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Lateral hip pain

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https://www.readbyqxmd.com/read/29893620/femoral-osteomyelitis-caused-by-cladophialophora-in-a-patient-without-known-immunocompromise
#1
Nirbhay S Jain, Christopher B Horn, Adrian A Coleoglou Centeno, Obeid N Ilahi, John E Mazuski, Grant V Bocchichio, Laurie J Punch
BACKGROUND: Chronic osteomyelitis associated with a stage IV decubitus ulcer is a challenging condition to manage, characterized by frequent relapses and need for long-term anti-microbial therapy. Although gram-positive cocci are the most common causes, fungal infections have been reported, usually in immunocompromised hosts. We present a case of Cladophialophora osteomyelitis in a patient without known immunocompromised that was managed with a Girdlestone pseudoarthroplasty. CASE REPORT: A 70-year-old male presented to our emergency room with fever, right hip pain, and purulent drainage from a right greater trochanter stage IV decubitus ulcer...
June 12, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29893604/treatment-success-of-hip-and-core-or-knee-strengthening-for-patellofemoral-pain-development-of-clinical-prediction-rules
#2
Jennifer E Earl-Boehm, Lori A Bolgla, Carolyn Emory, Karrie L Hamstra-Wright, Sergey Tarima, Reed Ferber
CONTEXT:   Patellofemoral pain (PFP) is a common injury that interferes with quality of life and physical activity. Clinical subgroups of patients may exist, one of which is proximal muscle dysfunction. OBJECTIVES:   To develop clinical prediction rules that predict a positive outcome after either a hip and core- or knee-focused strengthening program for individuals with PFP. DESIGN:   Secondary analysis of data from a randomized control trial...
June 12, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29889771/the-peritubercle-lucency-sign-is-a-common-and-early-radiographic-finding-in-slipped-capital-femoral-epiphysis
#3
Daniel A Maranho, Patricia E Miller, Eduardo N Novais
BACKGROUND: A rotational mechanism of slipped capital femoral epiphysis (SCFE) in which the epiphyseal tubercle acts as a fulcrum has been recently described. However, there is limited radiographic evidence supporting this theory. We aimed to investigate whether a radiographic lucency around the epiphyseal tubercle (peritubercle lucency sign) could be observed before or at the diagnosis of a subsequent slip in patients initially presenting with unilateral SCFE. METHODS: We evaluated 70 patients with unilateral SCFE who were followed until a contralateral slip was diagnosed, and 180 patients with unilateral SCFE who had no contralateral slip until skeletal maturity between 2000 and 2017...
June 8, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29876243/endoscopic-gluteus-medius-and-minimus-repair-with-allograft-augmentation-using-acellular-human-dermis
#4
Jovan Laskovski, Ryan Urchek
Recently, attention has been given to recalcitrant lateral hip pain, also known as greater trochanteric pain syndrome. Although, historically, this has been attributed to greater trochanteric bursitis, the literature has shown that many patients will have a lesion of the gluteus medius and minimus tendons. Endoscopic hip abductor tendon repair has been shown to provide good outcomes with decreasing overall morbidity and is becoming more popular. However, failure rates have been reported to be as high as 35%, likely due to the poor tissue quality in this older population...
March 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29871372/cooled-radiofrequency-neurotomy-of-the-articular-sensory-branches-of-the-obturator-and-femoral-nerves-combined-approach-using-fluoroscopy-and-ultrasound-guidance-technical-report-and-observational-study-on-safety-and-efficacy
#5
Leonardo Kapural, Suneil Jolly, Joao Mantoan, Harish Badhey, Ty Ptacek
BACKGROUND: Chronic hip joint pain is a common condition with an estimated prevalence of 7% in men and 10% in women, in a population sample aged over 45. Conservative treatment can include physical therapy, weight loss, a variety of pharmacologic agents ranging from nonsteroidal antiinflammatory drugs (NSAIDS) to opioids, and intraarticular injections with various substances. Definitive treatment of hip pain, however, has primarily centered on hip arthroplasty. OBJECTIVE: We describe a novel anterior approach to cooled radiofrequency (RF) hip denervation under combined ultrasound (US) and fluoroscopy guidance to avoid the neurovascular femoral bundle and reach proper landmarks...
