scholarly journals The spectrum of septic hip arthritis in neonates, a study of 12 children

2021 ◽  
Vol 7 (4) ◽  
pp. 188-190
Author(s):  
Dr. Rohan Parwani
Keyword(s):  
Hip Arthritis

The association between femoral neck shaft angle and degenerative disease of the hip in a cadaveric model

2021 ◽  
pp. 112070002110130
Author(s):  
Leigh-Anne Tu ◽  
Douglas S Weinberg ◽  
Raymond W Liu
Keyword(s):  
Femoral Head ◽  
Femoral Neck ◽  
Hip Osteoarthritis ◽  
Volume Ratio ◽  
Femoral Head Coverage ◽  
Neck Shaft Angle ◽  
Hip Arthritis ◽  
Femoral Version ◽  
Shaft Angle ◽  
The Impact

Background: While the influences of acetabular dysplasia and overcoverage on hip arthritis have been studied, the impact of femoral neck-shaft angle on hip arthritis is much more poorly understood. The purpose of this study is to determine if a relationship exists between neck shaft angle and the development of osteoarthritis, a better understanding of which would be useful to surgeons planning osteotomies about the hip. Methods: 533 cadaveric femora and acetabulae (1066 total) from the Hamann-Todd Osteological Collection (Cleveland, OH) were acquired. We measured true neck shaft angle using an AP photograph with the femoral neck parallel to the table. Femoral head volume to acetabular volume ratio, representing femoral head coverage, as well as femoral version were utilised. Correlation between neck shaft angle, femoral version, femoral head coverage and osteoarthritis were evaluated with multiple regression analysis. Results: The mean age and standard deviation was 56 ± 10 years. There were 64 females (12%) and 469 males. There were 380 Caucasians (71%) and 153 African-Americans. Mean femoral version was 11° ± 12° and mean true neck shaft angle was 127.7° ± 5.9° There was a strong correlation between age and arthritis (standardised beta 0.488, p < 0.001). There was a significant correlation between increasing true neck shaft angle and decreasing hip arthritis (standardised beta -0.024, p = 0.038). In the femoral head overcoverage subset, increasing true neck shaft angle was still significantly associated with decreasing hip arthritis (standardised beta −0.088, p = 0.018), although this relationship was not significant with femoral head undercoverage subset. Conclusions: With sufficient acetabular coverage, a relative increase in femoral neck shaft angle within the physiologic range is associated with decreased hip osteoarthritis. Clinical relevance: An understanding of the relationship between femoral neck shaft angle and hip osteoarthritis could be useful for surgeons planning pelvic or proximal femur osteotomies in children.

scholarly journals Reactive scoliosis: a challenging phenomenon in adolescent patients with hip arthritis

2017 ◽  
Vol 3 (3) ◽  
pp. 160-163
Author(s):  
Madhav Chowdhry ◽  
Laura Matsen Ko ◽  
Corinna Franklin ◽  
Javad Parvizi
Keyword(s):  
Hip Arthritis ◽  
Adolescent Patients

Primary hypertrophic osteoarthropathy with bilateral destructive hip arthritis

2006 ◽  
Vol 73 (4) ◽  
pp. 477-479 ◽  
Author(s):  
Mohamed Younes ◽  
Mongi Touzi ◽  
Ismail Béjia ◽  
Saoussen Zrour-Hassen ◽  
Najeh Amara ◽  
...  
Keyword(s):  
Hypertrophic Osteoarthropathy ◽  
Primary Hypertrophic Osteoarthropathy ◽  
Hip Arthritis

scholarly journals Infliximab therapy in a patient with familial Mediterranean fever and chronic hip arthritis

2005 ◽  
Vol 53 (1) ◽  
pp. 146-147 ◽  
Author(s):  
Serdar Daysal ◽  
Gulhan Akcil ◽  
Berna Goker ◽  
Seminur Haznedaroglu ◽  
Nil Ercan ◽  
...  
Keyword(s):  
Familial Mediterranean Fever ◽  
Infliximab Therapy ◽  
Hip Arthritis ◽  
Mediterranean Fever

Femoral and Acetabular Photopenia Associated with Septic Hip Arthritis

1991 ◽  
Vol 16 (1) ◽  
pp. 52 ◽  
Author(s):  
BRIAN R. J. WILLIAMSON ◽  
CHRISTOPHER L. SISTROM
Keyword(s):  
Hip Arthritis

Catastrophic brucella hip arthritis

Rheumatology ◽  
2018 ◽  
Vol 58 (3) ◽  
pp. 417-417
Author(s):  
Dimitrios Daoussis ◽  
Fotini Angelopoulou ◽  
Pantelis Kraniotis
Keyword(s):  
Hip Arthritis

scholarly journals AB0894 A comparison of clinical features in patients with spondyloarthritis and unilateral or bilateral hip arthritis

