3,671 results match your criteria Trochanteric Bursitis


[Tumor hip prosthesis in fibrous dysplasia of proximal femur. Case report].

Acta Ortop Mex 2018 Jul-Aug;32(4):225-228

Unidad Médica de Alta Especialidad del Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social. Puebla, México.

Background: fibrous dysplasia is characterized by the formation of fibrous tissue that generates immature malformed trabeculae. Their involvement may be monostotic or poliostotic.

Case Report: Thirty years old female with fibrous dysplasia of the left hip. Read More

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December 2018

A ceramic bone substitute containing gentamicin gives good outcome in trochanteric hip fractures treated with dynamic hip screw and in revision of total hip arthroplasty: a case series.

BMC Musculoskelet Disord 2018 Dec 6;19(1):438. Epub 2018 Dec 6.

Department of Orthopedics, Lund University Hospital, Lund, Sweden.

Background: The primary objective was to investigate the clinical and radiological outcome in patients undergoing major hip surgery using a novel antibiotic containing bone substitute for local augmentation in trochanteric fracture fixation or revision of total hip arthroplasty (THA).

Methods: We implanted a novel biphasic bone substitute CERAMENT™|G consisting of hydroxyapatite, calcium sulphate and gentamicin for bone regeneration and local antibiotic delivery in 20 patients treated surgically for trochanteric femoral fracture or uncemented hip revision. Preoperative, postoperative, 3 months and 1 year clinical and radiological assessment were performed including registration of any complications. Read More

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December 2018

Disengagement and intrapelvic migration of a dynamic helical hip screw.

Radiol Case Rep 2019 Feb 1;14(2):291-297. Epub 2018 Dec 1.

University of Washington Medical Center, 1959 NE Pacific St, Seattle, WA 98195 USA.

Some proximal femur fractures may be treated surgically with the use of fracture fixation hardware such as the sliding hip screw and its variants. These devices allow the femoral head and neck fragment to compress against the trochanteric or shaft fragment as the hip screw telescopes into the barrel of the side plate. We describe an unusual complication in which the hip screw disengaged in the opposite direction, migrated through the hip joint, and came to rest inside the pelvic cavity. Read More

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February 2019

Outcome of Closed Wedge Varus Derotation Osteotomy with Trochanteric Apophysiodesis in Perthes Disease.

Indian J Orthop 2018 Nov-Dec;52(6):616-624

Department of Orthopedic Surgery, KIMS Al Shifa Hospital, Perinthalmanna, Kerala, India.

Background: Perthes disease is a condition in which a self-limiting avascular event affects the capital epiphysis of the femur with a very variable course. It has been shown frequently, however, that there is a group of patients who definitely benefit from containment, either surgical or nonsurgical, better with surgical. We studied midterm to long term outcome of closed wedge varus derotation osteotomy (VDRO) with trochanteric apophysiodesis in Perthes disease. Read More

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December 2018

Subtrochanteric fractures: two case reports of non-union treatment.

Injury 2018 Dec 3;49 Suppl 4:S9-S15. Epub 2018 Dec 3.

AOU Careggi, Firenze, Italy.

Proximal femoral fractures are a very common disease which affect elderly patients after low energy trauma, but can also affect the young population as a consequence of high energy trauma. Classification of sub trochanteric fractures has not yet been clearly defined representing a major issue in comparing different treatment techniques among the scientific literature.These fractures are well known by orthopaedic surgeons for intraoperative difficulties in reduction and post-operative high rate of non-unions and malunions. Read More

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December 2018

Femoral neck fractures after internal fixation of trochanteric fractures with implants in situ in adults: A systematic review.

Injury 2018 Dec;49(12):2121-2131

AEPSM, Montevideo, Uruguay.

Introduction: Femoral neck fractures (FNF) after internal fixation of trochanteric fractures (AIFTF) with the implant in situ (WIIS) are uncommon. Publications of FNFAIFTFWIIS are rare. The purpose of this systematic review of the literature is to report on the frequency, risk factors, mechanisms, clinical presentation, diagnostic and therapeutic modalities, outcomes and the eventual prevention of this complication. Read More

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December 2018

Diagnosis and Management of Hip Abductor Insufficiency.

R I Med J (2013) 2018 Dec 3;101(10):46-50. Epub 2018 Dec 3.

Division of Sports Medicine, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University.

Greater Trochanteric Pain Syndrome (GTPS) is a common cause of lateral hip pain, with an incidence of 1.8 per 1000 patients, most commonly occurring between the fourth and sixth decades of life. When GTPS fails to improve with conservative management, hip abductor insufficiency should be suspected. Read More

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December 2018
1 Read

Mechanical simulation study of postoperative displacement of trochanteric fractures using the finite element method.

