The hip joint, neck of femur and sciatic nerve

2006 ◽  
pp. 325-329
Keyword(s):  
Sciatic Nerve ◽  
Hip Joint ◽  
Neck Of Femur

Intraneural ganglia in the hip and pelvic region

2009 ◽  
Vol 111 (2) ◽  
pp. 317-325 ◽  
Author(s):  
Robert J. Spinner ◽  
Marie-Noëlle Hébert-Blouin ◽  
Robert T. Trousdale ◽  
Rajiv Midha ◽  
Stephen M. Russell ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Mr Imaging ◽  
Hip Joint ◽  
Lumbosacral Plexus ◽  
Mr Images ◽  
Mechanism Of Formation ◽  
Intraneural Ganglion ◽  
Rare Site ◽  
Joint Connection ◽  
Insight Into

Object The authors describe their experience in a series of cases of intraneural ganglia within the hip and pelvic regions, and explain the mechanism of formation and propagation of this pathological entity. Methods Five patients with 6 intraneural ganglia are presented. Four patients presented with symptomatic intraneural ganglia in the buttock and pelvis affecting the sciatic and lumbosacral plexus elements. An asymptomatic cyst affecting the opposite sciatic nerve was found on MR imaging in 1 patient. The fifth patient, previously reported on by another group, had an obturator intraneural ganglion that the authors reinterpreted. Results All 5 intraneural ganglia affecting the sciatic and lumbosacral plexus elements were found to have a joint connection to the posteromedial aspect of the hip joint; the obturator intraneural cyst had a joint connection to the anteromedial aspect of the hip joint. In all cases, initial review of the MR images led to their misinterpretation. Conclusions To the authors' knowledge, these are the first cases of intraneural ganglia demonstrated to have a connection to the hip joint. This finding at a rare site provides further evidence for the unifying articular (synovial) theory for the formation of intraneural ganglia and reveals a shared mechanism for their propagation. Furthermore, understanding the pathogenesis of these lesions provides insight into their successful treatment and their recurrence.

scholarly journals Caudal approach and Mini TightRope system (mTR) application for the treatment of craniodorsal hip luxation in a cat: a case report

2013 ◽  
Vol 58 (No. 9) ◽  
pp. 500-504
Author(s):  
R. Tamburro ◽  
F. Carli ◽  
F. Cinti ◽  
A. Puggioni ◽  
A. Venturini
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Hip Joint ◽  
Radiographic Outcome ◽  
One Year ◽  
Caudal Approach ◽  
Hip Luxation

The aim of this study was to evaluate the clinical and radiographic outcome of traumatic craniodorsal hip luxation in a cat, treated with the application of a Mini TightRope (mTR) implant. A caudal approach was carried out in order to expose the hip joint and the sciatic nerve preserving the muscle masses. Clinical follow-up and radiographic recheck were performed at 10 days, one, three, six and 12 months after surgery. Orthopaedic examination was normal 1 month after surgery while the revisit radiographs showed only mild to moderate signs of osteoarthritis (OA) one year later.    

Comparison of myofascial release af ter passive muscle stretching and neural mobilization on ROM of the hip.

2014 ◽  
Vol 12 ◽  
pp. 182
Author(s):  
Alan Campelo Mendes ◽  
Maria Moreira Muniz ◽  
Rayany Gysely Miranda Da Silva ◽  
Rauena Souto Diogo Lopes ◽  
Fabiana Teixeira De Carvalho
Keyword(s):  
Sciatic Nerve ◽  
Hip Joint ◽  
Scientific Evidence ◽  
The Other ◽  
Wilcoxon Test ◽  
Control Group ◽  
Statistical Software ◽  
Myofascial Release ◽  
Muscle Stretching ◽  
Passive Muscle

Introduction: The hip joint is one that has more stability, but on the other hand has less mobility with respect to the shoulder joint, due to its greater amount of muscle tissue and ligaments. This large amount of muscles can undergo changes that hinder the amplitude motion, and shortening a key, with the posterior region of the thigh among the hardest hit targets. The neural mobilization and stretching myofascial release have benefits against this change. Objective: Compare effects of myofascial release is followed by a passive muscle stretching relation to neural mobilization on range of motion of the hip. Method: The study consisted of a quantitative, prospective research, intervention, descriptive and analytical sample composed of 57 participants divided into three groups of 19 people who remained as follows: group G1 neural mobilization, intervention applied to the sciatic nerve which innervates the muscles concerned, G2 myofascial release followed by stretching passive muscle in the posterior thigh and the control group G3 which served Just for comparison and without any intervention. Participants were evaluated before the application of technical and after three days of intervention. The angulation was performed by a software program known for CorelDRAW X5. Results: There were statistically analyzed using the statistical software "R" and “SPSS ", and the Wilcoxon test. The G1 presented a average of 8.37 ° (p = 0.0004194), the 7.53 ° (P = 0.000003815) G2 and G3 5 (p = 0.003918). Conclusion: The techniques were statistically significant for obtaining improved ADM (p <0.05), with neural mobilization acquiring greater gain. Suggest studies with new protocols to new scientific evidence.

