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Hip labral pathology

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https://www.readbyqxmd.com/read/27885395/hip-instability-treated-with-arthroscopic-capsular-plication
#1
Michael M Kalisvaart, Marc R Safran
PURPOSE: Atraumatic microinstability of the hip is felt to be a cause of intra-articular pathology, particularly tears of the anterior labrum. The purpose of this study is to evaluate a consecutive series of patients with atraumatic hip microinstability that resulted in anterior labral and cartilage pathology, treated with hip arthroscopy and capsular plication without any associated bony procedures. METHODS: Thirty-two patients underwent hip arthroscopy and suture capsular plication for the treatment of hip instability without concomitant bony resections of the acetabulum or proximal femur between November 2009 and November 2012 and were followed for a minimum of 12 months...
November 24, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27857636/posterior-lateral-and-anterior-hip-pain-due-to-musculoskeletal-origin-a-narrative-literature-review-of-history-physical-examination-and-diagnostic-imaging
#2
REVIEW
Patrick J Battaglia, Kevin D'Angelo, Norman W Kettner
OBJECTIVE: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. METHODS: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27777919/hip-arthroscopy-for-incarcerated-acetabular-labrum-following-reduction-of-traumatic-hip-dislocation-three-case-reports
#3
Jung-Mo Hwang, Deuk-Soo Hwang, Woo-Yong Lee, Chang-Kyun Noh, Long Zheng
Traumatic hip fracture-dislocations are associated with chondral and labral pathology as well as loose bodies that can be incarcerated in the hip joint. Incarceration, such as interposed labrum between acetabulum and femoral head that is not readily visualized preoperatively, is a rare but important cause of pain and can potentially be a source for early degeneration and progression to osteoarthritis. We present three cases, arthroscopic surgery of incarcerated acetabular osseo-labral fragment following reduction of traumatic hip fracture-dislocation...
September 2016: Hip & Pelvis
https://www.readbyqxmd.com/read/27756723/outcomes-of-hip-arthroscopy-in-the-older-adult-a-systematic-review-of-the-literature
#4
Daniel W Griffin, Matthew J Kinnard, Peter M Formby, Michael P McCabe, Terrence D Anderson
BACKGROUND: The indications for hip preservation surgery have expanded to include treatment of hip pathology in older adults. While several studies have examined the efficacy of hip arthroscopy in the setting of osteoarthritis, there has been no review of outcomes in older adults. PURPOSE: To review the outcomes of hip arthroscopy in older adults and identify factors associated with treatment failures. STUDY DESIGN: Systematic review. METHODS: PubMed, EMBASE, and the Cochrane Library were searched through March 2016 for studies reporting outcomes of primary hip arthroscopy in patients older than 40 years...
October 18, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27695906/is-there-a-distinct-pattern-to-the-acetabular-labrum-and-articular-cartilage-damage-in-the-non-dysplastic-hip-with-instability
#5
Kotaro R Shibata, Shuichi Matsuda, Marc R Safran
PURPOSE: The purpose of this study was to determine whether or not there is a distinct pattern of injury to the acetabular labrum and/or cartilage in the hip with instability without bony dysplasia. METHODS: Surgical records and intra-operative images of consecutive patients who underwent primary hip arthroscopy for femoroacetabular impingement (FAI) and/or hip instability by the senior author from April 2007 to December 2014 were retrospectively reviewed. Pathological changes were documented and charted on a novel diagram of the acetabulum, and classified into eight patterns corresponding to the lesion's location and size...
October 1, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27686411/management-of-a-patient-with-acute-acetabular-labral-tear-and-femoral-acetabular-impingement-with-intra-articular-steroid-injection-and-a-neuromotor-training-program
#6
Joel R Narveson, Matthew D Haberl, Patrick J Grabowski
Study Design Case report. Background Intra-articular hip pathologies can be difficult to diagnose, and evidence to guide physical therapy interventions is lacking. The purpose of this case report is to describe a clinical pathway for conservative management of a patient with an acute acetabular labral tear and femoroacetabular impingement. Case Description The patient was an 18-year-old woman with recent onset of right groin pain who underwent intra-articular corticosteroid injection and therapeutic exercise for the management of an acute acetabular labral tear identified on radiographic imaging...
November 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27636911/hip-morphology-in-mps-1h-patients-an-mri-based-study
#7
Sandra R Breyer, Nicole Muschol, Mona Schmidt, Martin Rupprecht, Kornelia Babin, Jochen Herrmann, Ralf Stücker
BACKGROUND: Hip dysplasia is common in mucopolysaccharidosis type-1H (MPS-1H) patients, but its morphology is not completely understood. No magnetic resonance imaging (MRI)-based studies have been reported in the literature. The purpose of this study was to improve knowledge of hip dysplasia pathology by describing the hip morphology of these patients in MRI scans, plain radiographs, and arthrograms. METHODS: We performed a retrospective chart review of 18 MPS-1H patients...
