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[PMID]:29368480
[Au] Autor:Mohammed Y; Qazi ZN; Shuler FD; Garabekyan T
[Ti] Título:Hip Pain in the Pre-Arthritic Patient: A Guide for the Primary Care Physician.
[So] Source:W V Med J;112(5):48-53, 2016 Sep-Oct.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Adolescents and young adults (less than 30 years of age) with pre-arthritic hip pain constitute a diagnostic dilemma for the primary care physician. The most common underlying diagnoses range from benign muscle strains/joint sprains to stress reactions, insufficiency fractures, and tears involving the articular cartilage/labrum in the setting of femoroacetabular impingement, a hip shape abnormality that is present in up to 90% of this age group. Undetected or left untreated these seemingly innocuous disorders can result in significant loss of function and, in some cases, irreversible joint damage. Despite sharing common predisposing factors, many of the above diagnoses can be identified with a focused history and physical examination. Conservative management may be safely initiated without advanced imaging, reserving orthopaedic consultation for refractory cases or more serious diagnoses. The presented focused hip clinical examination has 98% sensitivity in localizing intra-articular hip pathology and will be helpful to direct appropriate referrals. This article will serve as a guide for primary care physicians undertaking the difficult task of evaluating and treating a young patient with hip pain.
[Mh] Termos MeSH primário: Artralgia/terapia
Terapia por Exercício
Articulação do Quadril/patologia
Exame Físico
Médicos de Atenção Primária
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Adolescente
Artralgia/diagnóstico por imagem
Artralgia/etiologia
Terapia por Exercício/métodos
Impacto Femoroacetabular/complicações
Guias como Assunto
Seres Humanos
Medição da Dor
Satisfação do Paciente
Exame Físico/métodos
Modalidades de Fisioterapia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


  2 / 23474 MEDLINE  
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[PMID]:29377951
[Au] Autor:Kruse C; Rosenlund S; Broeng L; Overgaard S
[Ad] Endereço:Department of Orthopaedic Surgery and Traumatology, Odense University Hospital and Institute of Clinical Research, University of Southern, Odense, Denmark.
[Ti] Título:Radiographic cup position following posterior and lateral approach to total hip arthroplasty. An explorative randomized controlled trial.
[So] Source:PLoS One;13(1):e0191401, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The two most common surgical approaches to total hip arthroplasty are the posterior approach and lateral approach. The surgical approach may influence cup positioning and restoration of the offset, which may affect the biomechanical properties of the hip joint. The primary aim was to compare cup position between posterior approach and lateral approach. Secondary aims were to compare femoral offset, abductor moment arm and leg length discrepancy between the two approaches. Eighty patients with primary hip osteoarthritis were included in a randomized controlled trial and assigned to total hip arthroplasty using posterior approach or lateral approach. Postoperative radiographs from 38 patients in each group were included in this study for measurement of cup anteversion and inclination. Femoral offset, cup offset, total offset, abductor moment arm and leg length discrepancy were measured on preoperative and postoperative radiographs in 28 patients in each group. We found that mean anteversion was 5° larger in the posterior approach group (95% CI, -8.1 to -1.4; p = 0.006), while mean inclination was 5° less steep (95% CI, 2.7 to 7.2; p<0.001) compared with the lateral approach group. The posterior approach group had a larger mean femoral offset of 4.3mm (95% CI, -7.4 to -1.3, p = 0.006), mean total offset of 6.3mm (95% CI, -9.6 to -3; p<0.001) and mean abductor moment arm of 4.8mm (95% CI, -7.6 to -1.9; p = 0.001) compared with the lateral approach group. We found a larger cup anteversion but less steep cup inclination in the posterior approach group compared with the lateral approach group. Femoral offset and abductor moment arm were restored after total hip arthroplasty using lateral approach but significantly increased when using posterior approach.
[Mh] Termos MeSH primário: Artroplastia de Quadril/métodos
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/cirurgia
[Mh] Termos MeSH secundário: Idoso
Artroplastia de Quadril/efeitos adversos
Fenômenos Biomecânicos
Feminino
Articulação do Quadril/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Radiografia
Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191401