scholarly journals Nerve Palsy after Total Hip Arthroplasty without Subtrochanteric Femoral Shortening Osteotomy for a Completely Dislocated Hip Joint

2016 ◽  
Vol 10 (1) ◽  
pp. 785-792 ◽  
Author(s):  
Motoki Sonohata ◽  
Masaru Kitajima ◽  
Shunsuke Kawano ◽  
Masaaki Mawatari
Keyword(s):  
Sciatic Nerve ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Nerve Palsy ◽  
Limb Lengthening ◽  
Sciatic Nerve Palsy ◽  
Total Hip ◽  
Shortening Osteotomy ◽  
Femoral Shortening

Background: Neurological injuries are a rare but devastating complication after total hip arthroplasty (THA). The purpose of this study was to retrospectively determine the frequency of nerve palsy after THA without subtrochanteric femoral shortening osteotomy in patients with a completely dislocated hip joint without pseudo-articulation between the femoral head and iliac bone. Methods: Between October 1999 and September 2001, nine primary THAs were performed for patients with a completely dislocated hip joint. The limb lengths, neurological abnormalities, and the extent of their neurological recovery were evaluated. Three THAs were combined with subtrochanteric femoral shortening osteotomy, and six THAs were combined without subtrochanteric femoral shortening osteotomy. Results: The mean length of the operation was 4.8 cm (range, 3.0-6.5 cm). Sciatic nerve palsy developed in four of the nine patients after THA. None of the cases with sciatic nerve palsy were combined with subtrochanteric femoral shortening osteotomy. Three of four patients did not completely recover from sciatic nerve palsy. Conclusions: THA for patients with a completely dislocated hip was associated with a high risk of nerve palsy due to excessive limb lengthening; the potential for recovery from nerve palsy was observed to be poor. Subtrochanteric femoral shortening osteotomy should be used in combination with THA in patients with a completely dislocated hip.

scholarly journals The deep gluteal (piriformis) syndrome

2021 ◽  
Author(s):  
JMS Pearce
Keyword(s):  
Differential Diagnosis ◽  
Sciatic Nerve ◽  
Hip Joint ◽  
Normal Subjects ◽  
Nerve Entrapment ◽  
Piriformis Syndrome ◽  
Short External Rotator ◽  
Important Differential Diagnosis ◽  
Deep Gluteal Syndrome ◽  
External Rotator

Piriformisa syndrome is a subgroup of the deep gluteal syndrome, an important differential diagnosis of sciatica. Piriformis is a short external rotator muscle of the hip joint passing close to the sciatic nerve as it passes through the great sciatic foramen. Compression causes numbness, ache or tingling in the buttocks, posterolateral aspect of the leg and foot. The causes of sciatic nerve entrapment in the deep gluteal syndrome are best shown by endoscopic exploration. The frequency of anatomical variants in normal subjects however, should caution that such anomalies are not necessarily the cause of symptoms.

scholarly journals Long-standing case of osteochondromatosis of the hip treated with uncemented modular bipolar hemiarthroplasty: A case report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Eknath D Pawar ◽  
Devanshu Gupta ◽  
Arohi Sharma ◽  
Shashibushan S Varekar ◽  
Habung Chobing
Keyword(s):  
Case Report ◽  
Hip Joint ◽  
Joint Space ◽  
Synovial Chondromatosis ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Secondary Osteoarthritis ◽  
Complex Anatomy ◽  
Flexion Extension ◽  
History Of

