http://www.orthopaedicweblinks.com Orthopedic hip problems and causes of hip pain en-us Mon Nov 09 2009 12:31:46 GMT Copyright 2005 OWL Inc. orthopaedicweblinks@gmail.com (Christian Veillette) orthopaedicweblinks@gmail.com (OWL Inc.) http://www.orthopaedicweblinks.com/Detailed/9198.html Site to calculate the Harris Hip Score 2006-03-10 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=9198 Alex Chelenkov http://www.orthopaedicweblinks.com/Detailed/9901.html Goldmine of orthopaedic scores and scoring systems. 10 surgeon based and 20 patient based scoring systems for all regions of the musculoskeletal system. Includes: Harris Hip Score, Knee Society Score, Oxford Knee Score, WOMAC, Cincinatti Knee Score, Tegner Lysholm, American Foot & Ankle Score AFAS, UCLA Shoulder Rating Scale, Mayo Elbow Score, DASH (Disabilities of Arm Shoulder & Hand) and several more. 2006-11-09 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=9901 Kurer http://www.orthopaedicweblinks.com/Detailed/8071.html This is the home of the Joint Replacement Unit (JRU) - the prosthetic team at Sahlgrenska University Hospital. One of our responsibilities is the maintenance and development of the Swedish National Hip Arthroplasty Register. Responsible for the content on this site is Professor Johan Kärrholm, MD, PhD, Göran Garellick, MD, PhD and Professor Emeritus Peter Herberts, MD, PhD. 2003-04-30 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=8071 Kärrholm et al http://www.orthopaedicweblinks.com/Detailed/4457.html Archive Copy - 1999 Annual Meeting Scientific Program. Polyethylene: The Past, Present and Future 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4457 Not Available http://www.orthopaedicweblinks.com/Detailed/4458.html Archive Copy: - 1999 Annual Meeting Scientific Program. Low Wear Bearings for Total Hip Replacements<br>Moderator H. Amstutz 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4458 Amstutz http://www.orthopaedicweblinks.com/Detailed/4436.html hip joint: <br> - is affected in upto 50 % of patients with AS, and when it occurs it is often bilateral; <br> - protrusio and hip flexion contractures are common; <br> - heterotopic ossification may follow THR; <br> - total hip replacement: <br> - hetertopic ossification; <br> - occurs in 20-40 % of hip replacements and is more common w/ trochanteric osteotomy; <br> - to avoid heterotopic ossification consider insertion of a cemented acetabular component followed by 750 rads around the component; <br>Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4436 C.R.Wheeless http://www.orthopaedicweblinks.com/Detailed/4402.html - Smith Petersen improved & revived the anterior iliofemoral approach; <br> - entire ilium and hip joint can be reached thru iliac part of incision; <br> - with this approach there is a need for extensive detachment of tendinous insertions & retraction of muscle, with potential damage to femoral artery and nerve and traction on lateral femoral cutaneous nerve; <br> - among the indications for this approach are ganz osteotomy for DDH and posterior hip frx dislocations; <br>Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4402 C.R.Wheeless http://www.orthopaedicweblinks.com/Detailed/4059.html Discussion: - major problems with the Watson Jones technique are dealing w/ gluteus medius & minimus, which lie over anteior capsule and must be damaged or cut to obtain adequate exposure; - original Charnely technique used anterolateral approach w/ pt supine, osteotomy of greater troch, & ant dislocation of hip; - this approach is used less commonly now as result of problems related to reattachement of the greater trochanter;<br> Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4059 CRWheeless http://www.orthopaedicweblinks.com/Detailed/4058.html Perioperative Prophylactic Antibiotics: <br> - it is essential that antibiotics be given prior to incision; <br> - in most cases, patients should receive 1-2 gm of IV Ancef 30 min prior to the incision<br> Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4058 C.R.Wheeless http://www.orthopaedicweblinks.com/Detailed/4161.html Everything a patient with hip arthritis or avascular necrosis needs to know about the nature of the disease, including surgical and non-surgical treatment options, total hip replacement, the pros and cons, complications of treatment, the implant design ma 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4161 Huddleston http://www.orthopaedicweblinks.com/Detailed/4060.html Discussion: - hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone). <br> - they also occur spontaneously due to ankylosing spondylitis; <br> - surgical fusions are performed for young adults with advanced arthritis; <br>- indications: <br> - desire to return to near-normal physical activity with manual labor; <br> - 20 yrs years after surgery, 80% of pts w/ hip arthrodesis performed at relatively young age were working & satisfied w/ their results; <br> - relief of pain; <br> - young male; <br>Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4060 C.R.Wheeless http://www.orthopaedicweblinks.com/Detailed/4061.html Indications: <br> - evaluation of hip pain- candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting physical signs and symptoms. <br> - the false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. <br> - gadolinium enhanced MRI demonstrated a sensitivity of 55% for all intra-articular pathology and 74% for labral tears in patients where other modalities had failed to reveal a source of pain. <br>Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4061 CRWheeless http://www.orthopaedicweblinks.com/Detailed/4398.html anterior approach: <br> - femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint; <br> - palpate the femoral pulse just as it exits the inguinal ligament; <br> - entry point is one inch lateral to the artery (at the inguinal ligament) and one inch below the inguinal ligament; <br> - going lateral 1 inch will also make entry site approx 1 in below ligament; <br> - needle entry is then straight down into the lateral half of the joint cavity; <br>Wheeless' Textbook of Orthopaedics 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4398 C.R.Wheeless http://www.orthopaedicweblinks.com/Detailed/12659.html <pre id="line1"><span class="attribute-value">The Atlas of Hip Surgery Images is a collection of medical illustrations depicting the anatomy, disease, and surgery of the hip and associated anatomical structures produced by a professional medical illustrator.</span></pre> 2007-08-18 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=12659 FIGS illustration http://www.orthopaedicweblinks.com/Detailed/4063.html Wheeless' Textbook of Orthopaedics<br> pathogenesis and risk factors: <br> - Intravascular coagulation and osteonecrosis. <br> - natural history <br> - blood supply to femoral head: <br> - diff dx: <br> - synovitis; <br> - transient osteoporosis <br> - femoral neck stress frx: <br> - metastatic disease; <br> - trochanteric bursitis: 2002-02-04 12:31:46 GMT http://www.orthopaedicweblinks.com/cgi-bin/owl/jump.cgi?ID=4063 C.R.Wheeless