SENSORY INNERVATION OF THE HIP JOINT AND REFERRED PAIN. A Systematic Review of the literature

Abstract Objectives The aim of this literature review was to establish consensus with respect to the anatomic features of the articular branches innervating the hip joint, and the distribution of sensory receptors within its capsule. Methods Five electronic databases were queried, between January 1945 and June 2019. Twenty-one original articles providing a detailed description of sensory receptors about the hip joint capsule (13) and its articular branches (8) were reviewed. Results The superior portions of the anterior capsule and the labrum were found to be the area of densest nociceptive innervation. Similar to the distribution of nociceptors, mechanoreceptor density was found to be higher anteriorly than posteriorly. Hip joint capsular innervation was found to consistently involve the femoral and obturator nerves, which supply the anterior capsule, and the nerve to the quadratus femoris which supplies the posterior capsule. The femoral and obturator and superior gluteal nerves supply articular branches to the most nociceptor-rich region of the hip capsule. Conclusions The femoral, obturator, and nerve to the quadratus femoris were found to consistently supply articular branches to both the anterior and posterior capsule of the hip joint. The anterior capsule, primarily supplied by the femoral and obturator nerves, and superior labrum appear to be the primary pain generators of the hip joint given their higher density of nociceptors and mechanoreceptors

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Sources of Sensory Innervation of the Hip Joint Capsule in the Rabbit - A Retrograde Tracing Study

Anatomia Histologia Embryologia ◽

10.1111/ahe.12028 ◽

2013 ◽

Vol 42 (6) ◽

pp. 403-409 ◽

Cited By ~ 4

Author(s):

A. Dudek ◽

A. Chrószcz ◽

M. Janeczek ◽

W. Sienkiewicz ◽

J. Kaleczyc

Keyword(s):

Hip Joint ◽

Retrograde Tracing ◽

Joint Capsule ◽

Sensory Innervation

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Sensory Innervation in Human Hip Joint Capsule and Pseudocapsule After Total Hip Replacement: A Morphological Investigation

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.2002.37.2.240 ◽

2002 ◽

Vol 37 (2) ◽

pp. 240 ◽

Cited By ~ 1

Author(s):

Suk Ku Han ◽

Yong Sik Kim ◽

Soon Yong Kwon ◽

Kee Haeng Lee ◽

Nam Yong Choi

Keyword(s):

Total Hip Replacement ◽

Hip Joint ◽

Hip Replacement ◽

Joint Capsule ◽

Sensory Innervation ◽

Morphological Investigation ◽

Total Hip

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Prosthesis Design for Bilateral Hip Disarticulation Management

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.664.423 ◽

2014 ◽

Vol 664 ◽

pp. 423-428

Author(s):

Mauricio Plaza Torres ◽

William Aperador

Keyword(s):

Body Weight ◽

Lower Extremity ◽

Hip Joint ◽

Joint Capsule ◽

The Body ◽

Body Weight Support ◽

Patient Mobility ◽

Weight Support ◽

Crush Injuries ◽

High Level

Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility.

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Inadvertent Trypan Blue Staining of Posterior Capsule during Cataract Surgery Associated with “Argentinian Flag” Event

Case Reports in Ophthalmological Medicine ◽

10.1155/2016/9025063 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3

Author(s):

Robert A. Prinzi ◽

Neeti M. Alapati ◽

Shawn S. Gappy ◽

Jason S. Dilly

Keyword(s):

Cataract Surgery ◽

Trypan Blue ◽

Rare Complication ◽

Posterior Capsule ◽

Blue Staining ◽

Anterior Surface ◽

Anterior Capsule ◽

Trypan Blue Staining ◽

First Case

Trypan blue is common in visualizing the anterior capsule during cataract surgery. Inadvertent staining of the posterior capsule during phacoemulsification is a rare complication and there are few reports in the literature. The proposed mechanism of posterior capsule staining in previous reports includes a compromised zonular apparatus or iris retractors facilitating the posterior flow of trypan blue. We report the first case of trypan blue staining of the posterior capsule associated with the “Argentinian flag” sign. In our case, the “Argentinian flag” allowed the trypan blue to seep between the posterior capsule and the lens, staining the anterior surface of the posterior capsule.

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Evaluation of the ischiofemoral space: a case-control study

Radiologia Brasileira ◽

10.1590/0100-3984.2018.0095 ◽

2019 ◽

Vol 52 (4) ◽

pp. 237-241 ◽

Cited By ~ 1

Author(s):

Antônio Augusto Guimarães Barros ◽

Fernanda Bretz Gomes dos Santos ◽

Carlos César Vassalo ◽

Lincoln Paiva Costa ◽

Sérgio Gonçalves Pereira Couto ◽

...

Keyword(s):

Hip Joint ◽

Case Control Study ◽

Case Control ◽

Control Group ◽

Clinical Test ◽

Mri Findings ◽

Ischiofemoral Space ◽

Magnetic Resonance Imaging Mri ◽

Control Study ◽

Quadratus Femoris

Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip joint. The mean age was 47.3 ± 14.0 years (range, 22-76 years), and 33 (66%) of the patients were women. A diagnosis of IFI was made in 6 patients (12%), all of whom were female. On average, IFS and QFS were significantly smaller in IFI group than in control group (11.1 ± 2.7 mm versus 27.5 ± 6.5 mm and 5.3 ± 1.8 mm versus 18.8 ± 4.8 mm, respectively; p < 0.001 for both). Conclusion: Results of specific clinical tests and MRI findings indicate that the IFS and QFS are significantly reduced in patients with IFI.

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Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years

Journal of Ophthalmology ◽

10.1155/2019/1594152 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Yu Jeong Kim ◽

Su Jin Park ◽

Jong Yeon Lee ◽

Dae Yeong Lee ◽

Dong Heun Nam

Keyword(s):

Cataract Surgery ◽

Intraoperative Complications ◽

Case Series ◽

The Elderly ◽

Posterior Capsule ◽

Anterior Capsule ◽

Intraoperative Complication ◽

Surgery Group ◽

Posterior Capsule Rupture ◽

Capsule Rupture

Purpose. To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design. A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes of 184 patients older than 75 years who underwent cataract surgery using microscope and intracameral illuminations. Methods. A chart review was performed on an advanced cataract surgery group of 141 consecutive cases in which the intracameral illumination was used and on a standard cataract surgery group of 145 consecutive cases in which the intracameral illumination was not used. Main Outcome Measures. Intraoperative complications (posterior capsule rupture, radial tear of the anterior capsule, dropped nucleus, or sulcus-implanted/sclera-fixated IOL) and utilization of adjunctive devices (pupil expansion device or anterior capsule staining). Results. The frequency of use of the pupil expansion device was lower in the advanced cataract surgery group than that in the standard cataract surgery group (0.7% vs 6.9%; p=0.007). Furthermore, the rates of a posterior capsule rupture and at least one intraoperative complication were lower in the advanced cataract surgery group than those in the standard cataract surgery group (0.7% vs 4.8%; p=0.067) (0.7% vs 7.6%; p=0.004). Conclusions. In the current cohort of patients over 75 years, the rate of intraoperative complications was lower when using the intracameral illumination than that when using the conventional method. Cataract surgery using intracameral illumination would be good option for elderly people.

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