Journal of Hip Preservation Surgery最新文献_第9页

The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement. 2022年国际髋关节保护学会(ISHA)关于评估和治疗大转子疼痛综合征(GTPS)的物理治疗协议:一项国际共识声明。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnac050

Ashley Disantis, Antonio J Andrade, Alexander Baillou, Nicolas Bonin, Thomas Byrd, Ashley Campbell, Benjamin Domb, Holly Doyle, Keelan Enseki, Barry Getz, Lucie Gosling, Louise Grant, Victor M Ilizaliturri, Dave Kohlrieser, Jovan Laskovski, Liran Lifshitz, Ryan P McGovern, Katie Monnington, John O'Donnell, Amir Takla, Tim Tyler, Mike Voight, Thomas Wuerz, RobRoy L Martin

{"title":"The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement.","authors":"Ashley Disantis, Antonio J Andrade, Alexander Baillou, Nicolas Bonin, Thomas Byrd, Ashley Campbell, Benjamin Domb, Holly Doyle, Keelan Enseki, Barry Getz, Lucie Gosling, Louise Grant, Victor M Ilizaliturri, Dave Kohlrieser, Jovan Laskovski, Liran Lifshitz, Ryan P McGovern, Katie Monnington, John O'Donnell, Amir Takla, Tim Tyler, Mike Voight, Thomas Wuerz, RobRoy L Martin","doi":"10.1093/jhps/hnac050","DOIUrl":"https://doi.org/10.1093/jhps/hnac050","url":null,"abstract":"The 2022 International Society of Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS) was intended to present a physiotherapy consensus on the assessment and surgical and non-surgical physiotherapy management of patients with GTPS. The panel consisted of 15 physiotherapists and eight orthopaedic surgeons. Currently, there is a lack of high-quality literature supporting non-operative and operative physiotherapy management. Therefore, a group of physiotherapists who specialize in the treatment of non-arthritic hip pathology created this consensus statement regarding physiotherapy management of GTPS. The consensus was conducted using a modified Delphi technique to guide physiotherapy-related decisions according to the current knowledge and expertise regarding the following: (i) evaluation of GTPS, (ii) non-surgical physiotherapy management, (iii) use of corticosteroids and orthobiologics and (iv) surgical indications and post-operative physiotherapy management.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"10 1","pages":"48-56"},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9587952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

What the papers say. 报纸上说的。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnad012

Ali Bajwa

引用次数: 0

Pipkin Type I and II femoral head fractures: internal fixation or excision?-from the hip arthroscopy perspective. Pipkin I型和II型股骨头骨折:内固定还是切除?从髋关节镜的角度来看。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnad002

Chung-Yang Chen, Shan-Ling Hsu, Chi-Hsiang Hsu, Hao-Chen Liu, Yu-Der Lu

{"title":"Pipkin Type I and II femoral head fractures: internal fixation or excision?-from the hip arthroscopy perspective.","authors":"Chung-Yang Chen, Shan-Ling Hsu, Chi-Hsiang Hsu, Hao-Chen Liu, Yu-Der Lu","doi":"10.1093/jhps/hnad002","DOIUrl":"https://doi.org/10.1093/jhps/hnad002","url":null,"abstract":"The treatment of patients with femoral head fractures with regard to fixation versus excision is controversial. This study aimed to compare the results of fixation and excision in hip arthroscopy-assisted surgery. This retrospective study included adult patients with femoral head fractures who were treated with hip arthroscopy surgery from March 2016 to April 2020, with a minimum follow-up of 24 months. The patients were divided into two groups: Group 1 (fixation group) and Group 2 (excision group). To compare the therapeutic effects between the two groups, clinical and radiographic outcomes, operative time, pain score, length of hospital stay after surgery and related complications were investigated. There were 13 (mean duration, 47.5 months; range, 24-72 months) and 8 (mean duration, 48.6 months; range, 26-74 months) patients in the fixation and excision groups, respectively. The excision group had better functional results than the fixation group in terms of the median modified Harris hip score (P = 0.009). No significant differences were observed in operative time, pain score or hospital stay after surgery between the two groups. Further, no osteonecrosis of the femoral head or traumatic arthritis occurred in either group. A piece of fracture fragment >2 cm can be considered for hip arthroscopy-assisted internal fixation, whereas the others can be removed. The excision group had better outcomes than the fixation group. Hence, hip arthroscopy-assisted internal fixation or excision of bony fragments led to satisfactory short-term clinical and radiological results for the treatment of Pipkin Type I and II femoral head fractures.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"10 1","pages":"31-36"},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9585441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medial approach for hip arthroscopy: a case report to access and treat osteoid osteoma of the medial femoral neck. 髋关节镜内侧入路:进入和治疗股骨内侧颈骨样骨瘤1例报告。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnad003

