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chronic dislocated hip

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https://www.readbyqxmd.com/read/27824552/ehlers-danlos-syndrome-hypermobility-type-a-much-neglected-multisystemic-disorder
#1
REVIEW
Yael Gazit, Giris Jacob, Rodney Grahame
Ehlers-Danlos syndrome (EDS)-hypermobility type (HT) is considered to be the most common subtype of EDS and the least severe one; EDS-HT is considered to be identical to the joint hypermobility syndrome and manifests with musculoskeletal complaints, joint instability, and soft tissue overuse injury. Musculoskeletal complaints manifest with joint pain of non-inflammatory origin and/or spinal pain. Joint instability leads to dislocation or subluxation and involves peripheral joints as well as central joints, including the temporomandibular joints, sacroiliac joints, and hip joints...
October 31, 2016: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/27777922/abductor-reconstruction-with-gluteus-maximus-transfer-in-primary-abductor-deficiency-during-total-hip-arthroplasty
#2
Se Ang Jang, Young Ho Cho, Young Soo Byun, Tae Hoe Gu
Abductor deficiency in native hip joint may cause severe limping and pain. It is more serious situation in case of arthroplasty due to instability and recurrent dislocation. Well-known causes of abductor deficiency are repeated surgery, chronic trochanteric bursitis, superior gluteal nerve injury, failure of repair of abductor tendon insertion to the greater trochanter. Author had experienced primary abductor deficiency during total hip replacement and treated successfully with the transfer of gluteus maximus...
September 2016: Hip & Pelvis
https://www.readbyqxmd.com/read/27726744/sports-injuries-about-the-hip-what-the-radiologist-should-know
#3
Tarek M Hegazi, Jeffrey A Belair, Eoghan J McCarthy, Johannes B Roedl, William B Morrison
Injuries of the hip and surrounding structures represent a complex and commonly encountered scenario in athletes, with improper diagnosis serving as a cause of delayed return to play or progression to a more serious injury. As such, radiologists play an essential role in guiding management of athletic injuries. Familiarity with hip anatomy and the advantages and limitations of various imaging modalities is of paramount importance for accurate and timely diagnosis. Magnetic resonance (MR) imaging is often the modality of choice for evaluating many of the injuries discussed, although preliminary evaluation with conventional radiography and use of other imaging modalities such as ultrasonography (US), computed tomography, and bone scintigraphy may be supplementary or preferred in certain situations...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27698547/chronic-hip-dislocations-a-rarity-how-should-we-treat-them
#4
V Selimi, O Heang, Y Kim, E Woelber, J Gollogly
BACKGROUND: Chronically dislocated hips (>6 weeks) are usually the consequence of difficulties accessing appropriate healthcare in a timely fashion after dislocation; this explains why they are more common in developing countries. Due to a lack of research, there is currently no consensus on the best treatment available for patients presenting with this condition. Therefore, it is important to assess the treatments available so as to ensure that doctors adequately manage those presenting with this debilitating condition in the future...
December 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27650993/iatrogenic-hip-instability-is-a-devastating-complication-after-the-modified-dunn-procedure-for-severe-slipped-capital-femoral-epiphysis
#5
Vidyadhar V Upasani, Oliver Birke, Kevin E Klingele, Michael B Millis
BACKGROUND: The modified Dunn procedure facilitates femoral capital realignment for slipped capital femoral epiphysis (SCFE) through a surgical hip dislocation approach. Iatrogenic postoperative hip instability after this procedure has not been studied previously; however, we were concerned when we observed several instances of this serious complication, and we wished to study it further. QUESTIONS/PURPOSES: The purpose of this study was to evaluate the frequency, timing, and clinical presentation (including complications) associated with iatrogenic instability after the modified Dunn procedure for SCFE...