May 2018: Pain Physician
https://www.readbyqxmd.com/read/29866137/the-distance-of-the-femoral-neurovascular-bundle-from-the-hip-joint-an-intraoperative-guide-to-reduce-iatrogenic-injury
#6
Cyrus R Mehta, Alex Constantinidis, Moussa Farhat, Mayuran Suthersan, Edward Graham, Andrew Kanawati
BACKGROUND: Iatrogenic injury to the femoral neurovascular bundle is not uncommon during primary and revision total hip replacement (THR) and can result in permanent weakness, pain and poor function. Prevention of injury to these structures relies on a sound knowledge of their relationships to the hip joint. METHODS: We studied 115 consecutive hip magnetic resonance imaging (MRI) results in order to identify objective relationships between these structures and the hip joint that can be used intraoperatively...
June 4, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29864729/sartorius-muscle-tear-presenting-as-acute-meralgia-paresthetica
#7
Brian Lee, Euan Stubbs
We present an unusual case of sartorius muscle tear presenting as acute meralgia paresthetica. A healthy 67-year old male was referred to our department with a one-week history of pain, numbness and bruising over his hip and anterolateral thigh. Extended ultrasound assessment revealed an intramuscular tear of sartorius, with acute hematoma surrounding the adjacent lateral femoral cutaneous nerve. Meralgia paresthetica from acute trauma is rare, with only three published cases relating to fractures of the anterior superior iliac spine...
May 29, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29861253/the-test-retest-reliability-of-gait-outcomes-in-subjects-with-anterior-knee-pain
#8
Dominique Claire Leibbrandt, Quinette Abigail Louw
INTRODUCTION: Anterior knee pain (AKP) is a common condition frequently causing young, athletic patients to attend sports rehabilitation centres. Abnormal biomechanics are thought to contribute towards the development and chronicity of the condition. Gait analysis is commonly used to identify abnormal biomechanics in subjects with AKP, however the reliability of these measurements are unknown. Therefore, the aim of this study was to quantify the test retest reliability of hip, knee and ankle kinematics during gait in an AKP population so the true effects of an intervention can be established...
April 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29860600/over-voluming-predicted-by-pre-operative-planning-in-24-of-total-knee-arthroplasty
#9
Simon Marmor, Eric Renault, Jeremy Valluy, Mo Saffarini
PURPOSE: Numerous studies demonstrated that prosthetic overhang and over-sizing cause pain and stiffness following total knee arthroplasty (TKA), but none considered volume changes within the joint capsule. This study was designed to investigate differences in volumes of resected bone compared to implanted components in TKA, and to determine the incidence and factors related to 'over-voluming'. METHODS: Three-dimensional reconstructions were created from 100 magnetic resonance imaging scans taken to design patient-specific instruments for TKA...
June 2, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29807793/clinical-outcomes-of-patients-with-lateral-femoral-cutaneous-nerve-injury-after-direct-anterior-total-hip-arthroplasty
#10
Ryan S Patton, Robert P Runner, Riley J Lyons, Thomas L Bradbury
BACKGROUND: Direct anterior total hip arthroplasty (THA) is an increasingly utilized and patient-requested approach for arthroplasty carrying a unique set of complications. Injury to the lateral femoral cutaneous nerve (LFCN) can have a wide range of clinical symptoms ranging from hypesthesia to painful paresthesia. Long-term effects of this injury have not been well studied. We describe duration and severity of these symptoms and correlate their relationship with hip functional scores...
