1/10. Anterior femoroacetabular impingement after periacetabular osteotomy.As experience with the Bernese periacetabular osteotomy has grown, an unexpected observation in a group of patients has alerted the authors to the risk of a secondary impingement syndrome that may occur some time after the periacetabular osteotomy. This possibly may explain residual pain and limited range of motion in a larger group of patients. The impingement is produced by abutment of the femoral head or head to neck junction on the anterior rim of the properly aligned acetabulum. The symptoms are those of restricted flexion, and limited or absent internal rotation in flexion, with variable groin pain. magnetic resonance imaging studies may reveal acetabular labral disease and adjacent cartilage damage associated with the impingement. Lack of anterior or anterolateral offset between the femoral neck and head results in neck to rim contact when the hip is flexed and/or internally rotated. Before the periacetabular osteotomy this is compensated by the lack of anterior acetabular coverage, but after proper correction the mismatch becomes apparent. The authors recently have devised a routine during the periacetabular osteotomy procedure whereby after the acetabular fragment is corrected into the desired position, the joint is opened, visually inspected, and palpated for impingement with the hip flexed and internally rotated. When necessary, a resection osteoplasty of the femoral neck to head junction is performed to improve the head and neck offset and reduce the anterior contact. This, in the short term, has provided satisfactory prevention of postoperative impingement.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/10. Bipolar hip arthroplasty for recurrent dislocation after total hip arthroplasty. A report of three cases.Recurrent dislocation after total hip arthroplasty is often a difficult complication to manage. Bipolar prostheses may be useful in these cases because motion can occur at two bearing surfaces and thus permit the greater range of motion necessary to dislodge the head from the acetabulum. The bipolar head is also larger than a conventional total hip femoral component, so a greater volume must be displaced from the acetabulum for dislocation to occur. Three patients with recurrent dislocation of a total hip prosthesis were successfully treated by conversion to bipolar devices after failure of multiple surgical procedures and treatment even with braces.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
3/10. Simultaneous ipsilateral posterior knee and hip dislocations: case report, including a technique for closed reduction of the hip.In isolation, dislocations of the hip and knee require emergent reduction to minimize the risks of serious complications, including vascular and neurologic injury, osteonecrosis of the femoral head, and loss of motion and function. With simultaneous dislocation of the ipsilateral hip and knee, as in the situation of hip dislocation with concomitant femoral shaft fracture, reduction of the hip may prove difficult because of the inability to control the femoral segment. In this setting, general anesthesia is commonly required. We present the case of a patient who sustained an ipsilateral hip and knee dislocation who underwent closed reduction of the knee in the emergency department but required general anesthesia and the insertion of Schanz pins in the femur to reduce the hip dislocation.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
4/10. Traumatic inferior hip dislocation in an adult with ipsilateral trochanteric fracture.Traumatic Inferior dislocation of hip in adult is an extremely rare occurrence. We report a case of an inferior hip dislocation associated with an intertrochanteric fracture. Treatment consisted of an initial closed manipulative reduction of the dislocation with the aid of a Schanz screw inserted in a T handle universal chuck and using C-arm imaging. A dynamic hip screw was then used to fix the intertrochanteric fracture. At 2.5 years after the injury, the patient has symmetrical range of motion versus his contra lateral normal hip. Radiographs of the hip show normal anatomy without signs of avascular necrosis of the femoral head. To our knowledge, this is the first reported case of an adult with an inferior hip dislocation with a trochanteric fracture.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
5/10. Central fracture-dislocation of the hip with ipsilateral femoral neck fracture: case report.Central fracture dislocation of the hip with associated fracture of the femoral neck is rare. Treatment of choice consists of open reduction of the displacement and internal fixation of both fractures. Nevertheless, inadequate reduction of the burst fracture of the acetabulum may lead to hip arthritis, and the surgical approach to the femoral neck jeopardizes its vitality. In elderly patients early full motion and prompt physical rehabilitation can be achieved by total hip arthroplasty after fusion of the displaced femoral head to the acetabular wall.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
6/10. Intraarticular loose bodies in the adolescent hip: results of treatment of those recognized late.Seven cases of intraarticular loose bodies, previously unrecognized, were treated with surgical removal of the fragment. The presence of an intraarticular loose body was suspected because of persistent pain, restriction of hip joint motion, and asymmetric widening of the medial clear space on an anteroposterior (AP) pelvic roentgenogram. The diagnosis was established by computed tomography (CT) scan. Surgical removal should yield a good to excellent result, even when performed late, as long as osteonecrosis is not present at the time of operation.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
7/10. Anterior perineal dislocation of the hip with fracture of the femoral head. A case report.Traumatic anterior perineal hip dislocation with an associated fracture of the femoral head is a rare entity. A 26-year-old man injured in a motorcycle accident was treated by closed reduction of the dislocation within three hours after admission. However, several reports of patients with anterior hip dislocation with associated femoral head fractures were treated nonoperatively and had unfavorable results when treatment failed to achieve anatomical position of the fragments. Consequently, this patient was treated by open reduction and internal fixation of the fractured fragment. Follow-up examination three and one-half years after the operation showed painless functional range of hip motion with only minimal discomfort after prolonged exertion.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
8/10. Late dislocations in patients with Charnley total hip arthroplasty.I analyzed the cases of thirty-two patients in whom a Charnley total hip arthroplasty had dislocated for the first time between five and ten years postoperatively. I evaluated the possible factors that caused the late dislocations. Most of the factors were similar to those that were also present in a control group of patients who had had an arthroplasty that had not dislocated and in a group in which dislocation had occurred at variable times postoperatively. Two significant factors did emerge. First, the patients with late dislocation had a greater range of motion, especially in flexion, than those in the two control groups. Second, the acetabular component showed radiographic evidence of loosening in more of the patients in the group with late dislocation than in either of the control groups. I postulated, but did not prove, that stretching of the pseudocapsule of the hip over time and extremes of motion may lessen soft-tissue constraints and allow for late dislocation.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
9/10. Hip disease in Hutchinson-Gilford progeria syndrome.Two cases of Hutchinson-Gilford progeria syndrome are presented with a focus on hip disease. A severe coxa valga is the first abnormality. The femoral head becomes increasingly uncovered as the acetabulum becomes more dysplastic. The center edge angle decreases, the acetabular index increases, and the medial wall of the acetabulum widens. Hip pain, subluxation, and eventually dislocation are the sequelae of these changes. Late osteotomy is unpredictable; thus the best therapeutic regimen is early osteotomy (age 4-6 years) and a regular exercise program to maintain muscle strength and range of motion.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
10/10. Osteoarticular allograft reconstruction for recurrent post-traumatic dislocation of the hip.A patient with post-traumatic mechanical instability associated with a significant posterior acetabular deficiency in the presence of an otherwise good articular surface was treated with an allograft reconstruction. The short-term result was good; at 10-month follow-up there was full range of motion with no clinical evidence of instability. This procedure may be indicated in rare instances of post-traumatic mechanical instability where insufficiency of the posterior acetabular wall is felt to be a significant factor.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
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