September 15, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27583155/the-role-of-arthroscopy-in-the-dysplastic-hip-a-systematic-review-of-the-intra-articular-findings-and-the-outcomes-utilizing-hip-arthroscopic-surgery
#8
REVIEW
Suenghwan Jo, Sang Hong Lee, Sung Il Wang, Bjorn Smith, John O'Donnell
Acetabular dysplasia is one of the most common sources of hip arthritis. With the recent innovation in hip arthroscopy, the question has been raised whether arthroscopy can be used to treat dysplastic hip conditions. The purposes of this systematic review are (i) describe the prevalence of intra-articular pathologies and (ii) report the outcomes of dysplastic hip treatment with hip arthroscopy as a sole treatment. Medical databases were searched for articles including arthroscopic findings and treatment of dysplastic hip with predetermined criteria...
August 2016: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/27581790/hip-labral-repair-options-and-outcomes
#9
REVIEW
Joshua D Harris
The importance of the acetabular labrum has been increasingly recognized, playing a critical role in both normal anatomy and abnormal pathology of the hip joint. The labrum increases acetabular surface area and volume, providing a stable and durable articulation. The fibrocartilaginous composition affords a tissue capable of a lifetime of normal function in the absence of significant osseous pathology. In the setting of femoroacetabular impingement (FAI) or dysplasia, bony biomechanics may cause labral injury, which may translate to patient symptoms...
December 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27533286/correlation-between-hip-arthroscopy-outcomes-and-preoperative-anesthetic-hip-joint-injections-mr-arthrogram-imaging-findings-and-patient-demographic-characteristics
#10
Lauren M Ladd, James S Keene, Alejandro Munoz Del Rio, Humberto G Rosas
OBJECTIVE: The purpose of this study is to determine whether the preoperative response to intraarticular hip anesthetic injection correlates with the outcome of hip arthroscopy. A secondary aim is to determine whether the outcome of arthroscopy correlates with intraarticular pathologic findings or patient demographic characteristics. MATERIALS AND METHODS: Ninety-three patients who underwent MR arthrography (MRA), preoperative injections of anesthetic into the hip joint (with pain scores documented), and subsequent hip arthroscopy (with a modified Harris Hip Score [mHHS] determined at 1 year after arthroscopy) were included in the study...
November 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27475898/acetabular-labral-debridement-segmental-resection-versus-reconstruction-in-the-comprehensive-treatment-of-symptomatic-femoroacetabular-impingement-a-systematic-review
#11
Csaba Forster-Horvath, Noah von Rotz, Brian D Giordano, Benjamin G Domb
PURPOSE: To perform a systematic review comparing outcomes of labral debridement/segmental resection with labral reconstruction as part of a comprehensive treatment strategy for femoroacetabular impingement. METHODS: A systematic review was conducted according to established PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines using defined inclusion and exclusion criteria. The study groups were divided into labral debridement/segmental resection (group 1) and labral reconstruction (group 2)...
July 27, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27458896/hip-pain-after-a-femoral-fracture-it-is-not-always-related-to-the-implant
#12
Brian J White, Tara K Hawkes, Mackenzie M Herzog
The source of continued hip pain following fixation of traumatic femoral shaft fracture is not always clear. Intra-articular hip pathology is often overlooked when evaluating the etiology of residual pain. The purpose of this study was to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. This was a retrospective case series of patients presenting to a private practice orthopedic clinic from 2012 to 2015. Three patients presented with symptomatic intra-articular hip pathology following traumatic ipsilateral femoral shaft fracture...
November 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27335209/hip-morphology-in-elite-golfers-asymmetry-between-lead-and-trail-hips
#13
Edward Dickenson, Philip O'Connor, Philip Robinson, Robert Campbell, Imran Ahmed, Miguel Fernandez, Roger Hawkes, Hutchinson Charles, Damian Griffin
AIM: During a golf swing, the lead hip (left hip in a right-handed player) rotates rapidly from external to internal rotation, while the opposite occurs in the trail hip. This study assessed the morphology and pathology of golfers' hips comparing lead and trail hips. METHODS: A cohort of elite golfers were invited to undergo MRI of their hips. Hip morphology was evaluated by measuring acetabular depth (pincer shape=negative measure), femoral neck antetorsion (retrotorsion=negative measure) and α angles (cam morphology defined as α angle >55° anteriorly) around the axis of the femoral neck...
September 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27235514/do-labral-tears-influence-poor-outcomes-after-periacetabular-osteotomy-for-acetabular-dysplasia
#14
T Hagio, M Naito, Y Nakamura, K Muraoka
AIMS: Acetabular dysplasia is frequently associated with intra-articular pathology such as labral tears, but whether labral tears should be treated at the time of periacetabular osteotomy (PAO) remains controversial. The purpose of this study was to compare the clinical outcomes and radiographic corrections of PAO for acetabular dysplasia between patients with and without labral tears pre-operatively. PATIENTS AND METHODS: We retrospectively reviewed 70 hips in 67 patients with acetabular dysplasia who underwent PAO...