April 24, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29794280/repetitive-nerve-block-for-neuropathic-pain-management-a-case-report
#11
Zoher Naja, Ahmad Salah Naja, Omar Rajab, Anas Mugharbil, Abdul Rahman Shatila, Janah Al Hassan
Schwannoma is a common neoplasm in the peripheral and central nervous systems. Sciatic nerve schwanommas are rare. We report the case of a 50-year-old woman who was referred for treatment of persistent neuropathic pain in the left lower limb after resection of a schwannoma on the left S1 nerve root. The patient's history goes back when she was 27 years old and started to have electric-like pain in her lower left limb upon intercourse. Examination revealed a left ovarian cyst which was surgically removed. Her pain persisted despite taking nonsteroidal anti inflammatory drugs (NSAIDs)...
January 26, 2018: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29789919/biomarkers-of-muscle-damage-increased-in-anterolateral-compared-to-direct-lateral-approach-to-the-hip-in-hemiarthroplasty-no-correlation-with-clinical-outcome-short-term-analysis-of-secondary-outcomes-from-a-randomized-clinical-trial-in-patients-with-a-displaced
#12
T O Ugland, G Haugeberg, S Svenningsen, S H Ugland, Ø H Berg, A H Pripp, L Nordsletten
In this study, we found elevated levels of serum CK in the anterolateral approach to the hip compared to the direct lateral approach in patients with a displaced femoral neck fracture. No correlation was found between levels of CK and functional outcomes. INTRODUCTION: To compare increase in serum creatine kinase (CK) and its association with functional outcome between the muscle-sparing anterolateral approach and the direct lateral approach to the hip in patients with displaced femoral neck fracture (FNF)...
May 22, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29785222/proximal-femoral-bone-regeneration-after-an-uncemented-hydroxyapatite-coated-long-stem-in-revision-hip-surgery
#13
José Cordero-Ampuero, Eduardo Garcia-Rey, Eduardo Garcia-Cimbrelo
Background: Bone remodelling with lateral femoral cortex thinning is a major concern after extensively porous-coated long-stem in revision surgery. Extensive hydroxyapatite coated long-stems were introduced to improve osseointegration, but bone remodelling changes have not been quantified. Objective: The question of whether bone remodelling changes from extensive hydroxyapatite-coated long stems influence the durability of femoral revision, clinical outcome is assessed in follow-up radiographs...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29781289/a-randomised-trial-comparing-spatio-temporal-gait-parameters-after-total-hip-arthroplasty-between-the-direct-anterior-and-direct-lateral-surgical-approaches
#14
Bryn O Zomar, Dianne Bryant, Susan Hunter, James L Howard, Edward M Vasarhelyi, Brent A Lanting
INTRODUCTION: Total hip arthroplasty (THA) is a successful procedure for relieving symptoms of severe osteoarthritis. Surgical approach is a key factor in early recovery and although controversial, little has been written about the direct anterior (DA) approach using objective early measures. METHODS: 78 participants were prospectively enrolled to undergo a THA through either a DA or direct lateral (DL) surgical approach. Outcome measures were collected preoperatively and at discharge from the hospital, and 2-, 6- and 12-weeks...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29761113/differences-in-hip-joint-biomechanics-and-muscle-activation-in-individuals-with-femoroacetabular-impingement-compared-with-healthy-asymptomatic-individuals-is-level-ground-gait-analysis-enough
#15
Derek J Rutherford, Janice Moreside, Ivan Wong
Background: Femoroacetabular impingement (FAI) is a recognized cause of hip and groin pain and a significant factor in hip joint function during sport. Objective tests for understanding hip function are lacking in this population. Purpose: To determine whether biomechanical and electromyographic features of hip function during level-ground walking differ between a group diagnosed with FAI and those with no symptoms of FAI. Study Design: Controlled laboratory study...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29734501/using-multidimensional-topological-data-analysis-to-identify-traits-of-hip-osteoarthritis
#16
Jasmine Rossi-deVries, Valentina Pedoia, Michael A Samaan, Adam R Ferguson, Richard B Souza, Sharmila Majumdar
BACKGROUND: Osteoarthritis (OA) is a multifaceted disease with many variables affecting diagnosis and progression. Topological data analysis (TDA) is a state-of-the-art big data analytics tool that can combine all variables into multidimensional space. TDA is used to simultaneously analyze imaging and gait analysis techniques. PURPOSE: To identify biochemical and biomechanical biomarkers able to classify different disease progression phenotypes in subjects with and without radiographic signs of hip OA...
