Gon Kim, Sang Woon Na, Joo Sam Jung, Jae Chul Yoo
BACKGROUND: Quantitative analysis of the glenoid face knotless-type anchor placement for arthroscopic Bankart repair has not been reported. PURPOSE: To evaluate the clinical and radiologic outcomes after arthroscopic Bankart repair using knotless bioabsorbable anchors depending on the anchor location. STUDY DESIGN: Case series, Level of evidence, 4. METHODS: A total of 124 patients (113 men and 11 women; age, 25.6 ± 7...
January 29, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38278461/long-term-follow-up-after-endoscopic-gluteal-repair-plus-hip-arthroscopy-shows-durable-results-using-validated-patient-reported-outcome-scores-that-largely-exceed-the-minimal-clinically-important-difference-and-patient-acceptable-symptom-state
#33
EDITORIAL
Joshua D Harris
Gluteus medius and minimus tendon pathology is a common cause of lateral hip pain. In patients that are dissatisfied with their hip condition following non-surgical treatment, gluteal repair has demonstrated excellent short-, mid-, and now recently, long-term subjective patient-reported and objective clinician-measured outcomes. In patients with peritrochanteric hip pain, the proportion of their overall hip pain may be influenced by the hip joint due to conditions like Femoroacetabular Impingement Syndrome (FAIS), acetabular dysplasia, labral tears, and arthritis...
January 24, 2024: Arthroscopy
https://read.qxmd.com/read/38265743/pain-scores-and-functional-outcomes-of-patients-with-shoulder-labral-repair-using-all-suture-anchors-versus-conventional-anchors
#34
JOURNAL ARTICLE
David A Freeman, Kevin A Hao, Keegan M Hones, Bankole O Olowofela, Ryan Parrish, Derek Damrow, Joseph J King, Kevin W Farmer, Marissa Pazik, Roach P Roach
HYPOTHESIS/PURPOSE: The purpose of this study was to compare PROMs in patients undergoing anterior glenoid labral repair using all-suture versus conventional anchors. We hypothesized PROMs would be similar between groups. METHODS: We performed a retrospective review of the Arthrex Global Surgical Outcomes System (SOS) database, querying patients who underwent arthroscopic glenoid labral repair between 01/01/2015 and 12/31/2020. Patients aged 18-100, who had isolated glenoid labrum repair with at least 12-month follow-up were included...
January 24, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38265245/paralabral-cyst-of-the-hip-causing-deep-vein-thrombosis-treated-with-arthroscopic-decompression-and-labral-repair
#35
JOURNAL ARTICLE
Tyler M Goodwin, Charles Cody White, Austin Wetzler, Brandon A Cincere
In the setting of femoroacetabular impingement of the hip joint, paralabral cysts are well-documented sequelae. These cysts are typically associated with labral tears caused by CAM and/or pincer-type bony lesions. Synovial fluid extravasation through a tear in the labrum, similar to a popliteus cyst, leads to formation of a capsular-based cyst that is usually self-limiting. Few documented cases of these cysts causing compression of nearby neurovascular structures exist. There are several studies documenting arthroscopic decompression of these cysts, but none reporting compression of the femoral vein by a paralabral cyst resulting in deep vein thrombosis...
January 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38238248/dynamic-anterior-stabilization-with-hill-sachs-remplissage-can-be-employed-in-skeletally-immature-patients-operative-technique
#36
JOURNAL ARTICLE
Diana-Cosmina Neculau, George Mihai Avram, Cosmin Simion, Vlad Predescu, Bogdan Obada, Ion-Andrei Popescu
BACKGROUND: Numerous studies indicate that glenoid bony augmentation raises the risk of complications during and after surgery. On the other hand, repairing the labrum alone in cases with subcritical glenoid bone loss results in recurrent instability and persistent apprehension. As a result, recent advancements in shoulder instability surgery prioritize fully restoring the anterior shoulder restraint. OPERATIVE TECHNIQUE: A novel method for treating recurrent anterior shoulder instability with subcritical glenoid bone loss and off-track Hill-Sachs lesion in skeletally immature patients is suggested: the use of dynamic anterior stabilization technique incorporating the long head of the biceps tendon onto the anterior glenoid rim via trans-subscapular transfer, in conjunction with Hill-Sachs remplissage...