Introduction: Synovial chondromatosis is a rare synovial disorder characterized by the presence of benign loose bodies in the joint space. The affliction of the hip joint is rare. This entity usually goes undiagnosed as it is largely asymptomatic till complications such as secondary osteoarthritis secondary to degenerative changes, subluxation of hip, and fracture neck of femur ensue. Case Report: A 46-year-old farmer presented with a 9-year long history of the left hip pain with restriction in flexion, extension, and internal rotation. He was diagnosed with synovial chondromatosis and had a history of undergoing arthroscopic debridement following which he was asymptomatic but relapsed after 6 months. We performed excision with uncemented modular bipolar hemiarthroplasty after confirming the diagnosis on plain radiographs and computed tomography. Significant recovery in the range of motion was noted postoperatively and the patient showed no signs of relapse in the follow-up period of 18 months. Conclusion: Treatment of synovial chondromatosis of the hip joint poses a challenge due to its complex anatomy. Keywords: Synovial chondromatosis, arthroplasty, hip joint

scholarly journals Abnormal ossified structures around the hip joint and its clinical implications

2017 ◽  
Vol 5 (12) ◽  
pp. 5391
Author(s):  
Kosuri Kalyan Chakravarthi ◽  
Siddaraju K. S. ◽  
Nelluri Venumadhav ◽  
Sangeeta Atamaram Bali
Keyword(s):  
Hip Joint ◽  
Weight Bearing ◽  
Calcific Tendinitis ◽  
Clinical Implications ◽  
Acetabular Labrum ◽  
Greater Trochanter ◽  
Neck Of Femur ◽  
Posterior Aspect ◽  
Medical College ◽  
Human Femur

Background: The hip joint is the body’s second largest weight-bearing joint forms a connection from the lower limb to the pelvic girdle. It is formed by an articulation between the pelvic acetabulum and the head of the femur. Ankylosis or fusion of the joint, ossification of the adjacent ligaments and calcific tendinitis of adjacent muscles can decrease the mobility of the joint. The study was undertaken to evaluate the incidence of abnormal ossified structures around the hip joint.Methods: This study was carried out on 228 dry human hip bones (right- 114 and left-114) and 228 dry human femur bones (right- 114 and left-114) irrespective of age and sex at Varun Arjun medical college-Banthra, UP, KMCT Medical College, Manassery-Calicut and Melaka Manipal Medical College-Manipal. All the hip and femur bones were macroscopically inspected for the abnormal ossified structures around the pelvic acetabulum and upper end of the femur. Photographs of the abnormal ossified structures were taken for proper documentation.Results: Very rare and unusual unilateral ossified and complete fused left hip joint was noted (0.43%). Unilateral ossified acetabular labrum with ossified transverse acetabular ligament was noted in seven right hip bones (3.07%). Unusual ossified fibrous capsule on the posterior aspect of neck of femur was noted in 4 left sided femur bones (1.75%). Unusual unilateral ossified deposits near the greater trochanter and intertrochanteric line of femur was noted in nine left sided femur bones (3.94%).Conclusions: Anatomical knowledge of ankylosis of hip joint, ossification of the ligaments and muscles tendons around the hip joint as found in the present study made this study unique such abnormal ossifications may be helpful for clinicians, radiologists and surgeons for differential diagnosis and can be implicated in the development of innovative treatments of hip joint and hip pains.

Ultrastructural changes in sciatic nerve tissue: Effects of passive maternal smoking

1983 ◽  
Vol 41 ◽  
pp. 650-651
Author(s):  
Amankwah K.S. ◽  
A.D. Weberg ◽  
R.C. Kaufmann
Keyword(s):  
Sciatic Nerve ◽  
Maternal Smoking ◽  
Ultrastructural Level ◽  
Uranyl Acetate ◽  
Nerve Tissue ◽  
Ultrastructural Changes ◽  
Cacodylate Buffer ◽  
And Control ◽  
Spontaneous Delivery

Previous research has revealed that passive (involuntary inhalation) tobacco smoking during gestation can have adverse effects upon the developing fetus. These prior investigations did not concentrate on changes in fetal morphology. This study was undertaken to delineate fetal neural abnormalities at the ultrastructural level in mice pups exposed in utero to passive maternal smoking.Pregnant study animals, housed in a special chamber, were subjected to cigarette smoke daily from conception until delivery. Blood tests for determination of carbon monoxide levels were run at 15-18 days gestation. Sciatic nerve tissue from experimental and control animals were obtained following spontaneous delivery and fixed in 2.5% gluteraldehyde in 0.1M cacodylate buffer pH 7.3. The samples were post-fixed in osmium ferrocyanide (1:1 mixture of 1.5% aqueous OSO4 and 2.5% K4 Fe(CN)6). Following dehydration, the tissues were infiltrated with and embedded in Spurr. Sections were stained with uranyl acetate and lead citrate.

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