{"title":"Surgical Anatomy of Acetabulum and Biomechanics","authors":"Sachin Sharma, Hemant H. Mathur","doi":"10.5772/intechopen.92330","DOIUrl":"https://doi.org/10.5772/intechopen.92330","url":null,"abstract":"Both column acetabular fractures are challenging articular injuries. Majority of them are treated operatively. The concept of “secondary congruence” was introduced by Letournel. Despite this, biomechanical data on secondary congruence indicate that nonoperative treatment leads to an increase in peak pressures in the supra-acetabular region with the potential risk of developing posttraumatic degenerative osteoarthritis. Operative management is therefore justified. A cohort of 10 patients having both column (anterior and posterior) acetabular fractures managed using bicolumnar plating between Jan 2016 and Dec 2017 were enrolled in the study and were analyzed during follow-up period. Eighty percent of the patients had excellent to good result. Average postoperative score was 85.7. Assessment was done using Modified Harris Hip score.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121283822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nefiss Mouadh, Ben Maatoug Aymen, T. Anis, Tekaya Asma, E. Khelil, Bouzidi Ramzi
{"title":"Femoroacetabular Impingement: Anatomy and Pathogenesis","authors":"Nefiss Mouadh, Ben Maatoug Aymen, T. Anis, Tekaya Asma, E. Khelil, Bouzidi Ramzi","doi":"10.5772/intechopen.90296","DOIUrl":"https://doi.org/10.5772/intechopen.90296","url":null,"abstract":"Femoroacetabular impingement (FAI) is an often unrecognized hip disorder in young adults that can lead to early hip osteoarthritis and a decrease in sports performance. The diagnosis and treatment of this entity have rapidly evolved in recent years. Hip arthroscopy finds its place in the treatment of this conflict, and its indications are more and more frequent. The technical challenge of this operation involves a relatively long learning curve and a good knowledge of the hip anatomy in order to minimize the risk of complications and iatrogenic lesions. In addition to intra-articular structures of the hip joint, the anatomical structures that may be affected by the main and accessory arthroscopic approach are primar-ily the lateral femorocutaneous nerve, the lateral circumflex femoral artery, the medial circumflex femoral artery, and the circumflex superior iliac artery. A little further, 3–5 cm from the main portals, we must pay attention to the femoral nerve, the sciatic nerve, the superior gluteal nerve, the profunda femoris artery, the superficial femoral artery, and the common femoral artery. The pathogenesis of femoroacetabular impingement is not fully understood. The multifactorial origin is still relevant today. We have divided factors incriminated in the genesis of FAI into three groups.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115039758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthroscopic and Endoscopic Management of the Internal Snapping Hip Syndrome","authors":"Adinun Apivatgaroon","doi":"10.5772/intechopen.91919","DOIUrl":"https://doi.org/10.5772/intechopen.91919","url":null,"abstract":"Internal snapping hip syndrome or coxa saltans interna results from the iliopsoas tendon snapping over the superior pubic ramus, iliopectineal eminence, anterior hip joint, femoral head or the lesser trochanter. This condition occurs in either the native hip or a prosthetic hip joint. Conservative management is the mainstay treatment, but iliopsoas release continues to be the definitive treatment in patients with failed conservative measures. The arthroscopic iliopsoas release from the central or peripheral compartment is useful in the management of internal snapping syndrome and may have less hip flexion strength deficits postoperatively as compared to the releasing from the lesser trochanteric level. Endoscopic iliopsoas release at the lesser trochanter level is the preferred operative treatment option for internal snapping patients who have undergone a total hip replacement.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116429551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient-Report Outcome Measures for Ankle-Related Functionality","authors":"Tarcísio Santos Moreira","doi":"10.5772/intechopen.89509","DOIUrl":"https://doi.org/10.5772/intechopen.89509","url":null,"abstract":"A patient’s subjective perception about his/her own functional status and also about health-related quality of life represents a challenge both for clinicians and researches, particularly in the field of rehabilitation. Clinicians often overlook the functional limitations and disability experienced by patients. Because functional limitations and disability are most important to the patient, it is essential that clinicians quantify dysfunction at this level. Client-based assessment instruments, like questionnaires, are tools suitable for comprising the domains of activity and social participation and are often the selected instrument for the assessment of health-related quality of life. In this chapter, the main aspects of such outcome measures are discussed in order to help clinicians and researchers in the selection of appropriate assessment tools in their daily practice.