keyword
MENU ▼
Read by QxMD icon Read
search

Hip instability

keyword
https://www.readbyqxmd.com/read/28425031/the-cytokine-expression-in-synovial-membrane-and-the-relationship-with-pain-and-pathological-findings-at-hip-arthroscopy
#1
Kensuke Fukushima, Gen Inoue, Hisako Fujimaki, Kentaro Uchida, Masayuki Miyagi, Naoshige Nagura, Katsufumi Uchiyama, Naonobu Takahira, Masashi Takaso
BACKGROUND: Synovial membrane inflammation is the most common finding presenting during hip arthroscopy, and may play a role in hip pain. We sought to determine the relationships between synovial cytokine levels, hip pain, and arthroscopic findings of the hip joint. METHODS: We prospectively included 33 patients who underwent arthroscopic hip surgery (34 hips). For all patients, radiographs and severity of pain were evaluated preoperatively. During arthroscopy, we classified the chondral injury and synovitis, noted the incidence of labral tear and its instability, and a sample of the synovial membrane was harvested for quantitative PCR to determine levels of TNFα, IL1β, IL6, ADAMTS4, MMP1, and MMP3...
December 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/28413142/outcomes-of-modular-dual-mobility-acetabular-components-in-revision-total-hip-arthroplasty
#2
E Grant Sutter, Taylor R McClellan, David E Attarian, Michael P Bolognesi, Paul F Lachiewicz, Samuel S Wellman
BACKGROUND: There is a high rate of dislocation after revision total hip arthroplasty. This study evaluated the outcomes of 1 modular dual mobility component in revision total hip arthroplasty in patients at high risk of dislocation. METHODS: We reviewed 64 revisions performed in 27 (42%) patients for recurrent dislocation, 16 (25%) for adverse local tissue reaction, 11 (17%) for reimplantation infection, and 10 (16%) for aseptic loosening, malposition, or fracture...
March 23, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28389135/a-contemporary-definition-of-hip-dysplasia-and-structural-instability-toward-a-comprehensive-classification-for-acetabular-dysplasia
#3
Geoffrey P Wilkin, Mazen M Ibrahim, Kevin M Smit, Paul E Beaulé
Hip dysplasia has long been known to be a risk factor for pain and degenerative changes in the hip joint. The diagnosis of dysplasia has historically been based on assessments of acetabular anatomy on the anteroposterior pelvic radiograph, most commonly the lateral center-edge angle. Recent advances in imaging of the dysplastic hip with computerized tomography scans have demonstrated that hip dysplasia is in fact a 3-dimensional (D) deformity of the acetabulum and that multiple patterns of hip instability exist that may not be completely assessed on 2D imaging...
March 3, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28385944/the-stability-of-the-hip-after-the-use-of-a-proximal-femoral-endoprosthesis-for-oncological-indications-analysis-of-variables-relating-to-the-patient-and-the-surgical-technique
#4
E R Henderson, B J Keeney, E Pala, P T Funovics, W C Eward, J S Groundland, L K Ehrlichman, S S E Puchner, B E Brigman, J E Ready, H T Temple, P Ruggieri, R Windhager, G D Letson, F J Hornicek
AIMS: Instability of the hip is the most common mode of failure after reconstruction with a proximal femoral arthroplasty (PFA) using an endoprosthesis after excision of a tumour. Small studies report improved stability with capsular repair of the hip and other techniques, but these have not been investigated in a large series of patients. The aim of this study was to evaluate variables associated with the patient and the operation that affect post-operative stability. We hypothesised an association between capsular repair and stability...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28385345/outcome-following-debridement-antibiotics-and-implant-retention-in-hip-periprosthetic-joint-infection-an-18-year-experience
#5
George Grammatopoulos, Benjamin Kendrick, Martin McNally, Nicholas A Athanasou, Bridget Atkins, Peter McLardy-Smith, Adrian Taylor, Roger Gundle
BACKGROUND: Debridement-antibiotics-and-implant-retention (DAIR) may be considered a suitable surgical option in periprosthetic joint infections (PJIs) with soundly fixed prostheses, despite chronicity. This study aims to define the long-term outcome following DAIR in hip PJI. METHODS: We reviewed all hip DAIRs performed between 1997 and 2013 (n = 122) to define long-term outcome and identify factors influencing it. Data recorded included patient demographics, medical history, type of DAIR performed (+/- exchange of modular components), and organisms identified...
