thigh pain
Recently Published Documents


TOTAL DOCUMENTS

283
(FIVE YEARS 64)

H-INDEX

17
(FIVE YEARS 1)

2021 ◽  
Vol 9 (34) ◽  
pp. 10728-10732
Author(s):  
Jun Young Kim ◽  
Min Cheol Chang

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Andre Plair ◽  
Whitney Smith ◽  
Katherine Hines ◽  
Jeffrey Schachar ◽  
Candace Parker-Autry ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Carlos Hernández-Pascual ◽  
José Ángel Santos-Sánchez ◽  
Juan Manuel García-González ◽  
Carlos Fernando Silva-Viamonte ◽  
Carmen Pablos-Hernández ◽  
...  

Abstract Background Few publications have assessed long-term results of distal locking of short endomedullary nails for extracapsular hip fracture. Virtually all of them focus on immediate differences. Criteria for the use of static or dynamic locking are unclear in most nailing systems, and use is advised in unstable fracture patterns or with risk of bell-clapper effect, but often influenced by the “orthopaedic school”. Materials and methods This is a historical cohort study on patients diagnosed and operated in 2014 and followed up until endpoint, considered as consolidation or major complication, plus evaluation of overall long-term survival. They were categorised as static distal locking (ST) or dynamic distal locking (DN). Both are comparable, except for all stable pre-operative classifications, Fracture Mobility Score (FMS) at discharge, and immediate post-operative loading, all of which were in favour of DN. Results Consolidation took place in > 95% of patients, with a non-statistically significant delay trend in ST. Less than 6% in both ST and DN had major complications, with no differences. Most cases suffered early cut-out. Significant fracture collapse was the most frequent minor complication. There were more statistically significant minor and total complications in ST. Infection, without differences, can precede cut-out. Lateral thigh pain was similar and could be related to back-out. In DN, 21.1% of cases were truly dynamised. We did not find differences in mobility or in long-term survival. Conclusions Any type of distal locking seems to be safe for consolidation, despite a slightly longer consolidation time in static locking. Early cut-out was the main complication, while others were very infrequent, which is an advantage over helical blade devices. There was a higher rate of minor and overall mechanical complications in ST, but infection and lateral thigh pain were similar. Most non-traumatic mechanical complications occurred around 5–6 weeks. About one in five of the DN truly dynamised, with all cases occurring before 8 weeks. Mobility until endpoint and overall long-term survival were not influenced by the locking mode used. Level of evidence Therapeutic study, level 2b.


2021 ◽  
Author(s):  
Taro Kasai ◽  
Marina Tsuji ◽  
Ryutaro Takeda ◽  
Song Ho Chang ◽  
Emi Anzai ◽  
...  

ABSTRACT Objectives The purpose of this study was to clarify the effect of gait protocols and postoperative shoes on forefoot load in preoperative patients for forefoot disorders and compare footwear comfort between different types of postoperative shoes. Methods Fourteen subjects scheduled to undergo forefoot surgeries were recruited. The maximum force under the forefoot region was measured during 10 m straight walking in two gait patterns with six different shoe types. Visual analogue scale (VAS) scores for footwear comfort, subjective lower thigh pain, and electrical activities of lower thigh muscles were also evaluated. Results The body weight-normalized maximum force under the forefoot region significantly decreased in step-to gait compared to normal gait regardless of the shoe types used. Under the same gait condition, no significant difference was observed in the forefoot off-loading effect between the different shoe types used. Significantly worse VAS scores, significantly higher tibialis anterior muscle activities, and complaints of lower thigh pain were demonstrated in the gait with the reverse camber shoe. Conclusions Gait protocol of step-to gait had more forefoot off-loading effect than postoperative shoes. The forefoot off-loading effect did not differ among the postoperative shoes, suggesting that postoperative shoes can be selected with an emphasis on footwear comfort.


Cureus ◽  
2021 ◽  
Author(s):  
Hritik Nautiyal ◽  
Abdullah Egiz ◽  
Sarvin Farajzadeh ◽  
Abdurrahman H Fazail ◽  
Sanjana Nautiyal

2021 ◽  
Author(s):  
Yang Zhang ◽  
Qiang Wang ◽  
Qi Cheng ◽  
Dasai Wang ◽  
Jian Cheng ◽  
...  