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126255552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation of Lateral Ankle Sprains in Sports","authors":"Rachana P. Dabadghav","doi":"10.5772/intechopen.89505","DOIUrl":"https://doi.org/10.5772/intechopen.89505","url":null,"abstract":"Lateral ankle sprains are one of the most common injuries in athletes. The rate of injury is as high as 70%. The most commonly involved ligament is the anterior talofibular ligament (ATFL), followed by the calcaneofibular (CFL) and posterior talofibular ligament (PTFL). The common mechanism of injury is inversion with excessive ankle supination in forced plantarflexion when the ankle joint is in its most unstable position. There are three grades of ankle sprains: Grade I, mild with an incomplete tear of ATFL; Grade II, moderate with a complete tear of ATFL with or without an incomplete tear of CFL; and Grade III, severe with complete tear of ATFL and CFL. Grades I and II respond well to functional treatment. Functional treatment includes RICE protocol, i.e., rest, ice, compression, and elevation. It also includes range of motion and strengthening exercises, proprioceptive training, and sports-specific exercises. Bracing and taping of the ankle joint help in preventing the sprains and also reduce the recurrence of the injury. Grade III ankle injury may be treated with surgery if the symptoms persist post functional treatment. The guidelines provided for the treatment of ankle sprains are of general validity, but each athlete is different with different needs. Hence, a personalized exercise protocol should be followed to achieve best results.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134539239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnosis and Treatment of Chronic Ankle Instability","authors":"Yan-Yu Chen","doi":"10.5772/intechopen.89485","DOIUrl":"https://doi.org/10.5772/intechopen.89485","url":null,"abstract":"Ankle sprains involve up to 30% of all sport injuries. About 30% of patients may develop chronic ankle instability (CAI), which significantly limits their professional or recreational activities. The diagnosis of CAI relies on the understanding of anatomy and a thorough assessment of the patient. Imaging studies, including plain radiographs, sonography, MRI, and arthroscopic examinations, are beneficial in evaluating the extent and structures involved. Once conservative treatment has failed, surgery is indicated to restore ankle joint stability. Suture repair is sufficient, whether open or arthroscopically, if the remnant ligament quality is acceptable. Anatomical graft reconstruction is used for poor remnant quality or revision.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127066761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Practice of Computer-Assisted Planning and Navigation for Hip Arthroscopy","authors":"N. Kobayashi, S. Higashihira, Y. Inaba","doi":"10.5772/intechopen.89502","DOIUrl":"https://doi.org/10.5772/intechopen.89502","url":null,"abstract":"Despite significant developments in hip arthroscopic surgery in recent years, precise preoperative planning and accurate performance remain challenging. Preoperative planning is particularly important in cases of osteochondroplasty for cam-type femoroacetabular impingement (FAI), and can be aided by several computer-assisted tools, including three-dimensional imaging analysis or kinematic analysis. Initially, the exact point of the bony impingement is identified using simulation analysis; then, virtual osteochondroplasty is performed. Improvements in the range of motion can then be evaluated using computer simulation again. In this way, the required area and depth of bone resection can be assessed pre-operatively. In addition, computed tomography-based navigation assistance can be used to complete the osteochondroplasty in accordance with the preoperative planning. After surgery, postoperative evaluation provides valuable feedback to improve future planning and procedures. In this chapter, we describe the practice of computer-assisted planning and navigation for hip arthroscopy.","PeriodicalId":251687,"journal":{"name":"Essentials in Hip and Ankle","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121323038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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