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ultrasonography AND Hip

Jin Hee Ahn, Jiyeon Park, In Sun Song, Keoung Ah Kim, Jungchan Park, Jeong Jin Min, Chung Su Kim, Jong-Hwan Lee
BACKGROUND: Since the femoral artery frequently overlaps the femoral vein, femoral central venous catheterization carries the risk of arterial puncture in pediatric patients. AIM: We evaluated the angle range of leg abduction with external hip rotation to minimize the overlap between the femoral artery and vein in pediatric patients undergoing general anesthesia. METHODS: Eighty-two pediatric patients who underwent elective surgery with general anesthesia were enrolled in this study...
February 8, 2019: Paediatric Anaesthesia
Maurizio De Pellegrin, Lucrezia Montanari, Désirée Moharamzadeh, Dario Fracassetti
The aim of the study was to verify the labrum's morphological changes in unstable and dysplastic hips during treatment. Between January 2013 and April 2015, 74 dysplastic hips were divided into type D (n=12), type III (n=40), and type IV (n=22). The labrum was evaluated on ultrasonography (US) for echogenicity and dimensions with interobserver/intraobserver tests: test 1 (US at diagnosis and control group), test 2 (US at diagnosis and 6 weeks post-treatment), and test 3 (US at diagnosis and at end of treatment)...
January 22, 2019: Journal of Pediatric Orthopedics. Part B
T Sean Lynch, Benjamin L Oshlag, Thomas S Bottiglieri, Natasha N Desai
The diagnosis of hip pain can be difficult to isolate because the discomfort can originate from several locations and compensatory pain patterns. Pain generators can include the intra- and extra-articular hip structures, the lumbar spine, the pelvic floor, or a combination of these. It can also be referred as pain from the bowel, bladder, or reproductive organs. Injections into and around the hip have become an important part of both diagnostic and nonsurgical treatment algorithm for hip pain. The proximity of the hip to important neurovascular structures, lack of palpable anatomic landmarks, and deep location of targets can make use of ultrasonography-guided injections ideal...
January 11, 2019: Journal of the American Academy of Orthopaedic Surgeons
Simona Mureşan, Maria Oana Mărginean, Septimiu Voidăzan, Ionuţ Vlasa, Ioana Sîntean
Developmental dysplasia of the hip (DDH) is one of the most common congenital abnormalities of the musculoskeletal apparatus in newborns. The aim of this study was to analyze the contribution of ultrasonography in the detection of DDH in newborns and infants, identifying the regional incidence of this pathology in the central area of Romania, emphasizing the risk factors that underlie DDH etiopathogenicity.This article represents a retrospective study of 847 newborns and infants examined in the Imagistic Department of a medical center from the central area of Romania, between January 1 and December 31, 2016...
January 2019: Medicine (Baltimore)
Peter Voitl, Christian Sebelefsky, Sara Hosner, Astrid Woditschka, Susanne Diesner, Andreas Böck
BACKGROUND: In Middle Europe ultrasonography is the standard method used to screen for developmental dysplasia of the hip in infants. Our aim was to determine whether manual fixation of the child is equivalent to Graf's technique regarding image quality. METHODS: This randomized trial was conducted at a free-standing general pediatric outpatient clinic in Vienna, Austria. Healthy infants in the 1st and between the 6th and 8th week of life with no hip malalignment were included...
January 10, 2019: BMC Pediatrics
Fei Xing, Lang Li, Ye Long, Zhou Xiang
BACKGROUND: Elderly hip fracture (HF) patients are at very high risk of developing deep vein thrombosis (DVT), which increases their perioperative mortality. However, data focusing on the admission prevalence of DVT in elderly Chinese patients with hip fracture are limited. Venography and ultrasonography are not suitable for most elderly HF patients; there is also controversy about the prognostic value of D-dimer in elderly patients. Thus, our primary goal was to clarify the prevalence of and risk factors for DVT in elderly Chinese HF patients at admission...
December 20, 2018: BMC Musculoskeletal Disorders
Dan Vasilescu, Dan Cosma, Dana Elena Vasilescu, Carolina Maria Solomon, Andrei Corbu, Sorin Marian Dudea
Background and aim: Developmental dysplasia of the hip (DDH) is a potentially disabling disease. There are many diagnostic approaches, Graf method ultrasonography being the most popular imaging method. Although considered as a healthy condition, the existence of hips at the 60 degree limit or the asymmetries higher than 4 degrees between left and right side may be a source of unfavorable evolution and consequently of late diagnosed dysplasia cases. Methods: The retrospective study was conducted in the Radiology Department of the Emergency Clinical County Hospital Cluj-Napoca, by retrospective analysis of the database containing 3013 records of the subjects presented for DDH assessment between January 2008 and December 2014...