March 6, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28385170/danish-survey-of-acetabular-component-positioning-practice-during-primary-total-hip-arthroplasty
#6
Dana Cotong, Anders Troelsen, Henrik Husted, Kirill Gromov
INTRODUCTION: The Lewinnek and Callanan "safe zones" have been widely used to minimise the dislocation fre-quency in total hip arthroplasty (THA), but recent studies have questioned the association between "safe zones" and lower dislocation rates. The purpose of this study was to investigate: 1) if hip surgeons agree on a specific "safe zone" for cup positioning and 2) surgeons' surgical practice patterns regarding recurring instability in primary THA. METHODS: A survey was performed among hip surgeons during the 2015 Annual Meeting of the Danish Orthopaedic Society...
April 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28384949/comparative-study-of-surgical-management-of-fracture-neck-of-femur-with-cemented-versus-uncemented-bipolar-hemiarthroplasty
#7
Y S Prashanth, M Niranjan
INTRODUCTION: There is evidence for use of cemented hemiarthroplasty resulting in greater anchoring and lesser peri prosthetic fracture. However, this procedure results in more haemodynamic instability and cardiopulmonary complications termed as 'cement reaction' or bone cement implantation syndrome. There has been a heightened interest among surgeons to compare cemented and uncemented hemiarthroplasty for fracture neck of femur. AIM: To compare cemented and uncemented hemiarthroplasty in terms of blood loss during the procedure, post-operative complications, mortality, functional recovery and long term clinical outcome...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28378001/adverse-reaction-to-metal-debris-with-concomitant-incidental-crystalline-arthropathy-in-hip-arthroplasty
#8
Edward J Testa, Brian J McGrory
Adverse reaction to metal debris (ARMD) is a known cause of failed metal in hip arthroplasty. Diagnosis of this type of prosthesis failure may be difficult, and the hallmark is an abnormally elevated serum cobalt level. Concomitant diagnoses may also be present, such as infection, instability, and loosening, and this may confuse interpretation of abnormal laboratories. We present here, for the first time, 2 patients with ARMD and crystalline arthropathy. In each case, the patient chose surgery for ARMD, with resolution of symptoms and no recurrence of the crystalline arthropathy...
March 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/28373955/arthroscopic-shoelace-capsular-closure-technique-in-the-hip-using-ultratape
#9
Soshi Uchida, Cecilia Pascual-Garrido, Yasuo Ohnishi, Hajime Utsunomiya, Yohei Yukizawa, Jorge Chahla, Akinori Sakai
Hip arthroscopy is promising tool for assessing and treating intra-articular pathologies including labral tears, cartilage injuries, and ligamentum teres tears of the hip. Interportal capsulotomy allows for better visualization and accessibility of the arthroscope and working instruments. The hip capsule has been defined as a crucial stabilizer of the hip joint. Thus, capsular closure is recognized as an important procedure to prevent postoperative instability after hip arthroscopic surgery. Despite the routine capsular closure during hip arthroscopy, there is a small subset of patients who complain of hip pain and dysfunction after surgery most likely because of disruption of hip closure site after routine complete capsular closure with strong suture for treating hip instability...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28373947/suture-on-screw-technique-for-os-acetabuli-fixation-and-labral-repair
#10
Luis Pérez Carro, Andre Sa Rodrigues, Alexander Ortiz Castillo, Sarthak Patnaik, Manuel Sumillera Garcia, Ana Alfonso Fernandez, Ana Garcia Clemente
The os acetabuli is thought to arise from unfused secondary ossification centers or as rim fractures in the setting of dysplastic hips or hips with femoroacetabular impingement. Resection of a large os acetabuli can lead to structural instability of the joint, and in these cases, osteoplasty of the impingement, reduction and internal fixation of the osseous fragment, and labral repair have been described in the literature. Anchor fixation for labral repair in the surrounding zone of the osteosynthesis might bring some technical problems...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28371596/biomechanical-assessment-of-hip-capsular-repair-and-reconstruction-procedures-using-a-6-degrees-of-freedom-robotic-system
