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Ultraso* AND Hip

M L Ridderikhof, E De Kruif, M F Stevens, H M Baumann, P B Lirk, J C Goslings, M W Hollmann
INTRODUCTION: In the Emergency Department, regional anesthesia is increasingly used in elderly patients with hip fractures. An example is a Fascia Iliaca Compartment Block (FICB). Traditionally, this block is administered below the inguinal ligament. There is no Emergency Department data regarding effectivity of an alternative, more cranial approach above the inguinal ligament. The objective was to determine analgesic effects of an ultrasound-guided supra-inguinal FICB in hip fracture patients in the Emergency Department...
February 11, 2019: American Journal of Emergency Medicine
U Muschaweck, A Koch
Groin pain in athletes is a common problem and can have extensive consequences for professional athletes. The anatomical and functional complexity of the groin as well as radiating pain from remote anatomical regions can make the differential diagnosis a challenge and requires special attention. As there are a wide variety of possible causes for groin pain, a multidisciplinary approach is required. The treating orthopedic surgeon needs to pay special attention to pre-arthritic hip deformities to avoid irreversible damage of the hip joint...
February 14, 2019: Der Radiologe
Sean Iain Docking, Jill Cook, Stephanie Chen, Jennie Scarvell, Wes Cormick, Paul Smith, Angela Fearon
BACKGROUND: It has been suggested that imaging findings play a role in directing treatment for Greater Trochanteric Pain Syndrome. Structural diagnoses associated with Greater Trochanter Pain Syndrome include gluteal tendinosis, and partial- or full-thickness gluteal tendon tears. However, few studies have compared imaging to confirmed tendon pathology observed during surgery. OBJECTIVE: To investigate the ability of magnetic resonance and ultrasound imaging to identify the presence of a pathological gluteus medius tendon in comparison to surgical and histological findings...
February 7, 2019: Musculoskeletal Science & Practice
Neal Rakesh, Yan Cui Magram, Jay M Shah, Amitabh Gulati
Pain is a common issue that is present in cancer survivors as well as those with active malignant processes. Despite opioid analgesics and adjuvant therapies such as systemic corticosteroids, many patients have persistent localized pain. We describe a case series of 3 cancer patients who have concurrent hip- and greater trochanteric-related pain. We performed a single-insertion-site, ultrasound-guided injection to target both the intra-articular hip and greater trochanteric bursa for each patient. All patients reported an improvement in pain symptoms and function with no major complications...
February 7, 2019: A&A practice
Erich Brenner, Massimiliano Tripoli, Elia Scavo, Adriana Cordova
We report a very rare case of a unilaterally absent piriformis muscle in a 60 year old woman. Accompanying variations comprised a common gluteal artery (instead of two distinct superior and inferior gluteal arteries), and an absent gemellus inferior muscle. The contralateral left side showed a normally developed piriformis muscle. In hominoids, the piriformis is constant, but is regularly missing in several other vertebrates. The piriformis muscle is an anatomical landmark for ultrasound investigations and ultrasound-guided interventions in the deep gluteal region such as a superior gluteal nerve block or even a sacral plexus block, also for any surgical approach such as total hip arthroplasty...
February 13, 2019: Surgical and Radiologic Anatomy: SRA
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
Michael Stuart Green, Christopher Ryan Hoffman, Usama Iqbal, Oluwafunke Olabisi Ives, Benita Hurd
Background: Total hip arthroplasty is a common procedure being performed at an increasing rate in the United States. Recovering from this surgery to the extent that one can participate in criteria for discharge relies heavily on effective postoperative analgesia. Many regional anesthetic techniques are deployed in this realm. The recent utilization of quadratus lumborum (QL) blocks with success in other procedures warrants investigation in the hip arthroplasty population. Methods: Twenty patients received general anesthesia for elective total hip arthroplasty...
December 2018: Anesthesiology and Pain Medicine
Francesco Pogliacomi, Paolo Schiavi, Alessandro Paraskevopoulos, Massimiliano Leigheb, Alessio Pedrazzini, Francesco Ceccarelli, Enrico Vaienti
Background and aim The incidence of hip osteoarthritis (OA) is increasing in parallel with the aging of the population. The aim of this study is to report the efficacy of an ultrasound-guided intra-articular (IA) hip injection of a single dose of high-weight hyaluronic acid (HA) (2500 kDa) at a follow-up of 12 months. Materials and Methods 226 patients older than 40 years of age affected by painful hip OA (Kellgren-Lawrence stage 1-2-3) were treated from January 2012 to December 2015 with viscosupplementation...
December 18, 2018: Acta Bio-medica: Atenei Parmensis
Irina Gasanova, John C Alexander, Kenneth Estrera, Joel Wells, Mary Sunna, Abu Minhajuddin, Girish P Joshi
BACKGROUND AND OBJECTIVES: Fascia iliaca compartment block (FICB) has been shown to provide excellent pain relief in patients undergoing total hip arthroplasty (THA). However, the analgesic efficacy of FICB, in comparison with periarticular infiltration (PAI) for THA, has not been evaluated. This randomized, controlled, observer-blinded study was designed to compare suprainguinal FICB (SFICB) with PAI in patients undergoing THA via posterior approach. METHODS: After institutional review board approval, 60 consenting patients scheduled for elective THA were randomized to one of two groups: ultrasound-guided SFICB block or PAI...
