scholarly journals Anterior Hip Subluxation due to Lumbar Degenerative Kyphosis and Posterior Pelvic Tilt

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Hiroyuki Tsuchie ◽  
Shin Yamada ◽  
Hiroshi Tazawa ◽  
Hiroaki Kijima ◽  
Yoichi Shimada
Keyword(s):  
Hip Joint ◽  
Pelvic Tilt ◽  
Plain Radiograph ◽  
Hip Osteoarthritis ◽  
Hip Pain ◽  
Mineral Density ◽  
Hip Joints ◽  
Current Case ◽  
Femoral Heads ◽  
Anterior Subluxation

Nontraumatic anterior subluxation and dislocation of the hip joint are extremely rare. A 58-year-old woman presented to our outpatient clinic with left hip pain with a duration of 15 years. There was no history of trauma or other diseases. Her hip pain usually occurred only on walking and not at rest. Physical examinations demonstrated no tenderness in the hip joint. The range of motion of both hip joints was almost normal. Laxity of other joints was not observed. The bone mineral density of the lumbar spine and proximal femur confirmed a diagnosis of osteoporosis. A plain radiograph showed osteoarthritic changes of the hip joints, severe posterior pelvic tilt, and superior displacement of both femoral heads, especially in a standing position. Three-dimensional computed tomography (3DCT) revealed anterior subluxation of both femoral heads. Seven years after the initial visit, both hip joints showed progression to severe osteoarthritis. Although the exact cause remains unclear, lumbar kyphosis, posterior pelvic tilt, and a decrease in acetabular coverage may have influenced the current case. We should be aware of these factors when we examine patients with hip osteoarthritis.

scholarly journals Total Hip Arthroplasty for the Paralytic and Non-paralytic Side in Patient with Residual Poliomyelitis

2016 ◽  
Vol 10 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Motoki Sonohata ◽  
Masaru Kitajima ◽  
Shunsuke Kawano ◽  
Masaaki Mawatari
Keyword(s):  
Muscle Strength ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Muscle Tone ◽  
Hip Osteoarthritis ◽  
Hip Pain ◽  
Total Hip ◽  
Early Results ◽  
History Of

Background: Total hip arthroplasty (THA) for poliomyelitis is a problematic procedure due to difficulty in positioning the cup of the prosthesis in the true acetabulum and the risk of dislocation after THA due to the low muscle tone. Methods: We herein present a case of bilateral hip pain with a history of poliomyelitis. Radiograph showed bilateral hip osteoarthritis caused by hip dysplasia due to residual poliomyelitis in right hip joint or developing dysplasia of the hip joint in left hip joint. THA was performed to bilateral hip joints. Results: Six years after bilateral THA, bilateral hip pain significantly improved. Additionally, the muscle strength on the paralyzed right side partially improved. However, the muscle strength on the non-paralyzed left side did not significantly improve. No complications related to the surgery were observed. Conclusion: Promising early results were obtained for THA in our patient with residual poliomyelitis. However, surgeons should pay attention to the potential development of complications concerning THA that may arise due to the residual poliomyelitis.

scholarly journals Joint Pain Undergoes a Transition in Accordance with Signal Changes of Bones Detected by MRI in Hip Osteoarthritis

2013 ◽  
Vol 7 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Mikio Kamimura ◽  
Yukio Nakamura ◽  
Shota Ikegami ◽  
Shigeharu Uchiyama ◽  
Hiroyuki Kato
Keyword(s):  
Joint Pain ◽  
Hip Osteoarthritis ◽  
Pain Scale ◽  
Resonance Imaging ◽  
Mineral Density ◽  
Hip Joints ◽  
Slight Degree ◽  
Broad Signal ◽  
Signal Changes ◽  
Magnetic Resonance Imaging Mri

Objectives: In this study, we aimed to investigate whether joint pain is derived from cartilage or bone alterations. Methods: We reviewed 23 hip joints of 21 patients with primary hip osteoarthritis (OA), which were classified into Kellgren–Laurence (KL) grading I to IV. Plain radiographs and magnetic resonance imaging (MRI) were obtained from all of the 23 joints. Two of the 21 patients had bilateral hip OA. Pain was assessed based on the pain scale of Denis. A Welch t test was performed for age, height, weight, body mass index, bone mineral density, and a Mann–Whitney U test was performed for KL grading. Results: Four of 8 hip joints with pain and OA showed broad signal changes detected by MRI. Fourteen hip joints without pain, but with OA did not show broad signal changes by MRI. Collectively, MRI analyses showed that broad signal changes in OA cases without joint pain or with a slight degree of joint pain were not observed, while broad signal changes were observed in OA cases with deteriorated joint pain. Conclusion: Our findings suggest that hip joint pain might be associated with bone signal alterations in the hips of OA patients.

