Base de dados : MEDLINE
Pesquisa : C05.660.449 [Categoria DeCS]
Referências encontradas : 6725 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 673 ir para página                         

  1 / 6725 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29201293
[Au] Autor:Tetsunaga T; Fujiwara K; Endo H; Tetsunaga T; Shiota N; Sato T; Ozaki T
[Ad] Endereço:Department of Orthopaedic Surgery, Okayama University, Okayama, Japan.
[Ti] Título:Calcar Femorale in Patients with Osteoarthritis of the Hip Secondary to Developmental Dysplasia.
[So] Source:Clin Orthop Surg;9(4):413-419, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background: We investigated whether the calcar femorale, a cortical septum in the region of the lesser trochanter of the femur, correlates with results of femoral stem implantation in patients with osteoarthritis of the hip secondary to developmental dysplasia using computed tomography. Methods: This retrospective study included 277 hips (41 males and 236 females; age, 37 to 92 years) of patients who had presented to Okayama Medical Center with hip pain. Of these, a total of 219 hips (31 males and 188 females) had previously undergone total hip arthroplasty. According to the Crowe classification, 147 hips were classified as Crowe grade I, 72 hips as Crowe grade II-IV, and 58 hips as normal. Results: The calcar femorale was identified in 267 hips (96.4%). The calcar femorale was significantly shorter and more anteverted in Crowe grade II-IV hips than in Crowe grade I or normal hips. Significant differences in the shape of the calcar femorale were found according to the severity of hip deformity. Three stem designs were analyzed: single-wedge (59 hips), double-wedge metaphyseal filling (147 hips), and modular (13 hips). Single-wedge stems were inserted more parallel to the calcar femorale rather than femoral neck anteversion, while other types of stems scraped the calcar femorale. Conclusions: The angle of the calcar femorale differs according to the severity of hip deformity, and the calcar femorale might thus serve as a more useful reference for stem insertion than femoral neck anteversion in total hip arthroplasty using a single-wedge stem.
[Mh] Termos MeSH primário: Artroplastia de Quadril/métodos
Fêmur/anatomia & histologia
Luxação Congênita de Quadril/complicações
Osteoartrite do Quadril/etiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Artroplastia de Quadril/instrumentação
Feminino
Fêmur/diagnóstico por imagem
Prótese de Quadril
Seres Humanos
Masculino
Meia-Idade
Osteoartrite do Quadril/cirurgia
Estudos Retrospectivos
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.413


  2 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27777327
[Au] Autor:Min Ko J; Cho JS; Yoo Y; Seo J; Choi M; Chae JH; Lee HR; Cho TJ
[Ad] Endereço:1 Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
[Ti] Título:Wiedemann-Steiner Syndrome With 2 Novel KMT2A Mutations.
[So] Source:J Child Neurol;32(2):237-242, 2017 02.
[Is] ISSN:1708-8283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Wiedemann-Steiner syndrome is a rare genetic disorder characterized by short stature, hairy elbows, facial dysmorphism, and developmental delay. It can also be accompanied by musculoskeletal anomalies such as muscular hypotonia and small hands and feet. Mutations in the KMT2A gene have only recently been identified as the cause of Wiedemann-Steiner syndrome; therefore, only 16 patients from 15 families have been described, and new phenotypic features continue to be added. In this report, we describe 2 newly identified patients with Wiedemann-Steiner syndrome who presented with variable severity. One girl exhibited developmental dysplasia of the hip and fibromatosis colli accompanied by other clinical features, including facial dysmorphism, hypertrichosis, patent ductus arteriosus, growth retardation, and borderline intellectual disability. The other patient, a boy, showed severe developmental retardation with automatic self-mutilation, facial dysmorphism, and hypertrichosis at a later age. Exome sequencing analysis of these patients and their parents revealed a de novo nonsense mutation, p.Gln1978*, of KMT2A in the former, and a missense mutation, p.Gly1168Asp, in the latter, which molecularly confirmed the diagnosis of Wiedemann-Steiner syndrome.
[Mh] Termos MeSH primário: Anormalidades Múltiplas/genética
Deficiências do Desenvolvimento/genética
Luxação Congênita de Quadril/genética
Histona-Lisina N-Metiltransferase/genética
Anormalidades Musculoesqueléticas/genética
Mutação
Proteína de Leucina Linfoide-Mieloide/genética
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Face/anormalidades
Feminino
Antebraço/anormalidades
Deformidades Congênitas da Mão/genética
Seres Humanos
Hipertricose/genética
Masculino
Síndrome
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (MLL protein, human); 149025-06-9 (Myeloid-Lymphoid Leukemia Protein); EC 2.1.1.43 (Histone-Lysine N-Methyltransferase)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161101
[St] Status:MEDLINE
[do] DOI:10.1177/0883073816674095


  3 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29182120
[Au] Autor:Vandergugten S; Traore SY; Docquier PL
[Ti] Título:Risk factors for additional surgery after closed reduction of hip developmental dislocation.