September 20, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27631472/socio-economic-status-and-reproduction-among-adults-born-with-an-oral-cleft-a-population-based-cohort-study-in-norway
#6
Erik Berg, Åse Sivertsen, Anja Maria Steinsland Ariansen, Charles Filip, Halvard A Vindenes, Kristin B Feragen, Dag Moster, Rolv Terje Lie, Øystein A Haaland
BACKGROUND: It has been reported that people born with orofacial clefts do worse in life than their peers regarding a range of social markers, such as academic achievement and reproduction. We have compared otherwise healthy individuals with and without clefts, to investigate if these differences are due to the cleft or other background factors. MATERIALS AND METHODS: In a retrospective national cohort study, based on compulsory registers with data collected prospectively, we included everybody born in Norway between 1967 and 1992 (1490279 individuals, 2584 with clefts)...
2016: PloS One
https://www.readbyqxmd.com/read/27583056/pelvic-support-osteotomy-salvage-procedure-in-chronically-dislocated-hips-case-report-technical-note-on-the-on-lay-bone-positioning-of-a-lengthening-nail-and-review-of-the-literature
#7
Pieter Reynders-Frederix, Cristina Reynders-Frederix, Muhammad Wajid
BACKGROUND: Young patients with a acquired dislocation of the hip with concomitant shortening of the lower limb is a difficult diagnostic problem with few definite treatment options. METHODS: We used the technique, originally described by Ilizarov, with a double femur osteotomy and lengthening the femur. Lengthening was done with a sub muscular placed on-lay femur distraction rod. Distraction of the rod was done by fluid mechanics. After lengthening, the distraction was secured by a parked plate by locking the distal part of the plate...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27577065/what-are-the-risk-factors-for-dislocation-of-hip-bipolar-hemiarthroplasty-through-the-anterolateral-approach-a-nested-case-control-study
#8
Lianhua Li, Jixin Ren, Jia Liu, Hao Wang, Qinghua Sang, Zhi Liu, Tiansheng Sun
BACKGROUND: Hip dislocation after treatment of a femoral neck fracture with a hemiarthroplasty remains an important problem in the treatment of hip fractures, but the associations between patient factors and surgical factors, and how these factors contribute to dislocation in patients who have undergone bipolar hemiarthroplasty through an anterolateral approach for femoral neck fracture currently are only poorly characterized. QUESTIONS/PURPOSES: We evaluated patients with bipolar hemiarthroplasty dislocation after surgery for femoral neck fracture treated through an anterolateral approach and asked: (1) What are the frequency, characteristics, and risk factors of bipolar hemiarthroplasty dislocations? (2) What are the frequency, characteristics, and risk factors of bipolar hemiarthroplasty dissociations? METHODS: A review of hospital records for patients who underwent bipolar hip hemiarthroplasty for femoral neck fracture at one hospital between July 2004 and August 2014 was conducted...
December 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27509902/congenital-zika-syndrome-with-arthrogryposis-retrospective-case-series-study
#9
Vanessa van der Linden, Epitacio Leite Rolim Filho, Otavio Gomes Lins, Ana van der Linden, Maria de Fátima Viana Vasco Aragão, Alessandra Mertens Brainer-Lima, Danielle Di Cavalcanti Sousa Cruz, Maria Angela Wanderley Rocha, Paula Fabiana Sobral da Silva, Maria Durce Costa Gomes Carvalho, Fernando José do Amaral, Joelma Arruda Gomes, Igor Colaço Ribeiro de Medeiros, Camila V Ventura, Regina Coeli Ramos
OBJECTIVE: To describe the clinical, radiological, and electromyographic features in a series of children with joint contractures (arthrogryposis) associated with congenital infection presumably caused by Zika virus. DESIGN: Retrospective case series study. SETTING: Association for Assistance of Disabled Children, Pernambuco state, Brazil. PARTICIPANTS: Seven children with arthrogryposis and a diagnosis of congenital infection presumably caused by Zika virus during the Brazilian microcephaly epidemic...