Pelvic incidence and pelvic tilt can be calculated using either the femoral heads or acetabular domes in patients with hip osteoarthritis

2021 ◽  
Vol 103-B (8) ◽  
pp. 1345-1350
Author(s):  
Maria Czubak-Wrzosek ◽  
Zaneta Nitek ◽  
Paweł Sztwiertnia ◽  
Jaroslaw Czubak ◽  
Dariusz Grzelecki ◽  
...  
Keyword(s):  
Pelvic Tilt ◽  
Pelvic Incidence ◽  
Interobserver Reliability ◽  
Intraclass Correlation ◽  
Hip Osteoarthritis ◽  
Intraobserver Reproducibility ◽  
Group I ◽  
Femoral Heads ◽  
Group Ii ◽  
Standard Error Of Measurement

Aims The aim of the study was to compare two methods of calculating pelvic incidence (PI) and pelvic tilt (PT), either by using the femoral heads or acetabular domes to determine the bicoxofemoral axis, in patients with unilateral or bilateral primary hip osteoarthritis (OA). Methods PI and PT were measured on standing lateral radiographs of the spine in two groups: 50 patients with unilateral (Group I) and 50 patients with bilateral hip OA (Group II), using the femoral heads or acetabular domes to define the bicoxofemoral axis. Agreement between the methods was determined by intraclass correlation coefficient (ICC) and the standard error of measurement (SEm). The intraobserver reproducibility and interobserver reliability of the two methods were analyzed on 31 radiographs in both groups to calculate ICC and SEm. Results In both groups, excellent agreement between the two methods was obtained, with ICC of 0.99 and SEm 0.3° for Group I, and ICC 0.99 and SEm 0.4° for Group II. The intraobserver reproducibility was excellent for both methods in both groups, with an ICC of at least 0.97 and SEm not exceeding 0.8°. The study also revealed excellent interobserver reliability for both methods in both groups, with ICC 0.99 and SEm 0.5° or less. Conclusion Either the femoral heads or acetabular domes can be used to define the bicoxofemoral axis on the lateral standing radiographs of the spine for measuring PI and PT in patients with idiopathic unilateral or bilateral hip OA. Cite this article: Bone Joint J 2021;103-B(8):1345–1350.

scholarly journals Hip Arthroscopic Resection of an Intra-Articular Fibroma of the Tendon Sheath

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Lucas Korcek ◽  
Benjamin Hoch ◽  
Dustin Richter
Keyword(s):  
Hip Joint ◽  
Benign Tumor ◽  
Tendon Sheath ◽  
Hip Pain ◽  
Current Case ◽  
Case Presentation

Fibroma of the tendon sheath most often presents around small joints and involves the tendon and tendon sheaths of the fingers, hands, and wrist. In rare instances, it presents as an intra-articular mass. It has never been described in the hip joint. In the current case presentation, this benign tumor was found to be the source of a patient’s atypical severe hip pain. Arthroscopic resection of this tumor alleviated the patient’s pain.

scholarly journals ULTRASONOGRAPHY OF THE HIP JOINT EXAMINATION HIP JOINT IN THE ASSESSMENT OF THE EFFECTIVENESS OF TREATMENT IN CHILDREN WITH LEGG-CALVE-PERTHES DISEASE AND HIP OSTEOARTHRITIS

2014 ◽  
Vol 2 (3) ◽  
pp. 68-75 ◽  
Author(s):  
Tatyana Ivanovna Tikhonenko ◽  
Dmitry Yurievich Vybornov ◽  
Anzhelika Iosifovna Gurevich ◽  
Yulia Ivanovna Lozovaya
Keyword(s):  
Hip Joint ◽  
Structural Changes ◽  
Resistance Index ◽  
Hip Osteoarthritis ◽  
Perthes Disease ◽  
Venous Stasis ◽  
Hip Joints ◽  
Doppler Study ◽  
Dynamic Ultrasound ◽  
Joint Examination