January 18, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38223426/does-glenoid-version-affect-the-post-operative-clinical-outcome-after-repair-of-posterior-labral-tear-a-retrospective-study
#37
JOURNAL ARTICLE
Sashitemjen Aier, Bishak Reddy, Vivek Pandey
INTRODUCTION: Posterior shoulder instability and consequent labral tear have been predominantly associated with retroversion of the bony glenoid and chondrolabral version. However, literature concerning the degree of glenoid and chondrolabral version and clinical outcomes following labral repair is scarce. METHODS: A retrospective cohort study was undertaken among patients with posterior shoulder instability who had undergone arthroscopic isolated posterior labral repair...
March 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38196855/modified-dynamic-anterior-stabilization-and-labroplasty-for-anterior-shoulder-instability-with-concomitant-slap-lesion
#38
JOURNAL ARTICLE
Gonzalo de Cabo, Nuria Álvarez-Benito, Pablo Ramos-Murillo, Francisco Poyato-Núñez, David González-Martín, Manuel Leyes
Several arthroscopic techniques to treat anterior shoulder instability have been described. Bankart repair may be insufficient in cases with some degree of bone loss, and arthroscopic Latarjet is technically challenging. It is not rare to find at the time of surgery a more extensive labral tear (SLAP lesion) or an insufficient anterior capsulolabral tissue. We describe for those cases a dynamic anterior stabilization where using the long head of the biceps we are treating the SLAP lesion and at the same time it provides the "sling effect" of a Latarjet procedure for the anterior instability...
December 2023: Arthroscopy Techniques
https://read.qxmd.com/read/38170724/mini-open-femoroacetabular-osteoplasty-in-patients-with-t%C3%A3-nnis-grade-2-or-higher-osteoarthritis-is-associated-with-a-higher-risk-of-subsequent-conversion-to-tha
#39
JOURNAL ARTICLE
Mohammad S Abdelaal, Ryan M Sutton, Matthew B Sherman, Javad Parvizi
BACKGROUND: The severity of degenerative changes of the hip is known to adversely impact the outcomes of the treatment of femoroacetabular impingement (FAI). Although the operative indications for FAI have expanded to include patients with moderate degrees of hip osteoarthritis, the exact stage of hip osteoarthritis at which surgery for FAI can offer clinical benefits is still uncertain. QUESTIONS/PURPOSES: (1) How does the survivorship free from conversion to THA and survivorship free from revision differ between patients with preexisting Tönnis Grades 2 or 3 changes and those without advanced degenerative changes (Tönnis Grade 0 or 1) after mini-open femoroacetabular osteoplasty? (2) What are the differences in hip-specific and general-health outcome scores between the two groups after mini-open femoroacetabular osteoplasty? METHODS: From December 2003 to April 2019, we treated 901 patients for FAI, and their clinical data were systematically recorded in a longitudinally maintained database...
January 3, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38167518/successful-therapy-of-complex-regional-pain-syndrome-after-hip-arthroscopy-for-femoroacetabular-impingement-syndrome-a-case-report
#40
JOURNAL ARTICLE
V Twardy, R von Eisenhart-Rothe, I J Banke
BACKGROUND: Complex regional pain syndrome is a neuropathic pain disorder associated with ongoing pain that persists beyond the usual expected tissue healing time and that is disproportionate to the degree of tissue injury present. Complex regional pain syndrome after hip arthroscopy has not been reported before. Hip arthroscopy is a fast-growing domain that could lead to an increasing number of complex regional pain syndrome cases, probably owing to the high traction forces that are necessary...
January 2, 2024: Journal of Medical Case Reports
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