#11
Marc J Philippon, Christiano A C Trindade, Mary T Goldsmith, Matthew T Rasmussen, Adriana J Saroki, Sverre Løken, Robert F LaPrade
BACKGROUND: Although acetabular labral repair has been biomechanically validated to improve stability, capsular management of the hip remains a topic of growing interest and controversy. PURPOSE: To biomechanically evaluate the effects of several arthroscopically relevant conditions of the capsule through a robotic, sequential sectioning study. STUDY DESIGN: Controlled laboratory study. METHODS: Ten human cadaveric unilateral hip specimens (mean age, 51...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28362143/stance-foot-alignment-and-hand-positioning-alter-star-excursion-balance-test-scores-in-those-with-chronic-ankle-instability-what-are-we-really-assessing
#12
Mutlu Cuğ
OBJECTIVE: The literature has consistently shown that the Star Excursion Balance Test (SEBT) is a reliable and valid tool to anticipate the risk of lower extremity injury, assess dynamic postural control differences among groups, and assess the effectiveness of balance training programs in both healthy individuals and people with lower extremity injuries. However, there is no standard administration technique for the SEBT in research, clinical practice, or performance settings. Therefore, the purpose of this investigation was to compare six different combinations (3 different foot alignments × 2 hand positions) on the SEBT performance in those with chronic ankle instability (CAI)...
March 31, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28356627/examination-of-center-of-pressure-displacement-and-muscle-activity-of-the-hip-girdle-muscles-on-lateral-movement-in-the-sitting-position-focusing-on-kinematic-features-before-and-after-the-start-of-exercise
#13
Kouji Ikeda, Kenji Suehiro, Akito Kizu, Hideki Kunieda, Hirokazu Takasaki, Toshiaki Suzuki
[Purpose] This study aimed to evaluate the kinematic characteristics at the start of lateral movement in the sitting position, for application in physical therapy. [Subjects and Methods] Eleven healthy male subjects (mean age, 24.8 ± 3.7 years) were included in the study after they provided informed consent. The electromyographic activities of the tensor fascia lata, gluteus medius, and rectus femoris, and the center of pressure (COP) displacement during lateral reach in the sitting position were measured...
March 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28350716/movement-strategies-among-groups-of-chronic-ankle-instability-coper-and-control
#14
S Jun Son, Hyunsoo Kim, Mattew K Seeley, J Ty Hopkins
INTRODUCTION: Comprehensive evaluation of movement strategies during functional movement is a difficult undertaking. Because of this challenge, studied movements have been over simplified. Furthermore, evaluating movement strategies at only a discrete time point(s) provide limited insight into how movement strategies may change or adapt in chronic ankle instability (CAI) patients. This study aimed to identify abnormal movement strategies in individuals with a history of ankle sprain injury during a sports maneuver compared to healthy controls...
March 27, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28349181/hip-fusion-takedown-to-a-total-hip-arthroplasty-is-it-worth-it-a-systematic-review
#15
Julio J Jauregui, Joseph K Kim, William P Shield, Matthew Harb, Emmanuel M Illical, Farshad Adib, Aditya V Maheshwari
INTRODUCTION: Patients with surgically or spontaneously fused hips are often dissatisfied with their overall function and the debilitating effect on adjacent joints. Therefore, in properly selected patients, hip fusion-takedown and conversion to total hip arthroplasty (THA) can result in improved function and decreased pain. We aimed to (1) evaluate the indications for conversion, (2) evaluate the clinical outcomes, (3) analyze the overall complications, and (4) identify the overall satisfaction following the procedure...