[So] Source:Acta Orthop Belg;82(4):787-796, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: to evaluate the risk factors for additional surgery after closed reduction of hip developmental dislocation Methods : closed reduction for developmental hip dislocation was performed on 72 patients, with a total of 82 hips (10 bilateral). Were included only patients with irreducible hip dislocation who were treated by overhead traction followed by closed reduction under general anaesthesia and spica casting. The mean age at the time of closed reduction was 10 months, with 82% of dislocation diagnosed after the age of 6 months. In 28 hips (34.1%), no additional surgical procedure was necessary, while 54 hips (65.9%) needed an additional surgery, consisting in Salter osteotomy in 40 hips (48.8%) or open hip reduction in 14 (17.1%). RESULTS: risk factors for the need of additional surgery were: older age at the time of reduction, male sex, high grade of hip dislocation (Tönnis grade 3 and 4, versus grade 1 and 2), and quality of hip reduction. All the patients older than 17 months at the time of closed reduction needed additional surgery. Bilateral hip dislocation had poorer Severin grading than unilateral dislocation. Poorer Kalamchi scoring was associated with older age and with the presence of the cephalic nucleus at the time of reduction. CONCLUSION: this study confirmed delayed diagnosis of hip dislocation leads to a more extensive treatment with poorer issue.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/cirurgia
Articulação do Quadril/cirurgia
Imobilização/métodos
Osteotomia/utilização
Reoperação/utilização
Tração/métodos
[Mh] Termos MeSH secundário: Fatores Etários
Moldes Cirúrgicos
Pré-Escolar
Feminino
Necrose da Cabeça do Fêmur/epidemiologia
Luxação Congênita de Quadril/diagnóstico por imagem
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Lactente
Masculino
Complicações Pós-Operatórias/epidemiologia
Modelos de Riscos Proporcionais
Radiografia
Fatores de Risco
Índice de Gravidade de Doença
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  4 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29182116
[Au] Autor:Mcfarlane J; Kuiper JH; Kiely N
[Ti] Título:Surgical treatment for developmental dysplasia of the hip- a single surgeon series of 47 hips with a 7 year mean follow up).
[So] Source:Acta Orthop Belg;82(4):754-761, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The treatment of developmental dysplasia of the hip (DDH) in children remains controversial. We describe the clinical and radiological outcomes of  47 hips in 43 children treated with open surgery by one surgeon between 2004 and 2008 for DDH. The mean age at operation was 25 months (5 to 113) with a mean follow up of  89 months  (22 to 169). At the latest follow up 40 of the 45 hips where Severin grades were recordable (89%) were graded as excellent or good, Severin class I or II. Clinically significant AVN (grade II to III  according to the Kalamchi and MacEwen classification) was seen in 6  (13%) of the hips. We found a pelvic osteotomy to be a risk factor for AVN  (p 0.02) and age at operation to be a risk factor for poor morphology at final follow up (p 0.03). Over 18 months old a pelvic osteotomy should be performed in selective cases depending on intra-operative stability, but we will now consider doing this as a staged procedure and delaying the osteotomy for a period of time after open reduction to reduce the risk of AVN.
[Mh] Termos MeSH primário: Necrose da Cabeça do Fêmur/epidemiologia
Luxação Congênita de Quadril/cirurgia
Osteotomia/métodos
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seguimentos
Luxação Congênita de Quadril/diagnóstico por imagem
Seres Humanos
Lactente
Masculino
Radiografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  5 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29182108
[Au] Autor:Baki ME; Abdioglu A; Aydin H; Kerimoglu S; Bak C
[Ti] Título:Triple pelvic osteotomy for the treatment of symptomatic acetabular dysplasia in adolescents and adults : A review of 42 hips.
