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https://www.readbyqxmd.com/read/28209597/athletic-groin-pain-part-2-a-prospective-cohort-study-on-the-biomechanical-evaluation-of-change-of-direction-identifies-three-clusters-of-movement-patterns
#1
A Franklyn-Miller, C Richter, E King, S Gore, K Moran, S Strike, E C Falvey
BACKGROUND: Athletic groin pain (AGP) is prevalent in sports involving repeated accelerations, decelerations, kicking and change-of-direction movements. Clinical and radiological examinations lack the ability to assess pathomechanics of AGP, but three-dimensional biomechanical movement analysis may be an important innovation. AIM: The primary aim was to describe and analyse movements used by patients with AGP during a maximum effort change-of-direction task. The secondary aim was to determine if specific anatomical diagnoses were related to a distinct movement strategy...
March 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28209152/municipal-resources-and-patient-outcomes-through-the-first-year-after-a-hip-fracture
#2
Sabine Ruths, Valborg Baste, Marit Stordal Bakken, Lars Birger Engesæter, Stein Atle Lie, Siren Haugland
BACKGROUND: Hip fractures represent major critical events for older people, and put huge demands on economic and personnel resources. Most hip fracture patients are in need of postoperative rehabilitation services. Through the Coordination Reform, the municipalities in Norway were given increased responsibility for community-based treatment and rehabilitation after surgery. The purpose of this study was to examine associations between municipal resources and patient outcomes through the first year after a hip fracture, focusing on survival and health-related quality of life...
February 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28199924/hip-ankle-coordination-during-gait-in-individuals-with-chronic-ankle-instability
#3
Sheng-Che Yen, Kevin K Chui, Marie B Corkery, Elizabeth A Allen, Caitlin M Cloonan
Individuals with chronic ankle instability (CAI) may have sensorimotor impairments that affect control at the hip in addition to the ankle. The purpose of this study was to compare hip-ankle coordination and coordination variability between individuals with CAI and healthy individuals during walking. Ten healthy subjects and 10 subjects with CAI were recruited to walk on a treadmill. Hip-ankle coordination was quantified using vector coding, and coordination variability was quantified using coefficient of correspondence...
February 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28194386/femur-lengthening-with-monoplanar-external-fixator-associated-with-locked-intramedullary-nail
#4
Henrique Paradella Alvachian Fernandes, Danilo Gabriel do Nascimento Silva Barronovo, Fabio Lucas Rodrigues, Marcos Hono
OBJECTIVE: This study aimed to demonstrate that the lengthening technique of an external fixator associated with locked intramedullary nail is an efficient method that decreases the duration of the external fixation and improves the rehabilitation period. METHODS: From January of 2005 to May of 2014, 31 patients with mean lower limb discrepancy of 5.31 cm were treated. The etiologies of the deformity were femur fracture sequelae, infection, hip development dysplasia, polio, and congenital short femur...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28188484/estimation-of-attachment-regions-of-hip-muscles-in-ct-image-using-muscle-attachment-probabilistic-atlas-constructed-from-measurements-in-eight-cadavers
#5
Norio Fukuda, Yoshito Otake, Masaki Takao, Futoshi Yokota, Takeshi Ogawa, Keisuke Uemura, Ryota Nakaya, Kazunori Tamura, Robert B Grupp, Amirhossein Farvardin, Mehran Armand, Nobuhiko Sugano, Yoshinobu Sato
PURPOSE: Patient-specific musculoskeletal biomechanical simulation is useful in preoperative surgical planning and postoperative assessment in orthopedic surgery and rehabilitation medicine. A difficulty in application of the patient-specific musculoskeletal modeling comes from the fact that the muscle attachment regions are typically invisible in CT and MRI. Our purpose is to develop a method for estimating patient-specific muscle attachment regions from 3D medical images and to validate with cadaver experiments...