We performed dynamic hip doppler ultrasonography in children with Legg-Calve-Perthes disease (LCPD) in order to determine the effectiveness of the conservative and surgical treatment. The study included children aged from 3 to 7 years old with LCPD who had pain in the hip joints during admission. We assessed the structural changes in the head of the femur and the hip joint (B-mode), when the Doppler study analyzed diameter of enveloping hip vessels, blood velocity and resistance index. The study found that severe pain and contracture of the hip during admission appeared as a manifestation of concomitant hip osteoarthritis. On admission all patients had signs of arterial spasm and venous stasis in the hip joints, which determined the administration of a comprehensive arthrologic, osteogenesis stimulating and angioprotective therapy, according to the data of dynamic ultrasound.

scholarly journals The use of combination therapy in rehabilitation of patients with hip osteoarthritis – preliminary report

2015 ◽  
Vol 7 (3) ◽  
pp. 61-72
Author(s):  
MAGDALENA PODCZARSKA-GLOWACKA ◽  
ANNA LYSAK ◽  
RAFAL SZULC-CIEPLICKI
Keyword(s):  
Combination Therapy ◽  
Hip Joint ◽  
Hip Osteoarthritis ◽  
Hip Joints ◽  
Assessment Tests ◽  
Therapeutic Program ◽  
Effective Form ◽  
Therapeutic Programme ◽  
Medical Program ◽  
Osteoarthritis Of Hip

Background: The objective of the study was to assess the effectiveness of a 2-week therapeutic programme consisting of combination therapy and postisometric relaxation and its effect on the mobility of joints and the level of perception of pain in patients with osteoarthritis of hip joints. Material/Methods:The research was carried out on subjects clinically and radiologically diagnosed as patients with osteoarthritis of hip joints. 30 subjects, including 7 men and 23 women (average age of 67.8 yrs), underwent the examinations. The therapy lasted 2 weeks and consisted of 10 treatment sessions. The medical program included a combination therapy and individual exercises, i.e. postisometric relaxation of the hip joint. In the combination therapy conventional TENS and ultrasounds were applied. Moreover, tailored exercises were performed systematically every day at home. Results: The study proved that an individually prepared therapeutic program including postisometric relaxation and combination therapy improves ROM in all planes of hip joins in osteoarthritis. It was also stated that after 2 pain assessment tests (the VAS and Laitinen scales) the therapy was confirmed to be a successful method in pain relief. The researchers also noticed that systematically conducted therapy led to reducing the incidence of pain which is manifested by limitation of pharmacotherapy. Conclusions: The research shows that combination therapy together with postisometric relaxation is an effective form of conservative treatment for degenerative changes in the hip joint.

scholarly journals Strategies for increasing gait speed in patients with hip osteoarthritis: their clinical significance and effects on hip loading

2020 ◽  
Author(s):  
Hiroshige Tateuchi ◽  
Haruhiko Akiyama ◽  
Koji Goto ◽  
Kazutaka So ◽  
Yutaka Kuroda ◽  
...  
Keyword(s):  
Physical Function ◽  
Hip Joint ◽  
Gait Speed ◽  
Stride Length ◽  
Three Dimensional ◽  
Joint Space Width ◽  
Hip Osteoarthritis ◽  
Joint Space ◽  
Hip Pain ◽  
Type C