August 9, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27453642/missed-adolescent-acetabular-apophyseal-avulsion-with-late-hip-dislocation
#10
Munnan Al-Najjim, Theodore Birks, Jonathan S M Dwyer
BACKGROUND: Chronic hip dislocation associated with acetabular apophyseal avulsion in adolescence is rare. Whilst superior acetabular rim fractures have a documented theoretical risk of hip instability, we have not found a case of chronic dislocation resulting from this. METHODS: We report a case of a 12-year-old healthy boy who initially sustained a missed right acetabular apophyseal avulsion after falling from a quad bike. This was missed on the initial radiograph and a subsequent radiograph following weight bearing a few days later showed a hip dislocation that was also missed...
December 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27318409/inpatient-dislocation-after-primary-total-hip-arthroplasty
#11
Mariano E Menendez, David Ring, C Lowry Barnes
BACKGROUND: Inpatient dislocation after total hip arthroplasty (THA) is considered a nonreimbursable "never event" by the Centers for Medicare and Medicaid Services. There is extensive evidence that technical procedural factors affect dislocation risk, but less is known about the influence of nontechnical factors. We evaluated inpatient dislocation trends after elective primary THA and identified patient and hospital characteristics associated with the occurrence of dislocation. METHODS: We used discharge records from the Nationwide Inpatient Sample (2002-2011)...
May 11, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27229167/late-correction-of-neck-deformity-in-healed-severe-slipped-capital-femoral-epiphysis-short-term-clinical-outcomes
#12
Balasubramanian Balakumar, Sanjeev Madan
PURPOSE: Contemporary methods for the management of neck deformity following a healed severe slipped capital femoral epiphysis (SCFE) include subcapital neck osteotomy. METHODS: 18 patients with chronic severe SCFE in the oblique plane (mean slip angle = 70°) constituted the study group. 6 patients with an open physis underwent modified Dunn capital realignment and 12 patients with a closed physis underwent surgical dislocation with a corrective neck osteotomy...
July 25, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27226940/chronic-lymphedema-of-the-lower-limb-a-rare-cause-of-dislocation-of-total-hip-arthroplasty
#13
Raju Vaishya, Amit Kumar Agarwal, Nishint Gupta, Vipul Vijay
Total hip arthroplasty (THA) in a patient with chronic lymphedema of both lower limbs is rarely reported in the literature. Chronic lymphedema is a challenging condition associated with various complications especially in a patient with THA. However, dislocation of the total hip prosthesis due to acute exacerbation of lower limb swelling in the postoperative period is an extremely rare complication. The cause that led to the dislocation of the prosthesis is intricate and difficult to assess, as this has not been discussed in the literature yet...
2016: Curēus
https://www.readbyqxmd.com/read/27161547/a-case-report-of-the-management-and-the-outcome-of-a-complete-epiphyseal-separation-and-dislocation-with-left-anterior-column-fracture-of-the-acetabulum
#14
Jesús Palencia, Saud Alfayez, Firas Serro, Jamal Alqahtani, Hani Alharbi, Hamed Alhinai
INTRODUCTION: Femoral head and neck fractures in children are uncommon, accounting for fewer than 1% of all pediatric fractures and fewer than 8% of all hip fractures. Furthermore, traumatic transphyseal hip fracture is rare to present in daily practice especially when associated with an acetabular fracture. PRESENTATION OF THE CASE: A twelve years old boy, not known to have any chronic illnesses, presented to the emergency department as a case of polytrauma after a road traffic accident...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27058819/sex-and-growth-effect-on-pediatric-hip-injuries-presenting-to-sports-medicine-clinic
#15
Andrea Stracciolini, Yi-Meng Yen, Pierre A d'Hemecourt, Cara L Lewis, Dai Sugimoto
UNLABELLED: To compare sports-related hip injuries on the basis of sex and age in a cohort of young athletes. A 5% random probability sample of all new patients' charts over a 10-year time period was selected for investigation. The most common hip injury diagnoses, sport at time of injury, mechanism (acute/traumatic vs. overuse), and types (bony vs. soft tissue) were compared by sex and age (preadolescent vs. adolescent). Descriptive and χ-analyses were carried out. The interaction of sex and age with respect to hip injury over time was examined by two-way (sex, age) analysis of variance...