February 10, 2017: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/28188336/injuries-of-the-obturator-muscles-in-professional-soccer-players
#6
Manuel Wong-On, Antonio Turmo-Garuz, Rafael Arriaza, Jose Manuel Gonzalez de Suso, Luis Til-Perez, Xavier Yanguas-Leite, David Diaz-Cueli, Xavier Gasol-Santa
PURPOSE: Obturator externus and internus muscular tears are uncommon injuries. Only a few case reports exist, mainly in high-level athletes. Our aim is to describe a series of obturator externus and internus muscular tears in professional soccer players. METHODS: Injury data from four teams from the First Division of the Spanish Soccer League were collected over a total of four seasons. Any soccer player who sustained an injury to either the obturator externus or internus identified on magnetic resonance (MRI) was included...
February 10, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28171843/gait-kinetics-of-total-hip-replacement-patients-a-large-scale-long-term-follow-up-study
#7
Damien Bennett, Paul Ryan, Seamus O'Brien, David E Beverland
BACKGROUND: It is not known if lower limb gait kinetics of total hip replacement (THR) patients reach normal levels at long term follow-up post-operatively. METHODS: Three-dimensional gait analysis was performed on 134 THR patients with identical implants 10-years post-operatively. Lower limb moments and powers were compared between different age strata (54-64 years, 65-69 years, 70-74 years, 75-79 years and over 80 years) and a normal elderly control group. RESULTS: Hip extensor moment and hip power generation were significantly reduced in all age groups compared to normal...
January 21, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28164068/fracture-diaphyseal-femur-in-a-case-of-ipsilateral-excision-arthroplasty-of-hip-report-of-two-cases-with-description-of-an-unusual-injury-pattern-mechanism-and-clinical-decision-making-in-management
#8
Kunal Shah, Tushar Ubale, Rahematullah Abdul, Vaibhav Kasodekar, Ashish Assudani, Kiran Makwana
INTRODUCTION: Although fracture diaphyseal femur is commonly seen in orthopedic practice, its association with ipsilateral resection arthroplasty of hip/pseudarthrosis of neck is rare. The technique of excision arthroplasty has undergone modification with emphasis on preserving as much bone as possible. However, it is not always possible to preserve bone while removing the earlier prosthesis and cement. This often leads to extensive proximal bone loss. Associated ipsilateral fracture femur presents a unique scenario...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28161188/hip-muscle-strength-is-decreased-in-middle-aged-recreational-male-athletes-with-midportion-achilles-tendinopathy-a-cross-sectional-study
#9
B Habets, H W Smits, F J G Backx, R E H van Cingel, B M A Huisstede
OBJECTIVE: Investigating differences in hip muscle strength between athletes with Achilles tendinopathy (AT) and asymptomatic controls. DESIGN: Cross-sectional case-control study. SETTING: Sports medical center. PARTICIPANTS: Twelve recreational male athletes with mid-portion AT and twelve matched asymptomatic controls. OUTCOME MEASURES: Isometric strength of the hip abductors, external rotators, and extensors was measured using a handheld dynamometer...
September 13, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28160254/association-between-low-lean-mass-and-low-bone-mineral-density-in-653-women-with-hip-fracture-does-the-definition-of-low-lean-mass-matter
#10
Marco Di Monaco, Carlotta Castiglioni, Roberto Di Monaco, Rosa Tappero
BACKGROUND AND AIMS: Loss of both muscle and bone mass results in fragility fractures with increased risk of disability, poor quality of life, and death. Our aim was to assess the association between low appendicular lean mass (aLM) defined according to different criteria and low bone mineral density (BMD) in hip-fracture women. METHODS: Six hundred fifty-three women admitted to our rehabilitation hospital underwent dual energy X-ray absorptiometry 19.1 ± 4...
