scholarly journals Foot Progression Angle Walking Test- An Effective Dynamic Test for the Diagnosis of Femoroacetabular Impingement and Hip Instability

2015 ◽  
Vol 3 (7_suppl2) ◽  
pp. 2325967115S0014
Author(s):  
Anil S. Ranawat ◽  
Caroline Park ◽  
Thomas Licatesi ◽  
Brian J. Rebolledo ◽  
James Satalich
Keyword(s):  
Femoroacetabular Impingement ◽  
Dynamic Test ◽  
Hip Instability ◽  
Walking Test ◽  
Foot Progression Angle ◽  
Effective Dynamic

Femoroacetabular Impingement Is Associated With Sports-Related Posterior Hip Instability in Adolescents

2016 ◽  
Vol 44 (9) ◽  
pp. 2299-2303 ◽  
Author(s):  
Stephanie W. Mayer ◽  
João Caetano Munhoz Abdo ◽  
Mary K. Hill ◽  
Lauryn A. Kestel ◽  
Zhaoxing Pan ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Instability

scholarly journals Foot Progression Angle Walking Test

2017 ◽  
Vol 5 (1) ◽  
pp. 232596711667964 ◽  
Author(s):  
Anil S. Ranawat ◽  
Michael A. Gaudiani ◽  
Pablo A. Slullitel ◽  
James Satalich ◽  
Brian J. Rebolledo
Keyword(s):  
Physical Examination ◽  
Clinical Diagnosis ◽  
External Rotation ◽  
Dynamic Assessment ◽  
Demographic Data ◽  
Hip Pain ◽  
Study Cohort ◽  
Level Of Evidence ◽  
Hip Instability ◽  
Foot Progression Angle

Background: Determining an accurate clinical diagnosis for nonarthritic hip pain may be challenging, as symptoms related to femoroacetabular impingement (FAI) or hip instability can be difficult to elucidate with current testing methods. In addition, commonly utilized physical examination maneuvers are static and do not include a dynamic or weightbearing assessment to reproduce activity-related symptoms. Therefore, implementing a dynamic assessment for FAI and hip instability could help to improve diagnostic accuracy for routine clinical examinations of patients with nonarthritic hip pain. Purpose: To assess the efficacy of a novel diagnostic foot progression angle walking (FPAW) test for identifying hip pathology related to FAI or hip instability. Study Design: Prospective cohort study; Level of evidence, 3. Methods: This prospective study included 199 consecutive patients who were evaluated for unilateral hip pain and who underwent FPAW testing along with standard physical examination testing. Demographic data, including age, sex and hip laterality, were collected from each patient. FPAW testing was performed with directed internal and external foot progression angles from their baseline measurements, with a positive test reproducing pain and/or discomfort. Comparisons were then made with flexion adduction internal rotation (FADIR) and flexion abduction external rotation (FABER) tests as the designated diagnostic standard examinations for FAI and hip instability, respectively. Sensitivity and specificity, along with the McNemar chi-square test for group comparison, were used to generate summary statistics. In addition, areas under the combined receiver operating characteristic curves (AUC) of test performance were calculated for both FPAW and the designated standard examination tests (FADIR, FABER). Radiographic imaging was used subsequently to confirm the diagnosis. Results: The average age of the study cohort was 35.4 ± 11.8 years, with 114 patients being female (57%). Positive internal FPAW testing demonstrated 61% sensitivity and 56% specificity for an FAI diagnosis, compared with the 96% sensitivity and 11% specificity seen with FADIR testing. Internal FPAW was less sensitive, yet more specific compared with FADIR ( P < .001). Combined testing had improved accuracy (AUC = 0.58; P < .05) compared with FADIR (AUC = 0.52; P = .21) or FPAW (AUC = 0.57; P = .057) alone. Positive external FPAW revealed 67% sensitivity and 70% specificity for hip instability, while FABER testing was 54% sensitive and 90% specific. External FPAW was significantly more specific but had similar sensitivity to FABER. Combined testing had greater accuracy (AUC = 0.77) compared with FABER (AUC = 0.70) or FPAW (AUC = 0.67) alone ( P < .001). Conclusion: The FPAW examination can be used as an adjunct examination to assist and improve the accuracy of the clinical diagnosis for FAI and hip instability.

scholarly journals Unusual Bilateral Rim Fracture in Femoroacetabular Impingement