2018 ◽  
Author(s):  
W. Hamdi ◽  
S. Zrida ◽  
H. Riahi ◽  
K. Maatallah ◽  
D. Kaffel ◽  
...  
Keyword(s):  
Clinical Features ◽  
Hip Arthritis

scholarly journals The clinical and MRI effect of TNF-α inhibitor in spondyloarthritis patients with hip involvement: a real-world prospective clinical study

2021 ◽  
Author(s):  
Kui Zhang ◽  
Yan Zheng ◽  
Qing Han ◽  
Ying Liu ◽  
Weitao Wang ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Group Versus ◽  
Quantitative Mri ◽  
Control Group ◽  
Prospective Clinical Study ◽  
Clinical Trial Registry ◽  
Hip Arthritis ◽  
Tnf Α ◽  
Long Term Follow Up ◽  
Basic Treatment

Abstract Background: Hip involvement is an important cause of disability and poor prognostic in patients with spondyloarthritis (SpA). TNF-α inhibitor treatment had been demonstrated to be effective in SpA patients with hip arthritis, however, quantitative assessment with magnetic resonance imaging (MRI) in the long-term follow-up still needs further application.Methods: A total of 239 patients were involved in this study, MTX and SSZ were given as basic treatment. 165 patients received TNF-α inhibitor plus basic treatment and 74 patients received basic treatment only as control. The clinical symptoms were assessed at baseline, week 12, week 24, and week 52. The MRI performances of hip arthritis including bone marrow edema (BME) and synovitis were quantitatively assessed using Hip MRI Inflammation Scoring System (HIMRISS).Results: The clinical symptoms of ESR, CRP, BASDAI, Harris, and ASDAS-ESR of both groups got significant clinical remission at week 52 (p<0.001). However, the disease activity change levels at week 52 in control group were significantly worse than TNF group. In week 52, MRI performance showed significant remission trend in TNF-α inhibitor group versus baseline of which total HIMRISS scores decreased significantly ( 26.49±10.37 vs 20.59±9.41, p<0.001), but the control group only had slight improvement trend (p<0.05).Conclusions: TNF-α inhibitor could significantly and better improve the clinical and MRI manifestation of hip involvement in SpA patients than controls. Quantitative MRI assessment combined with clinical assessment could accurately evaluate the treatment effect of TNF-α for SpA patients with hip involvement, and help to guide targeted treatment.Trial registration: Chinese Clinical Trial Registry, ChiCTR-ONRC-11001846, Registered 28 November 2011. Retrospectively registered http://www.chictr.org.cn/showproj.aspx?proj=7701

scholarly journals Spondyloarthritis in a Pediatric Population: Risk Factors for Sacroiliitis

2010 ◽  
Vol 37 (11) ◽  
pp. 2402-2408 ◽  
Author(s):  
MATTHEW L. STOLL ◽  
RAFIA BHORE ◽  
MOLLY DEMPSEY-ROBERTSON ◽  
MARILYNN PUNARO
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Physical Examination ◽  
Logistic Regression Analysis ◽  
Pediatric Population ◽  
Hip Arthritis ◽  
Magnetic Resonance Imaging Mri ◽  
Juvenile Spondyloarthritis ◽  
Texas Scottish Rite Hospital

Objective.Pediatric rheumatologists may have an opportunity to diagnose sacroiliitis in its early stages, prior to the development of irreversible radiographic changes. Early diagnosis frequently requires magnetic resonance imaging (MRI), the use of which is limited by expense and requirement for sedation. We set out to identify features of juvenile spondyloarthritis (SpA) associated with the highest risk of sacroiliitis, to identify patients who may be candidates for routine MRI-based screening.Methods.We reviewed the charts of 143 children seen at Texas Scottish Rite Hospital for Children diagnosed with SpA based on the International League of Associations for Rheumatology criteria for enthesitis-related arthritis or the Amor criteria for SpA. We performed logistic regression analysis to identify risk factors for sacroiliitis.Results.A group of 143 children were diagnosed with SpA. Consistent with the diagnosis of SpA, 16% had psoriasis, 43% had enthesitis, 9.8% had acute anterior uveitis, and 70% were HLA-B27+. Fifty-three children had sacroiliitis, of which 11 cases were identified by imaging studies in the absence of suggestive symptoms or physical examination findings. Logistic regression analysis revealed that hip arthritis was a positive predictor of sacroiliitis, while dactylitis was a negative predictor.Conclusion.Children with SpA are at risk for sacroiliitis, which may be present in the absence of suggestive symptoms or physical examination findings. The major risk factor for sacroiliitis is hip arthritis, while dactylitis may be protective. Routine screening by MRI should be considered in patients at high risk of developing sacroiliitis.

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