February 3, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28160028/one-stage-bilateral-implantation-of-a%C3%A2-calcar-guided-short-stem-in%C3%A2-total-hip-arthroplasty-minimally-invasive-modified-anterolateral-approach-in-supine-position
#11
K P Kutzner, S Donner, M Schneider, J Pfeil, P Rehbein
OBJECTIVE: One-stage bilateral, muscle-preserving, calcar-guided implantation technique through the modified minimally invasive anterolateral approach in supine position. INDICATIONS: Bilateral primary/secondary osteoarthritis of the hip; bilateral femoral head necrosis; ASA I-III. CONTRAINDICATIONS: ASA IV; severe osteoporosis, other factors jeopardizing stable anchorage of cementless, calcar-guided short-stem; infection. SURGICAL TECHNIQUE: Supine position...
February 3, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28154941/the-association-between-sarcopenia-and-functional-outcomes-among-older-patients-with-hip-fracture-undergoing-in-hospital-rehabilitation
#12
F Landi, R Calvani, E Ortolani, S Salini, A M Martone, L Santoro, A Santoliquido, A Sisto, A Picca, E Marzetti
: This study evaluates the prevalence of sarcopenia among older people admitted to a rehabilitation unit after hip fracture and the association between sarcopenia and functional outcomes. The results show that sarcopenia had a negative impact on functional recovery. The assessment of sarcopenia among older adults receiving rehabilitation programs is crucial. INTRODUCTION: Sarcopenia is a highly prevalent geriatric syndrome associated with adverse outcomes, including falls, disability, institutionalization, and mortality...
February 2, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28153419/kinematic-alterations-of-the-lower-limbs-and-pelvis-during-an-ascending-stairs-task-are-associated-with-the-degree-of-knee-osteoarthritis-severity
#13
Glaucia Helena Gonçalves, Luiz Fernando Approbato Selistre, Marina Petrella, Stela Márcia Mattiello
BACKGROUND: Individuals with knee osteoarthritis (OA) generally demonstrate great difficulty in ascending stairs. The strategies and compensations used by these individuals in stair activities have not been fully established. The purpose of this study was to investigate the joint kinematics of the pelvis, hip, knee and ankle throughout the gait cycle, in the sagittal and frontal planes, in individuals with mild and moderate knee OA, during an ascending stairs task. METHODS: Thirty-one individuals with knee OA and 19 controls were subjected to clinical and radiographic analysis, divided into three groups: control, mild knee OA, and moderate knee OA...
January 30, 2017: Knee
https://www.readbyqxmd.com/read/28137475/physical-activity-after-a-hip-fracture-effect-of-a-multicomponent-home-based-rehabilitation-program-a-secondary-analysis-of-a-randomized-controlled-trial
#14
Katri Turunen, Anu Salpakoski, Johanna Edgren, Timo Törmäkangas, Marja Arkela, Mauri Kallinen, Maija Pesola, Sirpa Hartikainen, Riku Nikander, Sarianna Sipilä
OBJECTIVES: To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over one year follow-up among older people recovering from a recent hip fracture. DESIGN: Secondary analysis of a randomized, controlled, parallel-group trial. SETTING: Home-based rehabilitation; measurements in university laboratory. PARTICIPANTS: Community-dwelling people aged 60+ recovering from a hip fracture...
January 27, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28134133/a-model-for-differential-leg-joint-function-during-human-running
#15
Mu Qiao, James J Abbas, Devin L Jindrich
Locomotion requires coordination of leg joints to maintain stability and to maneuver. We studied leg joint function during constant-average-velocity running and the sagittal-plane maneuvers of step ascent and descent. We tested two hypotheses: (1) that leg joints perform distinct functions during locomotion; and (2) that humans select functional parameters to maximize intrinsic dynamic stability. We recorded whole-body kinematics and forces when participants stepped up or down a single vertical step, and found that leg joints show functional differences during both constant-average-velocity locomotion and maneuvers...