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Claudio Rafols ◽  
Juan Edo Monckeberg ◽  
Jorge Numair
Keyword(s):  
Internal Fixation ◽  
Femoroacetabular Impingement ◽  
High Probability ◽  
Complete Resection ◽  
Cannulated Screws ◽  
Hip Instability ◽  
Arthroscopic Procedure ◽  
Bilateral Case ◽  
Cam Resection ◽  
Acetabular Rim

This is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI), which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to date, there are in the literature only two reports of rim fracture and “os acetabuli” in association with FAI. In the case we present, the pincer and cam resection were performed without complications; the technique used was published previously. With this technique the head of the screw lays hidden by the reattached labrum. We removed partially the fractured rim fragment and the internal fixation of the remaining portion was achieved with a screw. In the event of a complete resection of the fragment, it would have ended with a LCE angle of 18° and a high probability of hip instability. We believe that this bilateral case helps establish the efficacy and reproducibility of the technique described by Larson.

Nonarthritic Hip Pathology Patterns According to Sex, Femoroacetabular Impingement Morphology, and Generalized Ligamentous Laxity

2021 ◽  
pp. 036354652110560
Author(s):  
Victor Ortiz-Declet ◽  
David R. Maldonado ◽  
Shawn Annin ◽  
Leslie C. Yuen ◽  
Cynthia Kyin ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Alpha Angle ◽  
Female Group ◽  
Hip Instability ◽  
Male Group ◽  
Femoroacetabular Impingement Syndrome ◽  
Chondral Damage ◽  
Male Patients ◽  
Outerbridge Grade

Background: Sex differences are frequently encountered when diagnosing orthopaedic problems. Current literature suggests specific sex differences, such as a higher prevalence of cam-type femoroacetabular impingement syndrome in male patients and features of hip instability in female patients. Purpose: To identify hip pathology patterns according to sex, alpha angle deformity, and generalized ligamentous laxity (GLL) in a nonarthritic patient population that underwent primary hip arthroscopy in the setting of femoroacetabular impingement syndrome and labral tears. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Patients who underwent primary hip arthroscopy between February 2008 and February 2017 were included and separated into male and female groups for initial analysis. Patients were excluded if they had Tönnis osteoarthritis grade >1, previous ipsilateral hip surgery, or previous hip conditions. The demographics, radiographic findings, intraoperative findings, and surgical procedures were then analyzed and compared. Subanalyses were performed for both groups. A threshold of 1 SD above the mean alpha angle in the male group was used to create 2 subgroups. For female patients, GLL based on a Beighton score ≥4 was used to divide the group. Intraoperative findings were compared for both subanalyses. Results: A total of 2701 hips met all inclusion and exclusion criteria. Of those, 994 hips were in the male group and 1707 in the female group. The mean ± SD age was 36.6 ± 13.8 and 37.1 ± 15.0 years for the male and female groups, respectively( P = .6288). The average body mass index was significantly higher in the male group ( P < .0001). GLL was more common in women (38.6%) than men (13.6%) ( P < .001). The male group had a higher proportion of acetabular Outerbridge grade 3 (21.8%) and 4 (19.2%) lesions when compared with the female group (9.3% and 6.3%, respectively) ( P < .0001). Men in the subgroup with an alpha angle ≥78° reported higher rates of acetabular Outerbridge grade 4 damage than men with an alpha angle <78° ( P < .001). Mean lateral center-edge angle was lower in the female subgroup with Beighton score ≥4 vs <4 (23.7°± 4.2° vs 31.3°± 5.8°; P < .0001). Conclusion: In this analysis of a large cohort of patients who underwent hip arthroscopy, 2 patterns of hip pathologies were related to sex. On average, male patients had larger alpha angles and increased acetabular chondral damage when compared with their female counterparts. Furthermore, a larger cam-type anatomy was associated with more severe acetabular chondral damage in men. In the female group, the incidence of features of hip instability such as GLL were significantly higher than in the male group.