February 2019: Regional Anesthesia and Pain Medicine
Saurabh Deore, Mohit Bansal
Introduction: Pelvic osteomyelitis presents a diagnostic challenge due to its rarity and non-specific presentation. Early advance imaging in the form of magnetic resonance imaging (MRI) is warranted if clinical suspicion is high. We present an unusual case of pubic rami osteomyelitis, presenting with clinical findings of septic arthritis treated appropriately with early imaging and intravenous antibiotics with satisfactory outcome. Case Report: A 9-year-old boy presented to accident and emergency with 2 days history of the left-sided groin and thigh pain, inability to weight bear, and feeling generally unwell following a rugby match...
July 2018: Journal of Orthopaedic Case Reports
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
Wenhua Zhang, Fangqiong Luo, Hongjun Sun, Hongyu Ding
INTRODUCTION: Piriformis muscle syndrome (PS) is a disorder encompassing a constellation of symptoms including buttock and hip pain. Our study aimed to assess the value of ultrasound (US)in the diagnosis of PS. METHODS: 33 clinically diagnosed PS patients and 26 healthy volunteers underwent a clinical PS scoring examination, US and MRI assessment of the bilateral piriformis muscles. The areas under the receiver operating characteristic curves (AUROCs) of the US parameters (i...
January 20, 2019: Muscle & Nerve
Serkan Tulgar, Halil Cihan Kose, Onur Selvi, Ozgur Senturk, David Terence Thomas, Mehmet Nurullah Ermis, Zeliha Ozer
Study Objective: Lumbar Erector spinae Plane block (L-ESPB) is a modification of a recently described block. Both L-ESPB and Transmuscular Quadratus Lumborum block (QLB-T) have been reported to provide effective postoperative analgesia in hip and proximal femur surgery. Herein, we compare the effectiveness of L-ESPB and QLB-T in providing postoperative analgesia in patients undergoing hip and femur operations. Design: Double-blinded, prospective, randomized, feasibility study...
October 2018: Anesthesia, Essays and Researches
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
David N Bernstein, Jacob T Davis, Carson Fairbanks, Kindra McWilliam-Ross, David Ring, Hugo B Sanchez
Background: A better understanding of how bone mineral density and vitamin D levels are associated with femoral neck and intertrochanteric hip fractures may help inform healthcare providers. We asked: 1) In patients age ≥ 55 years, is there a difference in quantitative ultrasound of the heel (QUS) t-score between patients with fractures of the femoral neck and those with fractures of the intertrochanteric region, accounting for other factors 2) In patients age ≥ 55 years, is there a difference in vitamin D level between those with fractures of the femoral neck and those with fractures of the intertrochanteric region, accounting for other factors? 3) Is there an association between vitamin D level and QUS t-score? Methods: In this retrospective cohort study, 1,030 patients were identified using CPT codes for fixation of hip fractures between December 2010 and September 2013...
November 2018: Archives of Bone and Joint Surgery
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
Freke Wink, Suzanne Arends, Fiona Maas, Hendrika Bootsma, Ed N Griep, George A W Bruyn, Anneke Spoorenberg
Objectives: To assess the prevalence of clinical, US and radiographic hip involvement in AS patients with active disease and to explore the associations between these assessments. Furthermore, to evaluate the effect of 6 months of TNF-α blocking therapy on tender and inflammatory power Doppler US lesions of hip joints. Methods: Consecutive AS patients starting TNF-α blocking therapy were evaluated for hip joint involvement. At baseline, patient-reported history of hip involvement was assessed and radiographic evaluation (BASRI-hip) was performed...
January 8, 2019: Rheumatology
Swati Deshmukh, Samir F Abboud, Thomas Grant, Imran M Omar
Pathology of the fascia lata attachment at the iliac crest (FLAIC) is an under-recognized and often misdiagnosed cause of lateral hip pain. The fascia lata has a broad attachment at the lateral iliac crest with contributions from the tensor fascia lata muscle, the iliotibial band, and the gluteal aponeurosis. The FLAIC is susceptible to overuse injuries, acute traumatic injuries, and degeneration. There is a paucity of literature regarding imaging and image-guided treatment of the FLAIC. We review anatomy and pathology of the FLAIC, presenting novel high-resolution (18-24 MHz) ultrasound images including ultrasound guidance for targeted therapeutic treatment...
January 7, 2019: Skeletal Radiology
Hui Zhang, Qing Fan, Junfeng Zhang, Bin Wu, Xiaofeng Wang, Yu Zhang, Aizhong Wang
BACKGROUND: Emergence agitation (EA) is a common postoperative issue in children that causes self-injury, increases stress on healthcare team members, and even leads to postoperative maladaptive behavioral changes in children. Clear answers regarding a 'gold standard' for prevention of EA are not available. Pain is regarded as an important causative factor of EA, and ultrasound-guided lumbar plexus block is a safe and efficient anesthetic method that can provide satisfactory pain relief in pediatric hip surgery...
January 7, 2019: Trials
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