[So] Source:Acta Orthop Belg;82(4):699-704, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:We treated 42 hips with symptomatic acetabular dysplasia using triple pelvic osteotomy. The mean age of the patients was 20.7 years (12-47). The median follow-up was 50.3 months. The average Harris hip score improved from 74 to 92 points. Significant improvement from the preoperative to the latest follow-up evaluation was seen radiologically with reference to the center-edge angle, the anterior center-edge angle, the acetabular index and the femoral head extrusion index. Shenton's line was intact in 9 hips before the operation and it was intact in 40 hips at the latest follow-up. The cross-over sign was present in 15 hips before the operation and it was present in one hip after the operation. The results of this study demonstrated that triple pelvic osteotomy provides improved radiographic results and good symptomatic relief in acetabular dysplasia.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/cirurgia
Ílio/cirurgia
Ísquio/cirurgia
Osteotomia/métodos
Osso Púbico/cirurgia
[Mh] Termos MeSH secundário: Acetábulo/diagnóstico por imagem
Adolescente
Adulto
Criança
Feminino
Seguimentos
Luxação Congênita de Quadril/diagnóstico por imagem
Seres Humanos
Ílio/diagnóstico por imagem
Ísquio/diagnóstico por imagem
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Osso Púbico/diagnóstico por imagem
Radiografia
Remissão Espontânea
Estudos Retrospectivos
Neuropatia Ciática/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  6 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28860408
[Au] Autor:Talbot C; Adam J; Paton R
[Ad] Endereço:Royal Manchester Children's Hospital, Oxford Road, Manchester M13 9WL, UK.
[Ti] Título:Late presentation of developmental dysplasia of the hip : a 15-year observational study.
[So] Source:Bone Joint J;99-B(9):1250-1255, 2017 Sep.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Despite the presence of screening programmes, infants continue to present with late developmental dysplasia of the hip (DDH), the impact of which is significant. The aim of this study was to assess infants with late presenting dislocation of the hip despite universal clinical neonatal and selective ultrasound screening. PATIENTS AND METHODS: Between 01 January 1997 to 31 December 2011, a prospective, longitudinal study was undertaken of a cohort of 64 670 live births. Late presenting dislocation was defined as presentation after three months of age. Diagnosis was confirmed by ultrasound and plain radiography. Patient demographics, referral type, reason for referral, risk factors (breech presentation/strong family history) and clinical and radiological findings were recorded. RESULTS: There were 31 infants with an irreducible dislocation of the hip, an incidence of 0.48 (95% confidence interval (CI) 0.34 to 0.68) per 1000 live births. Of these, 18 (0.28 (95% CI 0.17 to 0.44) per 1000 live births; 58%) presented late. All infants had a documented normal newborn clinical examination and no abnormality reported in the six to eight week check. Of the 18 late presenting cases 72% (n = 13) had no risk factors: 16 were referred by GPs and two were late due to administrative issues (missed appointments). The mean time to diagnosis was 62.4 weeks (19 to 84). CONCLUSION: Despite universal clinical neonatal and selective ultrasound screening, late cases of irreducible hip dislocation still occur. We recommend an update of the national screening programme for DDH, a review of training and education of healthcare professionals involved in the physical examination of neonates and infants, and the addition of a further assessment after the six to eight week check. Cite this article: 2017;99-B:1250-5.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Tardio
Feminino
Luxação Congênita de Quadril/epidemiologia
Seres Humanos
Incidência
Lactente
Recém-Nascido
Estudos Longitudinais
Masculino
Triagem Neonatal
Exame Físico
Estudos Prospectivos
Fatores de Risco
Fatores de Tempo
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B9.BJJ-2016-1325.R1


  7 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28768791
[Au] Autor:Tsukagoshi Y; Kamegaya M; Kamada H; Saisu T; Morita M; Kakizaki J; Tomaru Y; Yamazaki M
[Ad] Endereço:University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
[Ti] Título:The correlation between Salter's criteria for avascular necrosis of the femoral head and Kalamchi's prognostic classification following the treatment of developmental dysplasia of the hip.
[So] Source:Bone Joint J;99-B(8):1115-1120, 2017 Aug.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The aim of this study was to evaluate the correlation between Salter's criteria and Kalamchi's classification of avascular necrosis in patients treated for developmental dysphasia of the hip (DDH). PATIENTS AND METHODS: The study involved a retrospective analysis of 123 patients (123 hips) with DDH treated by operative and non-operative reduction before the age of two years, with a minimum follow-up of ten years. Salter's criteria (S1 to S4) were determined from radiographs obtained at one to two years post-reduction, whilst the Kalamchi grade was determined from radiographs obtained at ten or more years of age. Early post-reduction radiographs were also used to evaluate the centre-head distance discrepancy (CHDD) and the occurrence of a dome-shaped deformity of the proximal femoral metaphysis (D-shaped metaphysis). The prognosis was described as good (Kalamchi grade K0 or KI), fair (Kalamchi grade KII) or poor (Kalamchi grade KIII or KIV) for analysis and correlation with the early Salter criteria, CHDD and D-shaped metaphysis. RESULTS: S1 and S2 criteria were predictive of a poor prognosis. The outcome following S3, S4 and S3 + S4 varied; 18 (40%) had a good prognosis, 17 (38%) a fair prognosis and ten (22%) a poor prognosis. A CHDD ≥ 10% and a D-shaped metaphysis were also predictive of a poor prognosis. CONCLUSION: The Salter criteria were predictive of the Kalamchi grade of avascular necrosis in patients with DDH aged ten or more years after reduction of the hip. Cite this article: 2017;99-B:1115-20.