January 30, 2017: Bioinspiration & Biomimetics
https://www.readbyqxmd.com/read/28120020/hip-arthroscopic-capsulotomy-techniques-and-capsular-management-strategies-a-systematic-review
#16
Seper Ekhtiari, Darren de Sa, Chloe E Haldane, Nicole Simunovic, Christopher M Larson, Marc R Safran, Olufemi R Ayeni
PURPOSE: Hip arthroscopy is increasingly used to address hip joint pathology. Iatrogenic instability has been reported as a potential complication, leading to the evaluation of various capsular management strategies. The purpose of this review was to (1) report the techniques used for capsulotomy in hip arthroscopy, (2) understand techniques and indications for capsular closure, and (3) report outcomes based on capsular management strategy. METHODS: MEDLINE, EMBASE, and PubMed were searched and screened in duplicate for relevant studies...
January 24, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28119837/comparison-of-balance-proprioception-and-skeletal-muscle-mass-in-total-hip-replacement-patients-with-and-without-fracture-a-pilot-study
#17
Seunghwi Jo, Si-Bog Park, Mi Jung Kim, Taikon Kim, Kyeong Il Park, Junhyun Sung, Un Jin Park, Yee Suk Kim, Byeong Jik Kang, Kyu Hoon Lee
OBJECTIVE: To determine whether there was a difference in balance, proprioception, and skeletal muscle mass among patients who undergo hip fracture surgery relative to and elective total hip replacement (THR). METHODS: Thirty-one THR patients were enrolled. The patients were categorized into two groups: fracture group (n=15) and non-fracture group (n=16). Berg Balance Scale (BBS) was used to balance the proprioception of the hip joint while a joint position sense (JPS) test was used to evaluate it...
December 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28118530/current-risk-adjustment-and-comorbidity-index-underperforms-in-predicting-post-acute-utilization-and-hospital-readmissions-after-joint-replacements-implications-for-comprehensive-care-for-joint-replacement-model
#18
Amit Kumar, Amol Karmarkar, Brian Downer, Amit Vashist, Deepak Adhikari, Soham Al Snih, Kenneth Ottenbacher
OBJECTIVE: Compare the performances of comorbidity indices: Charlson, Elixhauser, and the Centers for Medicare & Medicaid Services (CMS) risk adjustment model Hierarchical Condition Category (HCC), in predicting post-acute discharge settings and hospital readmission for patients after joint replacement. METHODS: Retrospective study of Medicare beneficiaries with total knee replacement (TKR) or total hip replacement (THR) discharged from hospitals in 2009-2011 (N=607,349)...
January 24, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28116273/primary-total-hip-replacement-for-a-femoral-neck-fracture-in-a-below-knee-amputee
#19
Karim Masmoudi, Hédi Rbai, Ayman Ben Fradj, Jecem Saâdena, Anouar Boughattas
INTRODUCTION: Femoral neck fracture on amputated limb is an uncommon lesion and challenging to manage. CASE REPORT: We report a case of a displaced neck fracture of the left femur in a 57-year-old female. She underwent at the age of the three a below-knee amputation of the ipsilateral limb for post traumatic ischemia. The fracture was managed by a total hip arthroplasty (THA), as a primary procedure. In this article we describe our experience of this unusual entity...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28116214/exercise-training-in-treatment-and-rehabilitation-of-hip-osteoarthritis-a-12-week-pilot-trial
#20
Kirsti Uusi-Rasi, Radhika Patil, Saija Karinkanta, Kari Tokola, Pekka Kannus, Harri Sievänen
Introduction. Osteoarthritis (OA) of the hip is one of the major causes of pain and disability in the older population. Although exercise is an effective treatment for knee OA, there is lack of evidence regarding hip OA. The aim of this trial was to test the safety and feasibility of a specifically designed exercise program in relieving hip pain and improving function in hip OA participants and to evaluate various methods to measure changes in their physical functioning. Materials and Methods. 13 women aged ≥ 65 years with hip OA were recruited in this 12-week pilot study...
2017: Journal of Osteoporosis
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