October 2018: Clujul Medical (1957)
Shuai An, Huiliang Shen, Mingli Feng, Zheng Li, Yining Wang, Guanglei Cao
There are an increasing number of vascular complications after hip replacement, some of which can be life-threatening. However, there are few reports of lower limb ischemic symptoms after undergoing an otherwise uncomplicated classic total hip replacement. We report a patient with low weight who developed postoperative limb ischemia resulting from blood clots caused by insertion of a Hohmann retractor close to small anterior acetabular osteophytes. Ultrasonography and angiography revealed her symptoms to be the result of femoral artery intimal injury with lower extremity arterial thrombosis, which led to pain, numbness, and decreased skin temperature...
December 2018: Arthroplasty Today
Olivier May
Impingement of hip arthroplasty components on soft tissues may adversely affect outcomes. An example is impingement of the cup on the ilio-psoas tendon, which has been reported in 0.4% to 8.3% of patients. Contributors to ilio-psoas tendon impingement (IPTI) can be categorised as anatomic (hypoplastic anterior wall), technical (inadequate anteversion and/or lower inclination, oversized cup, cement in contact with the tendon, and intra-muscular screw), and prosthetic (e.g., aggressive cup design, large-diameter head, resurfacing, and collared femoral prosthesis)...
December 13, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Pierre A d'Hemecourt, Dai Sugimoto, Maxwell McKee-Proctor, Rebecca L Zwicker, Sarah S Jackson, Eduardo N Novais, Young-Jo Kim, Michael B Millis, Andrea Stracciolini
BACKGROUND: Hip microinstability has gained attention recently as a potential cause of hip pain. Currently there is a lack of evidence-based objective diagnostic criteria surrounding this diagnosis. Previous studies have shown translation of the femoral head during extreme hip positions. However, reliable assessment of femoral head translation is lacking. QUESTIONS/PURPOSES: (1) How precise is musculoskeletal ultrasound for measuring anterior femoral head translation during the hip anterior apprehension test? (2) What is the intra- and interrater reliability of dynamic ultrasonography in assessing anterior femoral head translation? METHODS: We recruited 10 study participants (20 hips) between the ages of 22 and 50 years with no history of hip pain or functional limitations...
November 7, 2018: Clinical Orthopaedics and related Research
Eleni Armeni, Anastasia Tsitoura, Leon Aravantinos, Panagiotis Vakas, Areti Augoulea, Demetrios Rizos, Aris Antoniou, Andreas Alexandrou, Efthymios Deligeoroglou, Irene Lambrinoudaki
INTRODUCTION: The present study aimed to assess the association between ovarian volume and demographic and anthropometric parameters, as well as sex hormones and bone mineral density (BMD) in postmenopausal women. METHODS: 161 healthy postmenopausal women participated in this cross-sectional study. Fasting venous blood samples were obtained for biochemical/hormonal assessment. Anthropometric parameters included body mass index (BMI) and waist-to-hip ratio (WHR)...
December 1, 2018: Journal of Musculoskeletal & Neuronal Interactions
Murat Yegen, Hakan Atalar, Cuneyd Gunay, Osman Yuksel Yavuz, Ismail Uras, Ahmet Yigit Kaptan
PURPOSE: Early detection and conservative treatment are essential for a successful outcome in developmental dysplasia of the hip (DDH). The aim of this study was to evaluate the efficacy of Tübingen hip flexion splint treatment on dislocated hips of type D, 3, and 4 according to the Graf classification. METHODS: A total of 104 dislocated hips in 92 patients were treated with Tübingen splints. Splint treatment was applied to patients with dislocated hips as diagnosed under ultrasonographic evaluation...
November 27, 2018: International Orthopaedics
M Edama, R Okuyama, S Goto, M Sasaki
BACKGROUND: The aims of this study were to clarify the changes of patellar tendon length during isometric knee joint extension and the double leg squat position using ultrasonography. METHODS: The left legs of 17 healthy adults were investigated. Isometric knee extension motion was performed at three positions of knee flexion 30° (knee 30°), knee flexion 60° (knee 60°), knee flexion 90° (knee 90°), and at each limb position, 0% (0% peak torque (PT)), 40% (40% PT), 50% (50% PT), and 60% (60% PT) of the maximum knee joint extension torque were executed at random...