Dynamic Assessment With Bilinguals: A Focus on Increasing Clinicians' Confidence

2015 ◽  
Vol 22 (3) ◽  
pp. 112-121 ◽  
Author(s):  
Brenda K. Gorman
Keyword(s):  
Standardized Tests ◽  
Dynamic Assessment ◽  
English Speakers ◽  
Bilingual Children ◽  
Assessment Practices ◽  
Speech Language Pathologists ◽  
Idea 2004 ◽  
Disabilities Education Act ◽  
Effective Dynamic ◽  
Education Act

Speech-language pathologists (SLPs) are obligated to judiciously select and administer appropriate assessments without inherent cultural or linguistic bias (Individuals with Disabilities Education Act [IDEA], 2004). Nevertheless, clinicians continue to struggle with appropriate assessment practices for bilingual children, and diagnostic decisions are too often based on standardized tests that were normed predominately on monolingual English speakers (Caesar & Kohler, 2007). Dynamic assessment is intended to be a valid and unbiased approach for ascertaining what a child knows and can do, yet many speech-language pathologists (SLPs) struggle in knowing what and how to assess within this paradigm. Therefore, the aim of this paper is to present a clinical scenario and summarize extant research on effective dynamic language assessment practices, with a focus on specific language tasks and procedures, in order to foster SLPs' confidence in their use of dynamic assessment with bilingual children.

Techniques for Determining the Parameters of a Two-Dimensional Tire Model for the Study of Ride Comfort

1997 ◽  
Vol 25 (3) ◽  
pp. 187-213 ◽  
Author(s):  
F. Mancosu ◽  
G. Matrascia ◽  
F. Cheli
Keyword(s):  
Physical Properties ◽  
Ride Comfort ◽  
Dynamic Test ◽  
Longitudinal Direction ◽  
Tire Model ◽  
Rigid Ring ◽  
Ring Model ◽  
Mass Moment ◽  
A New Technique ◽  
And Performance

Abstract A rigid ring model of the tire for the study of in-plane dynamics and a new technique for determining the parameters of the model are presented in this paper. This model can be used for studying the comfort of vehicles, problems of driving, and braking problems in the longitudinal direction. Comparison with finite element models shows that the rigid ring model of the tire is capable of describing the in-plane eigenmode shapes in the frequency range of 0–130 Hz. The well-known “brush model,” integrated into the tire model, is introduced to take into account the slide phenomena in the contact patch. The parameters of the model can be correlated with the physical properties of the tire so that designers can take advantage of such a correlation in the development of new tires in terms of time, cost, and performance. The technique used to determine the parameters of the model for some automobile tires include the direct measurements of some physical properties (mass, moment of inertia, stiffness) and a method of identification applied on the results from a dynamic test. The model is able to predict experimental data in terms of natural frequencies and relative dampings. Results from the application of this technique on two tires are reported.

Load Testing to Collapse Limit State of Barr Creek Bridge

2000 ◽  
Vol 1696 (1) ◽  
pp. 92-102 ◽  
Author(s):  
Nicholas Haritos ◽  
Anil Hira ◽  
Priyan Mendis ◽  
Rob Heywood ◽  
Armando Giufre
Keyword(s):  
Finite Element ◽  
Failure Modes ◽  
Flexural Rigidity ◽  
Load Capacity ◽  
Limit State ◽  
Dynamic Test ◽  
Service Condition ◽  
Flat Slab ◽  
Testing Program ◽  
Static Testing

VicRoads, the road authority for the state of Victoria, Australia, has been undertaking extensive research into the load capacity and performance of cast-in-place reinforced concrete flat slab bridges. One of the key objectives of this research is the development of analytical tools that can be used to better determine the performance of these bridges under loadings to the elastic limit and subsequently to failure. The 59-year-old Barr Creek Bridge, a flat slab bridge of four short continuous spans over column piers, was made available to VicRoads in aid of this research. The static testing program executed on this bridge was therefore aimed at providing a comprehensive set of measurements of its response to serviceability level loadings and beyond. This test program was preceded by the performance of a dynamic test (a simplified experimental modal analysis using vehicular excitation) to establish basic structural properties of the bridge (effective flexural rigidity, EI) and the influence of the abutment supports from identification of its dynamic modal characteristics. The dynamic test results enabled a reliably tuned finite element model of the bridge in its in-service condition to be produced for use in conjunction with the static testing program. The results of the static testing program compared well with finite element modeling predictions in both the elastic range (serviceability loadings) and the nonlinear range (load levels taken to incipient collapse). Observed collapse failure modes and corresponding collapse load levels were also found to be predicted well using yield line theory.

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