  3 / 23474 MEDLINE  
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[PMID]:29351915
[Au] Autor:White H; Barrett M; Gooding C
[Ad] Endereço:University of Cambridge, Cambridge, UK htw28@cam.ac.uk.
[Ti] Título:Chronic hip pain.
[So] Source:BMJ;360:j5882, 2018 01 19.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Neoplasias Ósseas/secundário
Neoplasias da Mama/complicações
Articulação do Quadril/patologia
Dor/diagnóstico
[Mh] Termos MeSH secundário: Artroplastia de Quadril/métodos
Neoplasias Ósseas/complicações
Neoplasias da Mama/diagnóstico por imagem
Doença Crônica
Diagnóstico Diferencial
Feminino
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/cirurgia
Seres Humanos
Meia-Idade
Recidiva Local de Neoplasia
Radiografia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180121
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5882


  4 / 23474 MEDLINE  
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[PMID]:29304163
[Au] Autor:Takeuchi Y
[Ad] Endereço:Department of Rehabilitation Science, Faculty of Health Care Science, Chiba Prefectural University of Health Sciences, Chuoku, Chiba, Japan.
[Ti] Título:A successful backward step correlates with hip flexion moment of supporting limb in elderly people.
[So] Source:PLoS One;13(1):e0190797, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The objective of this study was to determine the positional relationship between the center of mass (COM) and the center of pressure (COP) at the time of step landing, and to examine their relationship with the joint moments exerted by the supporting limb, with regard to factors of the successful backward step response. METHODS: The study population comprised 8 community-dwelling elderly people that were observed to take successive multi steps after the landing of a backward stepping. Using a motion capture system and force plate, we measured the COM, COP and COM-COP deviation distance on landing during backward stepping. In addition, we measured the moment of the supporting limb joint during backward stepping. The multi-step data were compared with data from instances when only one step was taken (single-step). Variables that differed significantly between the single- and multi-step data were used as objective variables and the joint moments of the supporting limb were used as explanatory variables in single regression analyses. RESULTS: The COM-COP deviation in the anteroposterior was significantly larger in the single-step. A regression analysis with COM-COP deviation as the objective variable obtained a significant regression equation in the hip flexion moment (R2 = 0.74). CONCLUSIONS: The hip flexion moment of supporting limb was shown to be a significant explanatory variable in both the PS and SS phases for the relationship with COM-COP distance. This study found that to create an appropriate backward step response after an external disturbance (i.e. the ability to stop after 1 step), posterior braking of the COM by a hip flexion moment are important during the single-limbed standing phase.
[Mh] Termos MeSH primário: Articulação do Quadril/fisiologia
Amplitude de Movimento Articular
Caminhada
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190797


  5 / 23474 MEDLINE  
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[PMID]:29279558
[Au] Autor:Chinzei N; Hashimoto S; Hayashi S; Kanzaki N; Araki D; Kuroda R; Kurosaka M
[Ad] Endereço:Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine.
[Ti] Título:Consecutive Bilateral Hip Arthroscopy for Symptomatic Bilateral Femoroacetabular Impingement in an Elite Rugby player: A Case Report.
[So] Source:J Nippon Med Sch;84(6):280-285, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:We report a case of concurrent bilateral hip arthroscopy for symptomatic bilateral femoroacetabular impingement (FAI) performed under the single anesthesia on an elite rugby player. A 27-year-old rugby player who played for a top league had bilateral hip joint pain. Physical examination revealed bilateral tenderness in the anterior area of the hips, with positive impingement signs. Based on the findings of hip radiography and magnetic resonance imaging, the patient's symptoms were diagnosed as bilateral FAI with hip labral tears. Bilateral hip arthroscopy under the single anesthesia was performed due to refractory symptoms. He returned to regular rugby games without any symptoms in either hip. Bilateral hip arthroscopic surgery under the single anesthesia should be an effective treatment for typical and symptomatic FAI, even in elite athletes.
[Mh] Termos MeSH primário: Anestesia
Artroscopia/métodos
Atletas
Traumatismos em Atletas/cirurgia
Impacto Femoroacetabular/cirurgia
Futebol Americano
[Mh] Termos MeSH secundário: Adulto
Traumatismos em Atletas/diagnóstico por imagem
Traumatismos em Atletas/reabilitação
Impacto Femoroacetabular/diagnóstico por imagem
Impacto Femoroacetabular/reabilitação
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/cirurgia
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Radiografia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.280