Abstract Background Change in gait speed is required in various situations in daily life, and can be achieved by changing stride length, cadence, or both. Differences in strategies for increasing gait speed may have different effects on the hip joint and on physical function. Our primary purpose was to determine the effects of strategies for increasing gait speed on hip pain and physical function in patients with hip osteoarthritis (OA). The secondary purpose was to examine the effects of strategies for increasing gait speed on the changes in hip loading during gait. Methods Forty-seven patients with secondary hip OA (age 48.3 ± 11.0 years) were included. Gait speed, stride length, cadence, and peak and impulse of the hip joint moment were measured during gait at self-selected normal and fast gait speeds, using a three-dimensional motion analysis system. The patients were classified as types S (increasing mainly stride length), C (increasing mainly cadence), and SC (increasing stride length and cadence) according to whether they used changes in stride length and/or cadence to transition from a normal to a fast gait. Hip pain, physical function, and change in hip moments during gait were compared between the types. Results The distribution of the patients was as follows: types S, 23.4%; C, 48.9%; and SC, 27.7%. Physical function status was higher in types C (P = 0.018) and SC (P = 0.015) than in type S, even after adjustment for age and minimum joint space width. Hip pain was not significantly different between the types. The robustness of those results was confirmed by a sensitivity analysis. The rates of the increases in peak external hip adduction (P = 0.003) and internal rotation moments (P = 0.009) were lower in type C than in type SC. Conclusions Type C tended to suppress the increase in hip joint moments during fast gait. Types C and SC, which included increased cadence, maintained higher physical function levels than type S. Encouraging use of a cadence-increasing strategy may be useful for reducing hip loading and maintaining physical function in patients with hip OA.

scholarly journals THU0526 MEASUREMENT OF RADIOLOGICAL JOINT WIDTH IS THE KEY IN ASSESSING HIP INVOLVEMENT OF HIPS IN ANKYLOSING SPONDYLITIS.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 502.1-503
Author(s):  
Q. Han ◽  
Z. Zheng ◽  
K. Zhang ◽  
Z. Yu ◽  
F. Yang ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Hip Joint ◽  
Radiographic Progression ◽  
Hip Pain ◽  
Healthy Controls ◽  
Research Support ◽  
X Ray ◽  
Femoral Heads ◽  
Joint Width ◽  
Harris Score

Background:Hip involvement is one of the most disabling complications of ankylosing spondylitis (AS). Frequently, arthroplasty is necessary by the time symptoms appear.Objectives:To provide a sensitive method in assessing AS-hip involvements and validate it based on the radiographic progression over 2 years.Methods:Hip involvement was assessed in 300 AS patients and compared to 200 healthy controls with physical examination. Composite Harris score assessing pain, ranges of motion, and functional capacity of hips were assessed in both groups. Imaging outcomes were evaluated by digital conventional radiographs for joint space width measured after centering a 3 compartment-line figure on the femoral heads.Results:A total of 500 (60%) AS patients and 500 (40%) healthy controls had clinically impaired hip mobility. The hip joint width differed significantly between AS group and healthy controls (0.93±0.54, range 5.41-0.35vs 4.83±0.74, range 6.72-3.56, P<0.0001). Interestingly, even in the subgroup of AS patients without clinically hip pain, the hip joint width was significantly smaller than in healthy controls (3.29±0.66, range 5.4-2.1 vs 4.83±0.74, range 6.72-3.56, P<0.0001). We then evaluated the MRI images of the same 300 subjects. First, we evaluated the 200 control subjects to establish a threshold. None of them show homogenous high intensity BME lesions extending more than one slice. we examine the MRI of the 300 AS patients. Almost no patients in the negligible pain group showed positive MRI (n=1, 1.2%). Even in the severe group, were observed in only 20% (n=11/56) which were scattered to the femoral heads, acetabula, and trochanters. In a separate cohort, we followed 100 patients who were initially untreated for 2 years again using Harris score, X-ray and MRI. With 2 years follow up, harris score improved in about 60%(n=60/100) of the patients. Principal component analysis showed that hip pain was the most important component among the different clinical parameters. Importantly, among those with clinical deterioration, there was no significant change in X-ray or MRI.Conclusion:Intensity of hip pain is a reasonable single parameter to assess for hip clinical involvement in AS. The higher the hip pain, the narrower the hip joint width. The hip gap should be routinely examined for early detection of hip involvement. Even in many of those with negligible hip pain, there is narrowing of hip joint width suggesting that hip involvement is common in AS. Hip disease progresses very slowly over 2 years.References:[1]KIRSTEN MACKAY, CHRISTOPHER MACK, SINEAD BKOPHY.et al. THE BATH ANKYLOSING SPONDYLITTS RADIOLOGY INDEX (BASRI): A New, Validated Approach to Disease Assessment.[J] ARTHRITIS & RHEUMATISM. l998(41), pp 2263-2270.[2]MacKay K, Brophy S, Mack C, Doran M, Calin A.The development and validation of a radiographic grading system for the hip in ankylosing spondylitis: the bath ankylosing spondylitis radiology hip index. [J] J Rheumatol. 2000 Dec;27(12):2866-72.[3]Julie C, Baker-LePain, Nancy E. Lane.Relationship between joint shape and the development of osteoarthritis. Curr Opin Rheumatol. [J] 2010; 22(5): 538–543.[4]Zhen Guo, Huang, Xue Zhe, Zhang, Wen Hong. et al. The application of MR imaging in the detection of hip involvement in patients with ankylosing spondylitis.[J] European journal of radiology. 2013;82(9):1487-1493.[5]M. Konsta & P. P. Sfikakis & V. K. Bournia.et al. Absence of radiographic progression of hip arthritis during infliximab treatment for ankylosing spondylitis. [J] Clin Rheumatol 2013; (32):1229–1232.[6]Hyemin Jeong, Yeong Hee Eun, In Young Kim.et al. Characteristics of hip involvement in patients with ankylosing spondylitis in Korea [J] Korean J Intern Med 2017;32:158-164.Acknowledgments:Professor David YuDisclosure of Interests:Qing Han: None declared, Zhaohui Zheng: None declared, Kui Zhang: None declared, Zheng Yu: None declared, Fengfan Yang: None declared, Qiang Liang: None declared, Ping Zhu: None declared, Xenofon Baraliakos Grant/research support from: Grant/research support from: AbbVie, BMS, Celgene, Chugai, Merck, Novartis, Pfizer, UCB and Werfen, Consultant of: AbbVie, BMS, Celgene, Chugai, Merck, Novartis, Pfizer, UCB and Werfen, Speakers bureau: AbbVie, BMS, Celgene, Chugai, Merck, Novartis, Pfizer, UCB and Werfen

scholarly journals Increased development of radiographic hip osteoarthritis in individuals with high bone mass: a prospective cohort study

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
April Hartley ◽  
Sarah A. Hardcastle ◽  
Monika Frysz ◽  
Jon Parkinson ◽  
Lavinia Paternoster ◽  
...  
Keyword(s):  
Bone Mass ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Hip Osteoarthritis ◽  
Joint Space ◽  
Mineral Density ◽  
High Bone Mass ◽  
High Bone ◽  
Subchondral Sclerosis

Abstract Background Individuals with high bone mass (HBM) have a greater odds of prevalent radiographic hip osteoarthritis (OA), reflecting an association with bone-forming OA sub-phenotypes (e.g. osteophytosis, subchondral sclerosis). As the role of bone mineral density (BMD) in hip OA progression is unclear, we aimed to determine if individuals with HBM have increased incidence and/or progression of bone-forming OA sub-phenotypes. Methods We analysed an adult cohort with and without HBM (L1 and/or total hip BMD Z-score > + 3.2) with pelvic radiographs collected at baseline and 8-year follow-up. Sub-phenotypes were graded using the OARSI atlas. Superior/inferior acetabular/femoral osteophyte and medial/superior joint space narrowing (JSN) grades were summed and Δosteophyte and ΔJSN derived. Pain and functional limitations were quantified using the WOMAC questionnaire. Associations between HBM status and change in OA sub-phenotypes were determined using multivariable linear/logistic regression, adjusting for age, sex, height, total body fat mass, follow-up time and baseline sub-phenotype grade. Generalised estimating equations accounted for individual-level clustering. Results Of 136 individuals, 62% had HBM at baseline, 72% were female and mean (SD) age was 59 (10) years. HBM was positively associated with both Δosteophytes and ΔJSN (adjusted mean grade differences between individuals with and without HBM βosteophyte = 0.30 [0.01, 0.58], p = 0.019 and βJSN = 0.10 [0.01, 0.18], p = 0.019). Incident subchondral sclerosis was rare. HBM individuals had higher WOMAC hip functional limitation scores (β = 8.3 [0.7, 15.98], p = 0.032). Conclusions HBM is associated with the worsening of hip osteophytes and JSN over an average of 8 years, as well as increased hip pain and functional limitation.

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