[Mh] Termos MeSH primário: Necrose da Cabeça do Fêmur/diagnóstico
Luxação Congênita de Quadril/cirurgia
Osteotomia/efeitos adversos
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Necrose da Cabeça do Fêmur/epidemiologia
Necrose da Cabeça do Fêmur/etiologia
Seguimentos
Seres Humanos
Incidência
Japão/epidemiologia
Masculino
Prognóstico
Radiografia
Estudos Retrospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B8.BJJ-2016-1070.R1


  8 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28663391
[Au] Autor:Li Y; Zhang X; Wang Q; Peng X; Wang Q; Jiang Y; Chen Y
[Ad] Endereço:Shanghai Jiaotong University Affiliated Sixth People's Hospital, No. 6 Building, No. 600 Yishan Road, Shanghai, China.
[Ti] Título:Equalisation of leg lengths in total hip arthroplasty for patients with Crowe type-IV developmental dysplasia of the hip: classification and management.
[So] Source:Bone Joint J;99-B(7):872-879, 2017 Jul.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: There is no consensus about the best method of achieving equal leg lengths at total hip arthroplasty (THA) in patients with Crowe type-IV developmental dysplasia of the hip (DDH). We reviewed our experience of a consecutive series of patients who underwent THA for this indication. PATIENTS AND METHODS: We retrospectively reviewed 78 patients (86 THAs) with Crowe type-IV DDH, including 64 women and 14 men, with a minimum follow-up of two years. The mean age at the time of surgery was 52.2 years (34 to 82). We subdivided Crowe type-IV DDH into two major types according to the number of dislocated hips, and further categorised them into three groups according to the occurrence of pelvic obliquity or spinal curvature. Leg length discrepancy (LLD) and functional scores were analysed. RESULTS: Type-I included 53 patients with unilateral dislocation, in which 25 (category A) had no pelvic obliquity or spinal deformity, 19 (category B) had pelvic obliquity with a compensated spinal curvature and nine (category C) had pelvic obliquity and decompensated spinal degenerative changes. Type-II included 25 patients with one dislocated and one dysplastic hip, in which there were eight of category A, 15 of category B and two of category C. Pre-operatively, there were significant differences between the anatomical and functional LLD in type-IB (p = 0.005) and -IC (p < 0.001), but not in type-IA, -IIA or -IIB. Post-operatively, bony LLD increased significantly in types-IB, -IC and -IIB, whereas functional LLD decreased significantly in each type except for IIA. The mean functional LLD decreased from 30.7 mm (standard deviation (sd) 18.5) pre-operatively to 6.2 mm (sd 4.4) post-operatively and the mean anatomical LLD improved from 35.8 mm (sd 19.7) pre-operatively to 12.4 mm (sd 8.3) post-operatively. CONCLUSION: Pelvic and spinal changes are common in patients with Crowe type-IV DDH and need to be taken into consideration when planning THA, in order to obtain equal leg lengths post-operatively. The principal subdivisions of Crowe type-IV DDH which we describe proved effective in achieving equal leg lengths and satisfactory outcomes. Cite this article: 2017;99-B:872-9.
[Mh] Termos MeSH primário: Artroplastia de Quadril/métodos
Luxação Congênita de Quadril/cirurgia
Desigualdade de Membros Inferiores/cirurgia
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Luxação Congênita de Quadril/classificação
Luxação Congênita de Quadril/fisiopatologia
Seres Humanos
Desigualdade de Membros Inferiores/fisiopatologia
Masculino
Meia-Idade
Medição da Dor
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B7.BJJ-2016-1328.R1


  9 / 6725 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28592084
[Au] Autor:Zhang ZD; Luo DZ; Zhang H
[Ad] Endereço:Division of Joint Surgery and Sport Medicine, Department of Orthopaedics Surgery, the First Affiliated Hospital of Chinese People's Liberation Army General Hospital, Beijing 100048, China.
[Ti] Título:[Modified capsular arthroplasty for young patients with developmental dislocation of the hip].
[So] Source:Zhonghua Wai Ke Za Zhi;55(6):476-480, 2017 Jun 01.