Kinsley J Pierre, Marc R Safran

引用次数: 1

Correction to: Outcomes following surgical management of inguinal-related groin pain in athletes: a case series. 修正:运动员腹股沟相关腹股沟疼痛手术治疗后的结果:一个病例系列。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnad004

引用次数: 0

Is there a role for controlled repositioning and mini-open primary osteoplasty in the management of unstable slipped capital femoral epiphysis? 在不稳定股骨干骨骺滑脱的治疗中，控制复位和小开口初次成形术是否有作用?

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2022-12-01 DOI: 10.1093/jhps/hnac037

K Venkatadass, V Durga Prasad, Deepak Jain, Nasser Mohammed Mansor Al Ahmadi, S Rajasekaran

{"title":"Is there a role for controlled repositioning and mini-open primary osteoplasty in the management of unstable slipped capital femoral epiphysis?","authors":"K Venkatadass, V Durga Prasad, Deepak Jain, Nasser Mohammed Mansor Al Ahmadi, S Rajasekaran","doi":"10.1093/jhps/hnac037","DOIUrl":"https://doi.org/10.1093/jhps/hnac037","url":null,"abstract":"The management of unstable slipped capital femoral epiphysis is controversial with variable rates of avascular necrosis (AVN). Treatment options include in-situ stabilization, gentle/positional reduction and screw fixation and modified Dunn's procedure (MDP). We present a technique of controlled repositioning (CRP) of the epiphysis to pre-acute slip stage, screw fixation and primary osteoplasty. Between 2015 and 2020, 38 unstable slips were treated in our institution. Of these, 14 underwent successful CRP and the rest were treated with MDP. All the 14 patients who had CRP and completed 1-year follow-up were included for this study. The head-neck angle (HNA) was measured at presentation and alpha angle, head-neck offset and AVN were assessed during follow-up. The average age was 14 years (9-18) and mean follow-up was 17.7 months (12-43). The average intraoperative flexion internal rotation before osteoplasty was -18.5° (-40° to -5°) which improved to +22.1° (+15° to +30°). The average preoperative HNA was 48.7° (34.1° to 70.7°) which improved to 18.4° (1.8° to 35.7°) post-operatively. At final follow-up, the average alpha angle and head-neck offset were 46.4° (30.9° to 64.6°) and 0.22 (0.09 to 0.96), respectively. The AVN rate in the CRP group was 7.1% compared with 20.8% in the MDP group, which was not significant (P = 0.383). Two patients had screw breakage. CRP, screw fixation and mini-open primary osteoplasty is a feasible treatment option in a subgroup of patients with unstable SCFEs. The limitation with this technique is that the final decision is made intraoperatively, and hence the patient and parents need to be counselled and consented appropriately. Level of evidence: Level IV-Case series.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"9 4","pages":"211-218"},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/10/hnac037.PMC9993448.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The economics of patients undergoing periacetabular osteotomy for hip dysplasia: the financial relationship between physicians and hospitals. 髋臼周围截骨治疗髋关节发育不良患者的经济效益:医生和医院之间的经济关系。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2022-12-01 DOI: 10.1093/jhps/hnac041

