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Introduction The field of hip preservation has undergone significant advancement since Ganz popularized femoroacetabular impingement syndrome (FAIS) two decades ago ( 1 , 2 ). Since then, the understanding of non-arthritic hip pain, which
Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA
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Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA
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With the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability.
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Adhesions are a consequence of biological pathways that have been stimulated by injury or surgical interventions leading to an increased healing response.
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Preventative efforts have included surgical adjuncts during/after primary hip arthroscopy, biologic augmentation, and postoperative rehabilitation.
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Treatment options for adhesion formation includes surgical lysis of adhesions with or without placement of biologic membranes aimed at inhibiting adhesion reformation as well as systemic medications to further reduce the risk.
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Postoperative rehabilitation exercises have also been demonstrated to prevent adhesions as a result of hip arthroscopy. Ongoing clinical trials are further investigating pathways and prevention of adhesion formation.
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young patients with debilitating hip pain has led to the development and refinement of both open and arthroscopic procedures to address intra-articular hip pathologies. In particular, hip arthroscopy has become increasingly popular in the last decade
Universidad de La Laguna, Tenerife, Spain
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Universidad de La Laguna, Tenerife, Spain
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Universidad de La Laguna, Tenerife, Spain
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Universidad de La Laguna, Tenerife, Spain
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There is currently a debate on whether all Vancouver B2 periprosthetic hip fractures should be revised.
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The aim of our work was to establish a decision-making algorithm that helps to decide whether open reduction and internal fixation (ORIF) or revision arthroplasty (RA) should be performed in these patients.
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Relative indications in favour of ORIF are low-medium functional demand (Parker mobility score (PMS) <5), high anaesthetic risk (American Society of Anesthesiologists score (ASA) ≥ 3), many comorbidities (Charlson Comorbidity Index (CCI) ≥ 5), 1 zone fractured (VB2.1), anatomical reconstruction possible, and no prior loosening (hip pain).
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Relative indications in favour of RA are high functional demand (PMS ≥6), low anaesthetic risk (ASA< 3), few comorbidities (CCI<5), fracture ≥ 2 zones (VB2.2), comminuted fractures, and prior loosening (hip pain).
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In cemented stems, those fractures with fully intact cement–bone interface, no stem subsidence into the cementraliser, cement mantle anatomically reducible, and some partial stem-cement attachment can be safely treated with ORIF.
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal
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Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal
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ineffective therapeutic strategies. 36 In the absence of a previous history of hip pathology, clinical presentation of AR is suggestive of FAI by focal or global hyper-coverage of the acetabulum. 9 The most frequent symptom is mechanical hip pain
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School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands
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School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
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Cardiovascular 373 (S) CoC MoP Fracture CoC implant Low Good Giampreti et al. ( 51 ) 1 Neurological (C/P) 352.6 (S) MoM CoP Hip pain Low Moderate Giampreti et al. ( 52 ) 4 Neurological (sensory and C
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presented with postoperative hip pain following arthroscopic rim trimming and labrum refixation in an external institution. (A) Anteroposterior pelvis view shows a preserved joint space and no obvious deformity. (B) Computerized tomography of the hip showed
Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy.
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Introduction Hip fracture is a severe condition which is usually due to a fall in old and/or neurologically impaired patients, or due to high-energy trauma, when it is characterized by a striking clinical picture with hip pain exacerbated by
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and cross-sectional modern imaging (MRI) have proven useful in the diagnostics of ARMD in patients with unexplained hip pain. However, systematic screening for ARMD has been challenged due to methodological reasons. 23 - 27 Periprosthetic
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positively and significantly correlated with FV in patients with hip pain ( 75 ). As a consequence, by measuring FV, we can infer other characteristics of the hip and gain a primary impression of the condition of the entire joint as well as possible