March 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28346833/arthroscopic-hip-surgery-in-the-elite-athlete-comparison-of-female-and-male-competitive-athletes
#16
Kotaro R Shibata, Shuichi Matsuda, Marc R Safran
BACKGROUND: Few studies have published the results of hip arthroscopic surgery in elite athletes and none studying a significant number of elite female athletes. PURPOSE: (1) To compare sex-based differences in the ability to return to prior competitive sports activity after arthroscopic hip surgery. (2) To compare sex-based differences in the type of sports activity, diagnosis, and treatment in athletes requiring hip arthroscopic surgery. STUDY DESIGN: Cohort study; Level of evidence, 3...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28336246/does-hip-arthroscopy-have-a-role-in-the-treatment-of-developmental-hip-dysplasia
#17
Jacob M Kirsch, Moin Khan, Asheesh Bedi
BACKGROUND: Indications for hip arthroscopy in mildly dysplastic patients with a symptomatic hip remain controversial. METHODS: This article provides a concise review of the available literature evaluating the role of hip arthroscopy in treating symptomatic dysplasia. Potential indications for hip arthroscopy in isolation are reviewed. Emerging evidence on the role of hip arthroscopy based on patient-specific pathomorphology is highlighted. RESULTS: Hip arthroscopy in isolation may be helpful for select dysplastic patients with dynamic impingement or microinstability...
February 27, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28328562/treatment-of-unstable-versus-stable-slipped-capital-femoral-epiphysis-using-the-modified-dunn-procedure
#18
Richard L Davis, Walter P Samora, Freddie Persinger, Kevin E Klingele
BACKGROUND: The modified Dunn procedure (open subcapital realignment via a surgical dislocation approach) has been shown to be a safe and effective way of treating acute, unstable slipped capital femoral epiphysis (SCFE). There is a paucity of literature comparing the modified Dunn procedure in stable SCFE. The purpose of this study was to compare acute, unstable versus chronic, stable SCFE managed with the modified Dunn procedure. METHODS: A retrospective chart review was performed on 44 skeletally immature patients who underwent the modified Dunn procedure for SCFE...
March 21, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28327142/exome-sequencing-identified-rare-variants-in-genes-hspg2-and-atp2b4-in-a-family-segregating-developmental-dysplasia-of-the-hip
#19
Sulman Basit, Alia M Albalawi, Essa Alharby, Khalid I Khoshhal
BACKGROUND: Developmental dysplasia of the hip (DDH) is a common pathological condition of the musculoskeletal system in infants which results in a congenital and developmental malformation of the hip joint. DDH is a spectrum of pathologies affecting the infant hip ranging from asymptomatic subtle radiographic signs through mild instability to frank dislocations with acetabular dysplasia. A Saudi family with three affected individuals with DDH was identified and genetic analysis was performed to detect the possible genetic defect(s) underlying DDH in the affected members of the family...
March 21, 2017: BMC Medical Genetics
https://www.readbyqxmd.com/read/28320362/early-dynamic-ultrasound-for-neonatal-hip-instability-implications-for-rural-australia
#20
Susan L Charlton, Adrian Schoo, Lucie Walters
BACKGROUND: Neonatal instability of the hip (NIH), where the femoral head can move away from the acetabulum, in the first weeks of life, is an important risk factor for developmental dysplasia of the hip (DDH). In rural areas in Australia, there is a recent trend to increased late diagnosis of DDH. Clinical screening of infant hips, a common practice in Australia, is experience dependent. Best practice early screening techniques are still debated with different techniques and timing used internationally...
March 21, 2017: BMC Pediatrics
keyword
keyword
95808
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"