June 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27210853/the-clinical-presentation-of-individuals-with-femoral-acetabular-impingement-and-labral-tears-a-narrative-review-of-the-evidence
#15
Scott W Cheatham, Keelan R Enseki, Morey J Kolber
Femoral acetabular impingement (FAI) has emerged as one of the more commonly recognized intraarticular hip pathologies and is often accompanied with a labral tear. The understanding of the clinical characteristics of individuals with symptomatic FAI has evolved over the past several years due to emerging research. As research progresses, there is often a gap in translating the current evidence to clinical practice. This manuscript presents the latest evidence underpinning the clinical presentation of FAI and labral tears...
April 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27192497/quantitative-magnetic-resonance-arthrography-in-patients-with-femoroacetabular-impingement
#16
Michael A Samaan, Alan L Zhang, Matthew C Gallo, Benedikt J Schwaiger, Thomas M Link, Richard B Souza, Sharmila Majumdar
PURPOSE: Quantitative MRI (QMRI) of the hip with sequences such as T1ρ and T2 mapping has been utilized to detect early changes in cartilage matrix composition. However, QMRI has not been performed in the presence of intra-articular contrast. Thus the purpose of this study was to evaluate the feasibility and use of QMRI during MR-arthrography (MRA) in femoracetabular impingement (FAI) patients. MATERIALS AND METHODS: Using a 3 Tesla MR-scanner, 10 FAI patients underwent a unilateral MRA and standard MRI of the hip joint...
December 2016: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/27191705/modern-radiological-imaging-of-osteoarthritis-of-the%C3%A2-hip-joint-with-consideration-of-predisposing-conditions
#17
M-A Weber, C Merle, C Rehnitz, T Gotterbarm
UNLABELLED: Osteoarthritis is the most common disease of the hip joint in adults and has a high socioeconomic impact. This review article discusses the value of three imaging modalities in the diagnosis of osteoarthritis of the hip joint: projection radiography, computed tomography, and magnetic resonance imaging (MRI). Besides established imaging diagnostics of osteoarthritis, this review also outlines new MRI techniques that enable the biochemical analysis of hip joint cartilage and discusses predisposing deformities of the hip joint including femoroacetabular impingement (FAI) with labral pathologies, hip joint dysplasia, malrotation, and, finally, femoral head necrosis, for which early detection and an exact description of the extent and localization of the necrotic area are extremely important...
July 2016: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/27132774/intra-articular-diagnostic-injection-exhibits-poor-predictive-value-for-outcome-after-hip-arthroscopy
#18
Aaron J Krych, Paul L Sousa, Alexander H King, William M Engasser, Bruce A Levy
PURPOSE: To determine whether the amount of pain relief after preoperative intra-articular (IA) anesthetic injection predicts clinical and functional outcomes after hip arthroscopy, especially when controlling for the presence of chondral degeneration. METHODS: We identified patients who underwent IA injection and subsequent hip arthroscopy for labral pathology between 2007 and 2013 performed by a single surgeon. Inclusion criteria were ultrasound- or fluoroscopic-guided IA anesthetic injection performed at our institution, prospectively documented pre- and postinjection numerical rating scale pain scores, and minimum 1-year follow-up postoperatively...
August 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27105901/professional-golfers-hips-prevalence-and-predictors-of-hip-pain-with-clinical-and-mr-examinations
#19
Edward Dickenson, Imran Ahmed, Miguel Fernandez, Philip O'Connor, Philip Robinson, Robert Campbell, Andrew Murray, Martin Warner, Charles Hutchinson, Roger Hawkes, Damian Griffin
AIMS: This study aimed to determine the prevalence of hip pain in professional golfers, comparing the lead (left hip in right-handed golfer) and trail hips, and to establish what player characteristics predicted hip symptoms. METHODS: Male elite professional golf players were invited to complete questionnaires and undergo clinical and MR examinations while attending the Scottish Hydro Challenge 2015. Questionnaires determined player demographics, self-reported hip pain and an International Hip Outcome Tool 12 (iHOT12) score (hip-related quality of life)...
September 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27104319/extracapsular-vs-standard-approach-in-hip-arthroscopy
#20
Paolo Di Benedetto, Paolo Barbattini, Lorenzo Povegliano, Alessandro Beltrame, Renato Gisonni, Vanni Cainero, Araldo Causero
BACKGROUND: Over the last decades, the arthroscopic treatment of hip pathology has highly grown thanks to the evolution of surgical and diagnostic techniques and instrumentation development. Furthermore the higher life expectancy and functional request make younger patients to be evaluated more frequently for non-arthrosic hip pathologies like labral lesion, FAI, cartilage tears. Treatment substantially has to be chosen between arthroscopy and arthrotomy. This study pretends to compare the clinical outcome between two different arthroscopic access techniques: the traditional one and the extrarticolar one (OUT-IN) we are using regularly in our clinic...
2016: Acta Bio-medica: Atenei Parmensis
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