Thomas Alter, Ashlyn Fitch, E Bailey Terhune, Joel C Williams

{"title":"The economics of patients undergoing periacetabular osteotomy for hip dysplasia: the financial relationship between physicians and hospitals.","authors":"Thomas Alter, Ashlyn Fitch, E Bailey Terhune, Joel C Williams","doi":"10.1093/jhps/hnac041","DOIUrl":"https://doi.org/10.1093/jhps/hnac041","url":null,"abstract":"Periacetabular osteotomy (PAO) is the gold standard for treating hip dysplasia in patients with preserved articular cartilage. The aim of this study is to evaluate the financial relationship between facility and professional revenue for patients undergoing PAO for hip dysplasia and acetabular version abnormalities. All patients who underwent PAO for hip dysplasia by a single surgeon at a tertiary academic medical center between December 2016 and November 2020 were identified. Financial records for facility and professional services were reviewed and analyzed. The orthopedic charge multiplier, the dollars of facility charge created by a single dollar of orthopedic professional charge, and orthopedic net revenue multiplier, the dollars collected by the hospital for facility services generated for each dollar collected by the orthopedic surgeon, were calculated. A total of 36 patients were included in the study. The mean total charge for all patients was $144 939.35 ± $23 726.48 (range $109 002.71 to $227 290.20), and the average total revenue for all patients was $44 218.79 ± $12 352.97 (range $29 397.39 to $90,830.62). The mean orthopedic charge multiplier was 2.47 ± 1.32 (range 0.78-6.53), and the net revenue collection multiplier was 8.62 ± 10.69 (range, 1.20-57.80). The majority of charges and revenue related to care of patients undergoing PAO return to the hospital. The significant mean orthopedic charge multiplier for this procedure increases the value of the service and the surgeon to hospital profitability. This information can help shape the relationship between the hospital and the surgeon and create a firm platform to advocate for program advancement.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"9 4","pages":"225-231"},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/17/hnac041.PMC9993450.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A combination of acetabular coverage and femoral head-neck measurements can help diagnose femoroacetabular impingement. 髋臼覆盖范围和股骨头颈测量相结合可以帮助诊断股髋臼撞击。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2022-12-01 DOI: 10.1093/jhps/hnac046

Shinya Hayashi, Yuichi Kuroda, Naoki Nakano, Tomoyuki Matsumoto, Tomoyuki Kamenaga, Toshihisa Maeda, Ryosuke Kuroda

{"title":"A combination of acetabular coverage and femoral head-neck measurements can help diagnose femoroacetabular impingement.","authors":"Shinya Hayashi, Yuichi Kuroda, Naoki Nakano, Tomoyuki Matsumoto, Tomoyuki Kamenaga, Toshihisa Maeda, Ryosuke Kuroda","doi":"10.1093/jhps/hnac046","DOIUrl":"https://doi.org/10.1093/jhps/hnac046","url":null,"abstract":"ABSTRACT This study aimed to evaluate the relationship between the radiographical features of combination of the acetabular coverage and the femoral head-neck shape and the occurrence of femoroacetabular impingement (FAI). In this study, 114 patients who had FAI with or without labral tear and mild osteoarthritis were analyzed. Plain radiographs and computed tomography (CT) were taken for evaluation of acetabular coverage and femoral head-neck measurements. The relationship between the combination angle of acetabular coverage and femoral head-neck measurements and the occurrence of FAI was evaluated. The prevalence of FAI patients with the combination angle of CT-anterior CE + α angle ≥100° was 6.1% (7/114 patients). Receiver operator characteristic curve analysis demonstrated a higher area under the curve for combination of CT-anterior center edge angle (ACEA) with the α angle at 0.94 (CT-ACEA +α angle). A threshold for the occurrence of FAI was determined using the combination CT-ACEA + α angle at 100°. The frequency of FAI surgery was significantly higher in patients with a combination angle ≥100° than in those with a smaller angle. The average modified Harris hip score was significantly lower in patients with a combination angle ≥100° than in those with a smaller angle. We suggest that the combination of lateral center edge angle ≥40°, α angle ≥50° and combined angles of CT-ACEA and α angle ≥100° may help diagnosis of FAI. Level of evidence III: retrospective cohort study.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"9 4","pages":"252-258"},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/6b/hnac046.PMC9993451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation of femoral version measurements between computed tomography and magnetic resonance imaging studies in patients presenting with a femoroacetabular impingement-related complaint. 股骨版本测量与股骨髋臼撞击相关主诉患者计算机断层扫描和磁共振成像研究之间的相关性

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2022-12-01 DOI: 10.1093/jhps/hnac036

Campbell Goldsmith, Jennifer Cheng, Douglas Mintz, Peter Moley

{"title":"Correlation of femoral version measurements between computed tomography and magnetic resonance imaging studies in patients presenting with a femoroacetabular impingement-related complaint.","authors":"Campbell Goldsmith, Jennifer Cheng, Douglas Mintz, Peter Moley","doi":"10.1093/jhps/hnac036","DOIUrl":"https://doi.org/10.1093/jhps/hnac036","url":null,"abstract":"Computed tomography (CT) is considered the gold standard for femoral version measurement. However, recent data have shown magnetic resonance imaging (MRI) as another modality to measure femoral version. This study aimed to correlate MRI and CT femoral version measurements in patients presenting with a femoroacetabular impingement (FAI)-related complaint. Patients (18-35 years old) who presented to the hip preservation clinic and radiology department with a suspected FAI diagnosis from 26 December 2018 to 4 March 2020 were included. All patients had a CT and MRI of the hip, with images including both hips and knees, as per our institution's protocol for possible hip preservation surgery. Patients were excluded if they were missing views of the knees, or if they had a history or imaging appearance of any condition affecting femoral version at the femoral head (e.g. slipped capital femoral epiphysis). Femoral version was measured by three reviewers. Fifty-eight patients were included, and 36 (62%) were female. Femoral version averaged 6.1° ± 11.8° on CT and 6.5° ± 10.8° on MRI. A strong positive correlation was reported between the two imaging modalities (r: 0.81; P < 0.001). Inter-rater reliability among the three reviewers was excellent and statistically significant for measurements on both MRI [intraclass correlation coefficient (ICC): 0.95; 95% CI: 0.85, 0.99; P < 0.001] and CT (ICC: 0.97; 95% CI: 0.92, 0.99; P < 0.001). Our finding suggests that MRI is a sufficient method for measuring femoral version to determine disease etiology and treatment progression. To avoid exposing patients to ionizing radiation, physicians should not obtain CT scans to evaluate femoral version.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"9 4","pages":"219-224"},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/1f/hnac036.PMC9993453.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Open and arthroscopic management of femoroacetabular impingement: a review of current concepts. 股骨髋臼撞击的开放和关节镜治疗:当前概念的回顾。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2022-12-01 DOI: 10.1093/jhps/hnac043

Mahad M Hassan, Ali S Farooqi, Aliya G Feroe, Alexander Lee, Antonio Cusano, Eduardo Novais, Thomas H Wuerz, Young-Jo Kim, Robert L Parisien

{"title":"Open and arthroscopic management of femoroacetabular impingement: a review of current concepts.","authors":"Mahad M Hassan, Ali S Farooqi, Aliya G Feroe, Alexander Lee, Antonio Cusano, Eduardo Novais, Thomas H Wuerz, Young-Jo Kim, Robert L Parisien","doi":"10.1093/jhps/hnac043","DOIUrl":"https://doi.org/10.1093/jhps/hnac043","url":null,"abstract":"Femoroacetabular impingement (FAI) is a common femoral and/or acetabular abnormality that can cause progressive damage to the hip and osteoarthritis. FAI can be the result of femoral head/neck overgrowth, acetabular overgrowth or both femoral and acetabular abnormalities, resulting in a loss of native hip biomechanics and pain upon hip flexion and rotation. Radiographic evidence can include loss of sphericity of the femoral neck (cam impingement) and/or acetabular retroversion with focal or global overcoverage (pincer impingement). Operative intervention is indicated in symptomatic patients after failed conservative management with radiographic evidence of impingement and minimal arthritic changes of the hip, with the goal of restoring normal hip biomechanics and reducing pain. This is done by correcting the femoral head-neck relationship to the acetabulum through femoral and/or acetabular osteoplasty and treatment of concomitant hip pathology. In pincer impingement cases with small lunate surfaces, reverse periacetabular osteotomy is indicated as acetabular osteoplasty can decrease an already small articular surface. While surgical dislocation is regarded as the traditional gold standard, hip arthroscopy has become widely utilized in recent years. Studies comparing both open surgery and arthroscopy have shown comparable long-term pain reduction and improvements in clinical measures of hip function, as well as similar conversion rates to total hip arthroplasty. However, arthroscopy has trended toward earlier improvement, quicker recovery and faster return to sports. The purpose of this study was to review the recent literature on open and arthroscopic management of FAI.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"9 4","pages":"265-275"},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/70/hnac043.PMC9993460.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3