• Title/Summary/Keyword: Hip arthroscopy

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Examinations and Diagnoses for Hip Diseases Require Arthroscopic Management (관절경적 접근이 필요한 고관절 질환의 검진과 진단)

  • Rhyu, Kee-Hyung
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.71-78
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    • 2010
  • 관절경적인 접근이 필요한 고관절의 동통을 호소하는 젊은 환자의 감별에서 가장 중요한 것은 동통의 원인이 관절 내인지, 관절외인지를 확인하는 것이다. 이에는 다양한 임상 진찰이 사용되지만, 이 뿐 아니라 단순 방사선 검사, 전산화 단층촬영, 자기공명영상, 초음파, 관절조영술 등의 다양한 조합을 통한 관찰이 중요하다. 그러나 진찰이나 병력 등을 통해 어느정도 의심되는 질환을 생각하지 않고 검사를 진행한다면 아무 결과를 얻을 수 없거나, 검사를 하고서도 병변을 찾아내지 못하는 문제가 발생할 수 있다. 이를 피하기 위해 검사의 선택시 각 검사 방법의 특징과 의심되는 질환의 성격을 잘 이해하는 것이 무엇보다 중요하다.

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Treatment of Hip Microinstability with Arthroscopic Capsular Plication: A Retrospective Case Series

  • Tatiana Charles;Marc Jayankura;Frederic Laude
    • Hip & pelvis
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    • v.35 no.1
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    • pp.15-23
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    • 2023
  • Purpose: Hip microinstability is defined as hip pain with a snapping and/or blocking sensation accompanied by fine anatomical anomalies. Arthroscopic capsular plication has been proposed as a treatment modality for patients without major anatomic anomalies and after failure of properly administered conservative treatment. The purpose of this study was to determine the efficacy of this procedure and to evaluate potential predictors of poor outcome. Materials and Methods: A review of 26 capsular plications in 25 patients was conducted. The mean postoperative follow-up period for the remaining patients was 29 months. Analysis of data included demographic, radiological, and interventional data. Calculation of pre- and postoperative WOMAC (Western Ontario and McMaster Universities Osteoarthritis) index was performed. Pre- and postoperative sports activities and satisfaction were also documented. A P<0.05 was considered significant. Results: No major complications were identified in this series. The mean pre- and postoperative WOMAC scores were 62.6 and 24.2, respectively. The WOMAC index showed statistically significant postoperative improvement (P=0.0009). The mean satisfaction rate was 7.7/10. Four patients with persistent pain underwent a periacetabular osteotomy. A lateral center edge angle ≤21° was detected in all hips at presentation. We were not able to demonstrate any difference in postoperative evolution with regard to the presence of hip dysplasia (P>0.05), probably because the sample size was too small. Conclusion: Capsular plication can result in significant clinical and functional improvement in carefully selected cases of hip microinstability.

Arthroscopic Treatment of Infectious Chondrolysis of Femoral Head - A Case Report - (대퇴골두 감염성 연골 용해증의 관절경적 처치 - 1례 보고 -)

  • Moon, Young Lae;Yoon, Tae Hyun;Kim, Chan Sang
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.142-145
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    • 1999
  • Chondrolysis of the femoral head s characterized by progressive destruction of the articular cartilage, resulting secondary joint space narrowing and stiffness. It is usually regarded as an idiopathic disease, but it can be produced by sequelae of an infection, trauma, or prolonged immobilization. We report a case of chondrolysis of femoral head in 45-year-old male, caused by infection and treated by arthroscopic management.

