scholarly journals Effect of Kampo Medicine on Pain and Range of Motion of Osteoarthritis of the Hip Accompanied by Acetabular Dysplasia: Case Report and Literature Review

2011 ◽  
Vol 6 ◽  
pp. IMI.S7884 ◽  
Author(s):  
Toshiaki Kogure ◽  
Takeshi Tatsumi ◽  
Tetsuya Shigeta ◽  
Hiroshi Fujinaga ◽  
Takahisa Sato ◽  
...  
Keyword(s):  
Hip Joint ◽  
Acetabular Dysplasia ◽  
Early Stage ◽  
Evaluation Criteria ◽  
Kampo Medicine ◽  
Harris Hip Score ◽  
Osteoarthritis Of The Hip ◽  
Activity Of Daily Life ◽  
One Year ◽  
End Stage

We report a 52-year-old female with end-stage osteoarthritis of the hip accompanied by acetabular dysplasia in whom quality of life (QOL) was improved by Kampo treatment. When she was 42 years old, she developed pain in the left hip joint, and early-stage OA of the hip was diagnosed by hip joint x-ray. Therefore, she took NSAIDs, and received conservative therapies such as diet and muscle training. However, pain in the hip joint increased and her activity of daily life (ADL) decreased at the age of 50, although she continued to receive the conservative therapies. At the age of 52, she consulted our department requesting Japanese Oriental (Kampo) Medicine. Kampo formulae; Keishikaryojutsubuto (12Tab/day: Kuracie Co. Ltd. Japan), and Boiougito (7.5 g/day: Kuracie Co. Ltd. Japan), were administered. Treatment for 3 months resulted in a decrease in the left hip joint pain using visual analogue scale (VAS) and improvement of her ADL. One year later, her joint symptoms have not increased, and both the Harris hip score and the clinical evaluation criteria of osteoarthritis of the hip have improved. The course of this disease varies depending on the lifestyle of the patient, and Kampo formulations may offer safe, potent supplemental treatment.

scholarly journals Rotational acetabular osteotomy for advanced osteoarthritis of the hip joint with acetabular dysplasia

2008 ◽  
Vol 33 (6) ◽  
pp. 1549-1553 ◽  
Author(s):  
Masahiko Nozawa ◽  
Katsuhiko Maezawa ◽  
Keiji Matsuda ◽  
Sungon Kim ◽  
Katsuo Shitoto ◽  
...  
Keyword(s):  
Hip Joint ◽  
Acetabular Dysplasia ◽  
Rotational Acetabular Osteotomy ◽  
Osteoarthritis Of The Hip

scholarly journals Hip Arthroscopy in the Presence of Acetabular Dysplasia

2015 ◽  
Vol 9 (1) ◽  
pp. 185-187 ◽  
Author(s):  
Narlaka Jayasekera ◽  
Alessandro Aprato ◽  
Richard N Villar
Keyword(s):  
Hip Arthroscopy ◽  
Acetabular Dysplasia ◽  
Developmental Dysplasia ◽  
Harris Hip Score ◽  
Control Group ◽  
Pelvic Radiograph ◽  
Cam Impingement ◽  
One Year ◽  
Modified Harris Hip Score ◽  
Painful Hip

Purpose : Hip arthroscopy is a well established therapeutic intervention for an increasing number of painful hip conditions. Developmental dysplasia of the hip (DDH) is commonly associated with intra-articular hip pathology. However, some surgeons perceive patients with hip dysplasia as poor candidates for hip arthroscopy. Our aim was to describe early outcomes of arthroscopic treatment for patients with DDH, who also had femoroacetabular impingement (FAI) treated when necessary, and to compare these outcomes against a control group of patients without DDH. Methods : Prospective case-control study of 68 consecutive hip arthroscopy patients assessed with a modified Harris Hip Score (mHHS) preoperatively and at six weeks, six months, and one year after surgery. Presence of DDH was determined using a standard anteroposterior (AP) pelvic radiograph to measure the centre-edge angle (CEA) of Wiberg, with a CEA < 20º used as threshold for diagnosis of DDH. Results : 12 patients (eight female and four male) with acetabular dysplasia and mean CEA of 15.4º (9º to 19º). The control, nondysplastic group comprised 54 patients (23 females and 31 males) with a mean CEA of 33.1º (22º to 45º). All patients in the dysplastic group had a labral tear and 11 (91.7%) had associated femoral cam impingement lesion addressed at arthroscopy. Our study demonstrates a significant (p=0.02) improvement in outcome in the dysplastic group at one year using the mHHS. Conclusion : Hip arthroscopy in the presence of DDH is effective in relieving pain for at least one year after surgery although does not address underlying acetabular abnormality.