November 10, 2018: Clinical Biomechanics
Cui-Ming Zhang, Jun-Feng Zhang, Jing Xu, Yu-Lin Guo, Gang Wang, Lin-Hua Yang
Magnetic resonance imaging (MRI) is currently considered the gold standard for assessing hemophilic arthropathy (HA) severity; however, MRI is often costly, time-consuming, and difficult to perform in children. In the present study, we evaluated the joint status of hemophilic patients from Shanxi Province, China, using musculoskeletal ultrasonography (MSKUS) and identified the factors that most strongly correlated with disease severity.The study included 104 patients with hemophilia, who underwent MSKUS examination...
November 2018: Medicine (Baltimore)
Meghan Schmitt, Jamie K Burgess, Jill E Larson, Diane Dudas Sheehan, Joseph A Janicki
CASE: We describe a patient who was diagnosed with developmental hip dislocation at 21 months of age despite having had normal ultrasonography findings at 5 weeks of age. CONCLUSION: This case report provides evidence that late developmental hip dislocation can occur despite normal clinical and sonographic findings early in life, and that it is difficult to know the cause of developmental hip dislocation when it presents late.
November 14, 2018: JBJS Case Connector
Ruiqian Guo, Xi Xiang, Li Qiu
RATIONALE: Gluteal muscle contracture (GMC) is a clinical syndrome characterized by limited hip joint function due to fibrosis and contracture of the gluteal muscle and fascia fiber. Imaging examination is significant for its diagnosis and guidance of surgical treatment. PATIENT CONCERNS: This report presents 3 cases of GMC with bilateral involvement and summarizes the literature on the imaging findings of this disease. The clinical symptoms and presentations of the 3 cases well-matched the clinical diagnosis of GMC...
November 2018: Medicine (Baltimore)
Hatice Kansu-Celik, Burcu Kisa Karakaya, Yasemin Tasci, Necati Hancerliogullari, Selen Yaman, Sule Ozel, Salim Erkaya
Objective: We investigated whether the ultrasonographic measurement of maternal subcutaneous adipose tissue (SAT) thickness in the second trimester played a role in predicting gestational diabetes. Materials and methods: This was a prospective cross-sectional study in which 223 women were classified as healthy ( n  = 177) or as gestational diabetes ( n  = 46) on the basis of a negative or positive two-step oral Glucose Challenge Test (GCT), respectively...
March 2018: Interventional Medicine & Applied Science
S L Loy, Y B Cheung, S E Soh, S Ng, M T Tint, I M Aris, J Y Bernard, Y S Chong, K M Godfrey, L P Shek, K H Tan, Y S Lee, H H Tan, B S M Chern, N Lek, F Yap, S Y Chan, C Chi, J K Y Chan
STUDY QUESTION: Are higher overall and central adiposity associated with reduced fecundability, measured by time-to-pregnancy (TTP), in Asian women? SUMMARY ANSWER: Higher overall adiposity, but not central adiposity, was associated with longer TTP in Asian women. WHAT IS KNOWN ALREADY: High body mass index (BMI) has been associated with a longer TTP, although the associations of body composition and distribution with TTP are less clear. There are no previous studies of TTP in Asian women, who have a relatively higher percentage of body fat and abdominal fat at relatively lower BMI...
November 1, 2018: Human Reproduction
David R Maldonado
No abstract text is available yet for this article.
September 11, 2018: Clinical Orthopaedics and related Research
Yu-Chen Guo, Yong Zhou, Xing Gao, Yan Yao, Bin Geng, Qing-Hua Cui, Ji-Chun Yang, Hong-Pu Hu
Background: Nonalcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases with a high prevalence in the general population. The association between NAFLD and cardiovascular disease has been well addressed in previous studies. However, whether NAFLD is associated with carotid artery disease in a community-based Chinese population remained unclear. The aim of this study was to investigate the association between NAFLD and carotid artery disease. Methods: A total of 2612 participants (1091 men and 1521 women) aged 40 years and older from Jidong of Tangshan city (China) were selected for this study...
October 5, 2018: Chinese Medical Journal
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