  6 / 23474 MEDLINE  
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[PMID]:29252745
[Au] Autor:Mansour E; El-Masri F
[Ad] Endereço:Department of Orthopedic Surgery, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon.
[Ti] Título:Bilateral Salmonella Septic Arthritis of the Hip in a Patient with Crohn Disease: A Case Report.
[So] Source:JBJS Case Connect;6(4):e91, 2016 Oct-Dec.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: A 27-year-old immunocompromised man with Crohn disease presented with bilateral septic hip arthritis due to Salmonella enterica serotype Typhi. The diagnosis was confirmed by synovial membrane and effusion culture specimens that were obtained during arthroscopic debridement of both hips. CONCLUSION: Prolonged antimicrobial therapy, bilateral femoral head resection, and placement of cement spacers for 5 months, followed by bilateral total hip arthroplasty, was a radical and effective treatment for a patient with Crohn disease and bilateral Salmonella septic arthritis of the hip.
[Mh] Termos MeSH primário: Artrite Infecciosa/microbiologia
Doença de Crohn/complicações
Articulação do Quadril/microbiologia
Salmonella enterica/isolamento & purificação
[Mh] Termos MeSH secundário: Adulto
Antibacterianos/administração & dosagem
Artrite Infecciosa/terapia
Articulação do Quadril/cirurgia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.16.00045


  7 / 23474 MEDLINE  
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[PMID]:29252741
[Au] Autor:Wilson J; Riff AJ; Hellman MD; Sethi S; Jacobs JJ; Gitelis S
[Ad] Endereço:Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
[Ti] Título:A Novel Complication of the Dall-Miles Cable Grip System Mimicking Recurrent Synovial Chondromatosis: A Case Report and Review of the Literature.
[So] Source:JBJS Case Connect;6(4):e87, 2016 Oct-Dec.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: A 25-year-old man with synovial chondromatosis of the hip was treated with a synovectomy through a transtrochanteric approach; the repair was made with use of a Dall-Miles cable. Approximately 13 years later, the patient returned with a massive bursal reaction and a cyst containing "rice bodies." Although the physical examination and imaging were suggestive of recurrent synovial chondromatosis, the bursal reaction actually represented a novel complication of the Dall-Miles system. CONCLUSION: When a patient who has had prior orthopaedic instrumentation presents with pain and imaging that demonstrates formation of a bursal cyst, a cyst containing rice bodies secondary to bursal irritation by the implant should be considered.
[Mh] Termos MeSH primário: Condromatose Sinovial/diagnóstico
Articulação do Quadril/cirurgia
Fixadores Internos/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Condromatose Sinovial/cirurgia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.16.00046


  8 / 23474 MEDLINE  
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[PMID]:29252637
[Au] Autor:Saadat E; Vargas SO; Anderson M; Glotzbecker M
[Ad] Endereço:Harvard Combined Orthopaedic Residency Program, Boston, Massachusetts.
[Ti] Título:Pediatric Intra-Articular Localized Tenosynovial Giant Cell Tumor Presenting as an Acutely Irritable Hip: A Case Report.
[So] Source:JBJS Case Connect;6(3):e60, 2016 Jul-Sep.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: An otherwise healthy 9-year-old girl developed a fever and atraumatic right hip pain with inability to bear weight and exquisite pain with any motion. Her peripheral white blood-cell count was 9.85 × 10/µL, erythrocyte sedimentation rate was 18 mm/hr, and C-reactive protein level was 7.56 mg/L. Aspiration yielded bloody fluid with 611,932 red blood cells/µL, 49,529 white blood cells/µL (92% neutrophils), negative Gram stain, and no crystals. Magnetic resonance imaging revealed an intracapsular lesion anterior to the femoral neck. The joint was irrigated and the lesion was excised. Microscopic examination showed neutrophils interspersed within an otherwise histologically classic tenosynovial giant cell tumor. CONCLUSION: Tenosynovial giant cell tumor may rarely present as an acutely irritable hip.
[Mh] Termos MeSH primário: Artralgia/diagnóstico por imagem
Tumor de Células Gigantes de Bainha Tendinosa/diagnóstico por imagem
Articulação do Quadril/diagnóstico por imagem
[Mh] Termos MeSH secundário: Artralgia/etiologia
Criança
Feminino
Tumor de Células Gigantes de Bainha Tendinosa/complicações
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.15.00291


  9 / 23474 MEDLINE  
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[PMID]:29252636
[Au] Autor:Briem T; Haemmerle G; Kramers-de Quervain I; Leunig M
[Ad] Endereço:Departments of Orthopaedics-Lower Extremities (T.B. and M.L.), Manual Medicine (G.H.), and Rheumatology (I.K.-de Q.), Schulthess Clinic, Zurich, Switzerland.
[Ti] Título:Synovial Ganglion of the Hip as a Rare Cause of L5 Radiculopathy: A Case Report.
[So] Source:JBJS Case Connect;6(3):e59, 2016 Jul-Sep.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: We report a rare case of a dorsal synovial ganglion of the left hip causing L5 radiculopathy in a 48-year-old woman. After a 12-month history of intermittent pain in the groin, left buttock, and left lower limb, magnetic resonance imaging (MRI) of the pelvis revealed a 10-cm-long cystic ganglion. The lesion originated from the posterior aspect of the hip joint capsule and extended through the sciatic notch toward the L5 nerve root, causing severe nerve compression. Open resection of the ganglion via surgical hip subluxation was performed. CONCLUSION: Combined presentation of symptoms attributable to intrinsic hip disease and peripheral radiculopathy should raise suspicion for a shared cause of these entities.
[Mh] Termos MeSH primário: Cistos Glanglionares/diagnóstico
Articulação do Quadril/diagnóstico por imagem
Radiculopatia/etiologia
Cisto Sinovial/diagnóstico
[Mh] Termos MeSH secundário: Feminino
Cistos Glanglionares/complicações
Articulação do Quadril/cirurgia
Seres Humanos
Meia-Idade
Cisto Sinovial/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.15.00234


  10 / 23474 MEDLINE  
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[PMID]:29315350
[Au] Autor:Damm P; Zonneveld J; Brackertz S; Streitparth F; Winkler T
[Ad] Endereço:Julius Wolff Institute, Charité, Universitätsmedizin Berlin, Berlin, Germany.
[Ti] Título:Gluteal muscle damage leads to higher in vivo hip joint loads 3 months after total hip arthroplasty.
[So] Source:PLoS One;13(1):e0190626, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Total hip arthroplasty (THA) is in most cases improving patients´ life quality immediately after surgery. However, a closer look at these patients, especially with modern gait analysis methods, reveals also negative consequences due to the surgical approach related injury to the pelvic muscles. We hypothesized that this damage will have a negative impact on hip joint contact forces during activities of daily living (ADL). METHODS: 10 patients undergoing THA received an instrumented hip joint implant enabling real time in vivo measurements of hip joint loads using a direct lateral approach. Pre- and 3 months postoperative computed tomography (CT) scans were used for evaluation of the periarticular muscle status, using muscle volume, fat ratio and lean muscle volume as parameters. An analysis of in vivo hip contact forces was made 3 months after THA during ADL (walking, stair climbing, chair rising and sitting) and correlated with the morphology of the periarticular muscles. RESULTS: We found a significant decrease of volume by 25% (-3 to -45, p = 0.005) and increase in fat ratio of the Gluteus Minimus (Gmin), resulting in a decrease in lean muscle volume of 28% (-48 to 0, p = 0.008). This was accompanied by an inverse development in the Tensor Fasciae Latae (TFL) resulting in a lean muscle volume increase of 34% (-2 to -102, p = 0.013). Changes in Gluteus Medius (Gmed) and Gluteus Maximus (Gmax) have not been observed in the short-term follow up. A decreased Gmin lean muscle volume was found to strongly correlate with high in vivo joint contact forces in all tested ADL. CONCLUSION: The decrease of Gmin volume can be seen as a direct effect of THA surgery, whereas the increase of TFL might compensate for loss of Gmin volume. Lean muscle volume and fat ratio were better predictors for joint contact forces than total muscle volume. These effects were most pronounced during sitting down and standing up due to the higher demand on the gluteal muscles during these activities.
[Mh] Termos MeSH primário: Artroplastia de Quadril
Articulação do Quadril/fisiopatologia
Músculo Esquelético/lesões
[Mh] Termos MeSH secundário: Idoso
Nádegas
Feminino
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Músculo Esquelético/diagnóstico por imagem
Músculo Esquelético/fisiopatologia
Período Pós-Operatório
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190626



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