July 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27006147/midterm-survivorship-of-the-lef%C3%A3-vre-constrained-liner-a-consecutive-multisurgeon-series-of-166-cases
#16
Arnaud Clavé, David Maurer, Ludovic Tristan, Frederic Dubrana, Christian Lefèvre, Hemant Pandit
BACKGROUND: Constrained liners are used as part of a salvage procedure to provide stability for patients at high risk for dislocation after a total hip arthroplasty. However, no recent studies exist highlighting their effectiveness and/or limitations. METHOD: This prospective review included 166 consecutive hip arthroplasties, either primary (27%) or revision (73%), with a unique design of a constrained liner: Lefèvre retentive cup. There were 113 females (69%), and the average age at index surgery was 75...
September 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/26991949/dislocation-of-a-dual-mobility-total-hip-replacement-following-fracture-of-the-polyethylene-liner
#17
Bertrand Vedrine, Pierre Guillaumot, Jean-Luc Chancrin
An eight-year-old male English Setter was referred for management of a dislocation of a cemented dual mobility canine total hip prosthesis that occurred four months after the initial surgery. Revision surgery showed that the dislocation was associated with fracture of the ultra-high molecular weight polyethylene liner. The dislocation was successfully reduced after replacing the liner. A dual mobility acetabular component is composed of a mobile polyethylene liner inside a metallic cemented cup. Chronic wear of the components of a canine dual mobility total hip replacement has not been described previously...
May 18, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/26649292/techniques-and-results-for-open-hip-preservation
#18
REVIEW
David M Levy, Michael D Hellman, Bryan Haughom, Michael D Stover, Shane J Nho
While hip arthroscopy grows in popularity, there are still many circumstances under which open hip preservation is the most appropriately indicated. This article specifically reviews open hip preservation procedures for a variety of hip conditions. Femoral acetabular impingement may be corrected using an open surgical hip dislocation. Acetabular dysplasia may be corrected using a periacetabular osteotomy. Acetabular protrusio may require surgical hip dislocation with rim trimming and a possible valgus intertrochanteric osteotomy...
2015: Frontiers in Surgery
https://www.readbyqxmd.com/read/26588835/satisfaction-and-pain-levels-after-proximal-femoral-valgus-osteotomy-according-to-schanz-in-patients-with-cerebral-palsy-and-hip-dislocation
#19
Annelieke M K Harmsen, Melinda M E H Witbreuk, Hans J E H Pruijs, Annemieke I Buizer, Johannes A van der Sluijs
Outcome after Schanz osteotomy in the treatment of chronic hip dislocation in children with cerebral palsy was evaluated. Medical charts and questionnaires were used to assess pain, functional outcome and satisfaction. A total of 24 children, with a mean age of 13.8 years (± 8.9), were included in the study, out of which 11 were classified with Gross Motor Function Classification System (GMFCS) level IV and 13 with GMFCS level V. Current pain was comparable to patients without chronic hip dislocation, and satisfaction was intermediate...
May 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/26517000/ceramic-ceramic-hip-arthroplasty-for-osteonecrosis-average-5-year-follow-up-in-patients-less-than-50-years-of-age
#20
Perry J Evangelista, Atul F Kamath, Francis J Aversano, Jason Silvestre, Gwo-Chin Lee, Charles L Nelson
INTRODUCTION: The optimal bearing surface for the young, active patient undergoing total hip arthroplasty (THA) is unknown. We sought to examine the clinical results of ceramic-on-ceramic (CoC) THA in patients under 50 years of age with a diagnosis of osteonecrosis. MATERIALS AND METHODS: Fifty-three hips underwent cementless THA with a CoC articulation. Clinical and functional outcomes, including preoperative and postoperative WOMAC and UCLA scores, were recorded...
March 2015: Bulletin of the Hospital for Joint Diseases
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