[Is] ISSN:0529-5815
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Developmental dislocation of the hip(DDH) is one of the most serious hip diseases. Patients with unilateral DDH are prone to secondary osteoarthritis, low back pain, gait disturbance and compensatory scoliosis because of the leg length discrepancy. Total hip arthroplasty(THA) is the highly effective treatment for patients with hip pain or dysfunction caused by unilateral DDH, thus decrease the demand for hip-preserving surgeries such as capsular arthroplasty which may postpone or avoid hip replacement. However, the failure rate of THA for young patients is high and the majority of young patients may require one or more revision arthroplasties throughout their lifetime. The basic principle of capsular arthroplasty is that the femoral head wrapped by capsule is placed into a newly reamed socket on the location of true acetabulum. Therefore, hip replacement for patients with previous capsular arthroplasty becomes easier and safer than primary THA. However, the early capsular arthroplasty have been abandoned due to the relatively high rates of femoral head necrosis and hip stiffness. Ganz modified the early procedure with the technique of surgical hip dislocation in 2012, and emphasized the importance of postoperative rehabilitation. The incidence of complication, therefore, decreased greatly due to the preservation of main blood supply of femoral head as well as the proper postoperative management. In order to improve the clinical outcomes of this modified procedure, the selection of indications and surgeons' experience should also be taken into consideration.
[Mh] Termos MeSH primário: Artroplastia de Quadril
Luxação Congênita de Quadril/cirurgia
[Mh] Termos MeSH secundário: Acetábulo
Criança
Feminino
Cabeça do Fêmur
Marcha
Luxação do Quadril
Seres Humanos
Incidência
Luxações Articulares
Desigualdade de Membros Inferiores
Masculino
Período Pós-Operatório
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5815.2017.06.016


  10 / 6725 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28538419
[Au] Autor:Shirai Y; Wakabayashi K; Wada I; Tsuboi Y; Ha M; Otsuka T
[Ad] Endereço:aDepartment of Orthopaedic Surgery bDepartment of Rehabilitation Medicine, Nagoya City University Graduate School of Medicine, Nagoya, Aichi, Japan.
[Ti] Título:Magnetic resonance imaging evaluation of the labrum to predict acetabular development in developmental dysplasia of the hip: A STROBE compliant study.
[So] Source:Medicine (Baltimore);96(21):e7013, 2017 May.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recently, more attention has been paid to the role of the acetabular labrum. Therefore, we designed a retrospective cohort study of patients with residual hip dysplasia (RHD) who underwent magnetic resonance imaging (MRI). The objective of this study was to investigate an association between the MRI appearance of the labrum before school age and the natural history of RHD.We retrospectively investigated 45 hips of 40 patients who underwent MRI at about 3 and 4 years of age for RHD and were conservatively followed up with until 6 years of age or older. We evaluated the extent of eversion with a new method that measures the ß angle (MRI ß angle) using landmarks of the Graf method on MRI T2*-weighted images. The outcome measure was the Severin classification at the final follow-up. We compared the radiographic and MRI parameters at approximately 3 and 4 years of age between the good and poor outcome groups. The Student t test or one-way analysis of variance was used to compare the quantitative variables between groups. The Chi-square test was used to perform a ratio comparison.Although there was a significant difference in the center-edge (CE) angle, there was no significant difference in the acetabular index and the ratio of the presence of femoral head necrosis and the break in Shenton line between the good and poor groups. The MRI ß angle was significantly greater in the poor outcome group than in the normal and good outcome groups. The cut-off value of the MRI ß angle to differentiate the good and poor outcome groups was 65°, and its specificity and sensitivity were 92% and 53%, respectively.There was labral eversion on MRI scans in patients with RHD. Acetabular development before adolescence was poorer with greater labral eversion on MRI scans. The specificity for poor acetabular development was high when the MRI ß angle was 65° or more. The MRI ß angle has the potential to predict acetabular development.
[Mh] Termos MeSH primário: Acetábulo/diagnóstico por imagem
Acetábulo/crescimento & desenvolvimento
Fibrocartilagem/diagnóstico por imagem
Fibrocartilagem/crescimento & desenvolvimento
Luxação Congênita de Quadril/diagnóstico por imagem
Imagem por Ressonância Magnética
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Cabeça do Fêmur/diagnóstico por imagem
Cabeça do Fêmur/crescimento & desenvolvimento
Seguimentos
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/crescimento & desenvolvimento
Seres Humanos
Lactente
Recém-Nascido
Masculino
Prognóstico
Reprodutibilidade dos Testes
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170629
[Lr] Data última revisão:
170629
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007013



página 1 de 673 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde