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By David Bennett Pediatric Orthopaedic Surgeon in the United States
Karl Grob, Mirjana Manestar, Timothy Ackland, Luis Filgueira, Markus S Kuster
BACKGROUND: The anterior approach to the hip joint is widely used in pediatric and adult orthopaedic surgery, including hip arthroplasty. Atrophy of the tensor fasciae latae muscle has been observed in some cases, despite the use of this internervous approach. We evaluated the nerve supply to the tensor fasciae latae and its potential risk for injury during the anterior approach to the hip joint. METHODS: Cadaveric hemipelves (n = 19) from twelve human specimens were dissected...
September 2, 2015: Journal of Bone and Joint Surgery. American Volume
Brian L Walters, John H Cooper, José A Rodriguez
PURPOSE: The purpose of this investigation was to provide a detailed description of the anatomy of the hip capsule and pericapsular structures. METHODS: Dissections were performed on 11 nonpaired, fresh-frozen cadaveric hips by 2 independent observers: 1 fellowship-trained orthopaedic total joint surgeon and 1 chief orthopaedic surgery resident. Documentation of capsular thickness, origins, insertions, and attachments to pericapsular structures including the abductors, rectus femoris, piriformis, short external rotators, and iliocapsularis muscles was performed...
October 2014: Arthroscopy: the Journal of Arthroscopic & related Surgery
Reinhold Ganz, Theddy Slongo, Klaus A Siebenrock, Luigino Turchetto, Michael Leunig
BACKGROUND: Codivilla in 1901, Hey Groves in 1926, and Colonna in 1932 described similar capsular arthroplasties--wrapping the capsule around the femoral head and reducing into the true acetabulum--to treat completely dislocated hips in children with dysplastic hips. However, these procedures were associated with relatively high rates of necrosis, joint stiffness, and subsequent revision procedures, and with the introduction of THA, the procedure vanished despite some hips with high functional scores over periods of up to 20 years...
November 2012: Clinical Orthopaedics and related Research
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