scholarly journals Total Hip Arthroplasty for Femoral Neck Fracture after Postoperative Intertrochanteric Fracture in a Patient with Spontaneous Fused Hip

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Saori Niitsu ◽  
Shohei Okahisa ◽  
Yuki Fujihara ◽  
Yu Takeda ◽  
Shigeo Fukunishi
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Intertrochanteric Fracture ◽  
Harris Hip Score ◽  
Neck Fracture ◽  
Femoral Intertrochanteric Fracture ◽  
One Year ◽  
The One ◽  
End Stage ◽  
Modified Harris Hip Score

A 64-year-old woman with a spontaneous fused hip sustained a left femoral neck fracture. It was revealed that her left hip joint had a long-standing spontaneous hip fusion due to end-stage osteoarthritis. Additionally, she sustained an ipsilateral femoral intertrochanteric fracture and underwent osteosynthesis using a dynamic hip screw 8 years ago. The one-stage THA was successfully treated with no major complications and good functional recovery was obtained. The hip range of motion improved remarkably at one year after surgery. The Modified Harris Hip Score improved from an estimated 70 points before fracture to 95 points at final follow-up.

scholarly journals Familial Osteoarthritis of the Hip Joint Associated with Acetabular Dysplasia Maps to Chromosome 13q

2006 ◽  
Vol 79 (1) ◽  
pp. 163-168 ◽  
Author(s):  
Akihiko Mabuchi ◽  
Shigeru Nakamura ◽  
Yoshio Takatori ◽  
Shiro Ikegawa
Keyword(s):  
Hip Joint ◽  
Acetabular Dysplasia ◽  
Osteoarthritis Of The Hip ◽  
Chromosome 13Q

scholarly journals Osteoarthritis of the hip joint and acetabular dysplasia in women.

1995 ◽  
Vol 54 (3) ◽  
pp. 179-181 ◽  
Author(s):  
R W Smith ◽  
P Egger ◽  
D Coggon ◽  
M I Cawley ◽  
C Cooper
Keyword(s):  
Hip Joint ◽  
Acetabular Dysplasia ◽  
Osteoarthritis Of The Hip

scholarly journals Early Stages Non-Traumatic Avascular Necrosis of Femoral Head Treated by Core Decompression With and Without Platelets Rich Plasma Injection: A Comparative Study

2021 ◽  
Author(s):  
Ghadeer H. Majeed ◽  
Mohammed Sh Al-Edanni ◽  
Luay Jasim Abbood ◽  
Sadik A Al-Mukhtar
Keyword(s):  
Comparative Study ◽  
Avascular Necrosis ◽  
Hip Joint ◽  
Early Stage ◽  
Platelet Rich Plasma ◽  
Core Decompression ◽  
Harris Hip Score ◽  
Group A ◽  
Group B

Core decompression is one of the commonest used techniques in the handling of osteonecrosis of the pre-collapsed head of the femur. Core decompression had succeeded in preserving the hip joint and delaying the requisite for total hip replacement, but it had failed in the induction of osteogenesis in the necrotic area, thus augmenting core decompression with biological agents to induce osteogenic activity. To assess the effects of platelet-rich plasma in non-traumatic avascular necrosis of the hip joint (early stage) after core decompression. Interventional comparative study for twenty-four patients (32 hip joints) with AVN of the head of the femur was involved in this prospective study, and they were separated into two groups of 16 hips, group (A) treated by core decompression and PRP injection and group (B) treated by core decompression alone. There was a significant statistical difference in Harris Hip Score and Visual Analogue of the two groups at six months follow up (P<0.05), but this difference was insignificant statistically at 12 months follow up. The radiological success was better in the group (A) as compared to group (B) (13 of 16 versus 10 of 16 hips). The addition of PRP to core decompression for pre-distorted stages of the head of the femur had resulted in improved pain alleviation and functional results and had slowed the disease progression in the one year of follow up.

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