Abstract Background: The mechanisms of pain after total hip arthroplasty (THA) is not clear, which may be related to its impact on the femoral cortex caused by improper prosthesis placement. This study was to explore the the impact of the femoral stem prosthesis on the femoral cortex after implantation, and its relationship with postoperative thigh pain. Methods: Totally 172 patients who underwent primary THA were retrospectively analyzed, who were divided into the impact (n=25) and non-impact (n=147) groups. Contact or penetration of the femoral stem prosthesis tip with the distal femoral cortex was defined as impingement. Patients were followed up and recorded.Results: In the patients undergoing primary THA, 25 patients (14.5%) had impact, including 7 males and 18 females. Most of the patients in the impact group were women of small stature. In the impact group, the postoperative thigh pain was more obvious, and the Harris Hip score (HHS) was lower, compared with the non-impact group (P < 0.05). The regression analysis showed that height (OR=1.196; 95%CI: 1.059-1.351; P=0.004) and prosthesis implant angle (PIA) (OR=0.208; 95%CI: 0.074-0.584; P=0.003) were important risk factors for distal femoral cortical impingement in patients who underwent THA. Conclusions: Patients with short stature should have adequate preoperative planning for primary THA, to prevent increased risk of postoperative thigh pain due to impinging femoral stem implants.


2021 ◽  
Vol 59 (10) ◽  
Author(s):  
Izabella Picinin Safe ◽  
Vanderson Souza Sampaio ◽  
Márcia Melo Damian ◽  
Vanessa Lima da Silva ◽  
Camille Albuquerque Rodrigues Chirano ◽  
...  
Keyword(s):  

Author(s):  
Sherwan A. Hamawandi ◽  
Hazhar I. Amin ◽  
Ameer K. Al-Humairi

AbstractThe use of tourniquet in total knee arthroplasty (TKA) had a lot of controversies with no clear agreement about the advantages and disadvantages of tourniquet. This study aims to show the effects of tourniquet use in TKA on the functional and clinical outcomes with follow-up of 5 years. This is a randomized, double-blind, and single-center study of 101 patients who were treated by TKA and divided randomly into two groups. Tourniquet was used in group A and was not used in group B. Both groups were assessed by Knee Society score (KSS), knee injury and osteoarthritis outcome score (KOOS), visual analogue scale (VAS) score for thigh pain, and postoperative complications. Both groups were followed up for 5 years. The group of no tourniquet showed significant better functional outcomes measured by KSS at postoperative periods of 2 weeks (p = 0.001), 6 weeks (p = 0.006), and 3 months (p = 0.034), and KOOS at postoperative periods of 2 weeks (p = 0.001), 6 weeks (p =0.001), and 3 months (p = 0.016). However, there was no significant difference in long-term follow-up of 5 years. There were significantly better results with use of tourniquet regarding surgeon's visualization during surgery, less operative time, and less calculated blood loss, while significantly better results with no use of tourniquet were reported regarding less hospital stay, less postoperative analgesic consumption, and less postoperative thigh pain measured by VAS score at postoperative periods of day 1 (p = 0.001), day 5 (p = 0.001), 2 weeks (p = 0.001), and 6 weeks (p = 0.001). Regarding postoperative blood transfusion and clinical deep venous thrombosis, there was no significant difference between use of tourniquet or not. The evidence presented in this level-1 randomized controlled trial suggests that no use of tourniquet in TKA can improve functional outcomes in early postoperative period with no significant difference on functional outcome at 5 years of follow-up.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Aesha Abdullah Aleid ◽  
Hend Abdelmonem Eid Elshnawie ◽  
Ahmed Ammar

Nurses are physically exhausted with an incidence of work-related musculoskeletal disorders (MSDs), especially those working in critical care units that require exhaustive physical efforts to fulfill patients’ needs. The current study aims to assess work activities related to the occurrence of MSDs in nurses working in critical care units. A descriptive cross-sectional study was conducted on a sample of 100 nurses of critical care units, and the data were collected via a survey questionnaire. The study was conducted at King Fahad University Hospital for three months from February to April 2019. The study findings revealed that work activities related to MSD were associated with sociodemographic data, age, and neck pain (rho = 0.063) ( p = 0.03 ) and lower back pain (rho = 0.89) ( p = 0.03 ); education level with hip/thigh pain (rho = 0.64) ( p = 0.03 ); standing time with shoulder pain (rho = 0.66) ( p = 0.04 ), wrist/hand pain (rho = −0.75) ( p = 0.05 ), hip/thigh pain (rho = −0.78) ( p = 0.004 ), and knee pain (rho = −0.77) ( p = 0.005 ). An increased prevalence of MSDs with lower back pain (92%) and upper back pain (56%) was estimated among the nurses, and a negative impact of work-related MSDs on occupational health and daily life activities of the nurses was also observed. The study concluded that the occurrence of MSDs is significantly associated with sociodemographic data: age, BMI experience level, and educational level of nurses of critical care units.


Sign in / Sign up

Export Citation Format

Share Document