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Relationship between Spinopelvic Parameters and Hip Function in Patients with Femoroacetabular Impingement at Diagnosis: A Cross-Sectional Study

  • Bernardo Aguilera-Bohorquez;Pablo Corea;Cristina Siguenza;Jochen Gerstner-Saucedo;Alvaro Carvajal;Erika Cantor
    • Hip & pelvis
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    • v.35 no.1
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    • pp.6-14
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    • 2023
  • Purpose: The aim of this study was to determine correlation between the spinopelvic parameters in sitting and standing positions (sacral slope [SS], lumbar lordosis [LL], spinopelvic tilt [SPT], pelvic incidence [PI], and pelvic femoral angle [PFA]), with hip function assessed using the modified Harris hip scores (mHHs) in patients with symptomatic femoroacetabular impingement (FAI) at diagnosis. Materials and Methods: A retrospective study of 52 patients diagnosed with symptomatic FAI was conducted. Evaluation of the spinopelvic complex in terms of SS, LL, SPT, PI and PFA was performed using lateral radiographs of the pelvis and lumbosacral spine in standing and sitting positions. Assessment of hip function at diagnosis was performed using the mHHs. Calculation of spinopelvic mobility was based on the difference (Δ) between measurements performed in standing and sitting position. Results: The median time of pain evolution was 11 months (interquartile range [IQR], 5-24 months) with a median mHHs of 66.0 points (IQR, 46.0-73.0) at diagnosis. The mean change of LL, SS, SPT, and PFA was 20.9±11.2°, 14.2±8.6°, 15.5±9.0°, and 70.7±9.5°, respectively. No statistically significant correlation was observed between spinopelvic parameters and the mHHs (P>0.05). Conclusion: Radiological parameters of the spinopelvic complex did not show correlation with hip function at the time of diagnosis in patients with symptomatic FAI. Conduct of further studies will be required in the effort to understand the effect of the spinopelvic complex and its compensatory mechanics, primarily between the hip and spine, in patients with FAI before and after hip arthroscopy.

Pulmonary Embolism Complications after Knee Arthroscopy - 2 Cases Report - (슬관절의 관절경적 시술 후 발생한 폐 색전증 - 2례 보고 -)

  • Kyoung, Hee-Soo;Baek, Seung-Hoon;Kim, Sung-Jung;Sohn, Soo-Min;Yang, Dong-Ryeol
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.112-117
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    • 2006
  • Deep vein thrombosis and pulmonary embolism are serious fatal complication after orthopedic surgery. Most of them occur after large operation such as total knee/hip arthroplasty. Some reports about deep vein thrombosis after simple arthroscopic procedure were on the Western literatures, but there was no report on the Korean literature. So we report two cases of pulmonary embolism after knee arthroscopic procedures.

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Treatment of Recurrent Coxofemoral Joint Luxation by Total Hip Replacement in a Dog (대퇴관절 전치환술을 이용하여 개의 재발되는 대퇴관절 탈구증의 치료)

  • Kim, Jooho;Heo, Su-Young;Kim, Minsu;Lee, Kichang;Kim, Namsoo;Lee, Haebeom
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.125-128
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    • 2014
  • A 7-year-old, intact female Golden Retriever weighing 38 kg was referred for left coxofemoral joint luxation. On physical examination, pain and crepitus were noted atthe left hip joint during joint extension. Radiological examination revealed coxofemoral joint luxation and mild degenerative bone changes in the left hip joint. We performed minimally invasive arthroscopy-assisted reduction with TightRope$^{(R)}$ as a treatment option; however, the left coxofemoral joint was reluxated after one month postoperatively. We performed cementless total hip replacement (THR) of the luxated left coxofemoral joint. At tenmonths after surgery, the dog could sit, stand, walk normally and jump comfortably without lameness. The thigh girth measurement of the operated limb was 108.6% of the contralateral limb. Based on the present case, THR can be a successful treatment for coxofemoral joint luxation in dogs with failed coxofemoral joint reduction.

Synovial Chondromatosis of the Glenohumeral Joint Presenting as Impingement Syndrome - Case Report - (충돌증후군 증상을 유발한 견관절의 활막 연골종증 - 증례 보고 -)

  • Lee, Dong-Hun;Noh, Young-Min;Chang, Jun-Dong
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.202-206
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    • 2006
  • Synovial chondromatosis is an uncommon condition and involvement of the glenohumeral joint is rare comparing its involvement of knee and hip. We report a case of synovial chondromatosis with its radiography, MRI and microscopic findings and treatment by arthroscopic synovectomy & loose body removal which have been developed in right shoulder of a 46 year-old-female and presented as impingement syndrome.