May 7, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29730216/standardizing-the-prearthritic-hip-joint-space-width-an-analysis-of-994-hips
#17
Matthew J Kraeutler, Tigran Garabekyan, Jesse A Goodrich, Matthew J Fioravanti, Vivek Chadayammuri, Omer Mei-Dan
PURPOSE: The purposes of this study were (1) to define a normal prearthritic hip joint space width (JSW) in symptomatic and asymptomatic patients with various degrees of acetabular coverage based on the lateral center edge angle (LCEA) and (2) to determine predictors of JSW using patient-specific variables. METHODS: In a consecutive series of patients presenting to a hip preservation clinic between July 2012 and April 2016, a standard weight-bearing anteroposterior pelvic view was obtained...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29729756/editorial-commentary-hip-trochanteric-bursitis-and-femoroacetabular-impingement-the-arthroscope-is-only-the-tool
#18
EDITORIAL
Nicola Maffulli
Lateral hip pain is debilitating, with pain located at or around the greater trochanter, and trochanteric bursitis is one of the conditions that are part of the greater trochanter pain syndrome. At times, trochanteric bursitis coexists with femoroacetabular impingement. In such cases, the arthroscope is used as a soft tissue endoscope facilitating debridement of the bursa and functional lengthening of the fascia lata. Coupled with appropriate femoroacetabular impingement treatment and rehabilitation, the procedure allows predictable functional results...
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29723044/are-results-of-arthroscopic-labral-repair-durable-in-dysplasia-at-midterm-follow-up-a-2-center-matched-cohort-analysis
#19
Mario Hevesi, David E Hartigan, Isabella T Wu, Bruce A Levy, Benjamin G Domb, Aaron J Krych
BACKGROUND: Studies assessing dysplasia's effect on hip arthroscopy are often limited to the short term and unable to account for demographic factors that may vary between dysplastic and nondysplastic populations. PURPOSE: To determine the midterm failure rate and patient-reported outcomes of arthroscopic labral repair in the setting of dysplasia and make subsequent failure and outcome comparisons with a rigorously matched nondysplastic control group. STUDY DESIGN: Cohort study; Level of evidence, 3...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29720374/education-plus-exercise-versus-corticosteroid-injection-use-versus-a-wait-and-see-approach-on-global-outcome-and-pain-from-gluteal-tendinopathy-prospective-single-blinded-randomised-clinical-trial
#20
Rebecca Mellor, Kim Bennell, Alison Grimaldi, Philippa Nicolson, Jessica Kasza, Paul Hodges, Henry Wajswelner, Bill Vicenzino
OBJECTIVE: To compare the effects of a programme of load management education plus exercise, corticosteroid injection use, and no treatment on pain and global improvement in individuals with gluteal tendinopathy. DESIGN: Prospective, three arm, single blinded, randomised clinical trial. SETTING: Brisbane and Melbourne, Australia. PARTICIPANTS: Individuals aged 35-70 years, with lateral hip pain for more than three months, at least 4/10 on the pain numerical rating scale, and gluteal tendinopathy confirmed by clinical diagnosis and magnetic resonance imaging; and with no corticosteroid injection use in previous 12 months, current physiotherapy, total hip replacement, or neurological conditions...
May 2, 2018: BMJ: British Medical Journal
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