J Orthop Surg Res 2018 Nov 27;13(1):300. Epub 2018 Nov 27.

Department of Orthopaedic Surgery Restorative Medicine of Neuro-Musculoskeletal System, Fujita Health University, Bantane Hospital, 3-6-10 Otoubashi, Nakagawa-ku, Nagoya, Aichi, 454-8509, Japan.

Background: Femoral trochanteric fractures are common among older adults. In the reduction of trochanteric fractures, acquiring the support of the anterior cortex at the fracture site on lateral view immediately after surgery is important. However, even if the cortical support is acquired, postoperative displacement due to the loss of this support often occurs. Read More

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November 2018
1 Read

Incidence, Outcomes, and Recidivism of Elderly Patients Admitted For Isolated Hip Fracture.

J Surg Res 2018 Dec 14;232:257-265. Epub 2018 Jul 14.

Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, New York. Electronic address:

Introduction: Isolated hip fracture (IHF) is a common injury in the elderly after a fall. However, there is limited study on elderly IHF patients' subsequent hospitalization for a new injury, that is, trauma-related recidivism.

Methods: A retrospective review of the trauma registry at an ACS level I trauma center was performed for all elderly (age ≥ 65 y) blunt trauma patients admitted between 2007 and 2017, with a focus on IHF patients. Read More

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December 2018
6 Reads

Three-dimensional Distribution of Muscle and Adipose Tissue of the Thigh at CT: Association with Acute Hip Fracture.

Radiology 2018 Nov 20:181112. Epub 2018 Nov 20.

From the Institute of Medical Physics (A.M., O.M., K.E.) and Department of Medicine 3 (K.E.), University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Henkestr 91, Erlangen 91052, Germany; and Department of Radiology, AP-HP, Hôpital Lariboisière and Université Paris Diderot, Paris, France (V.B., P.P., J.D.L.).

Purpose To evaluate determinants of hip fracture by assessing soft-tissue composition of the upper thigh at CT. Materials and Methods In this retrospective analysis of prospectively collected data, CT studies in 55 female control participants (mean age, 73.1 years ± 9. Read More

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November 2018
6 Reads

Which Seems to Be Worst? Pain Severity and Quality of Life between Patients with Lateral Hip Pain and Low Back Pain.

Pain Res Manag 2018 22;2018:9156247. Epub 2018 Oct 22.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.

Purpose: The aim of this study was to compare the pain severity, health-related quality of life (HRQoL), and risk of continue having pain with prognostic risk scores (PRS), between patients referring greater trochanteric pain syndrome (GTPS) and chronic low back pain (CLBP).

Methods: A descriptive, cross-sectional design using nonprobability convenience sampling was performed. A total sample of 102 patients were recruited from two primary health-care centers and divided into GTPS ( = 51) and CLBP ( = 51) groups. Read More

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October 2018
4 Reads

Proposal for the classification of peri-implant femoral fractures: Retrospective cohort study.

Injury 2018 Nov 1. Epub 2018 Nov 1.

Clinical Research Support Unit, Clinical Pharmacology Department, Bellvitge University Hospital, Bellvitge Biomedical Research Institute (IDIBELL), University of Barcelona, L'Hospitalet del Llobregat, Barcelona, Spain.

Background Peri-implant fractures occur in association with an implant used to treat a previous injury and that is still attached to the bone. Peri-implant fractures are considered to be relatively "new" fractures and they lack any classification system that is accepted in practice. Generally, the fracture classification systems currently used in our clinical practice were not developed or validated using rigorous scientific evaluation methods. Read More

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November 2018
8 Reads

The Influence of Position of the Displaced Lesser Trochanter on Clinical Outcome of Unstable Trochanteric Femur Fractures in the Elderly.

Biomed Res Int 2018 21;2018:5013646. Epub 2018 Oct 21.

Department of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai 200072, China.

Purpose: This study aimed to evaluate whether position of the displaced lesser trochanter affected clinical outcome in the treatment of unstable trochanteric fractures with intramedullary fixation.

Patients And Methods: Patients with unstable trochanteric fractures and displaced lesser trochanter who received intramedullary fixation were retrospectively reviewed in this study. Based on displacement distance of the lesser trochanter and whether the lesser trochanter was reduced operatively, patients were divided into three groups: patients with the displaced lesser trochanter less than 1cm (Group A), those with the displaced lesser trochanter more than 1 cm without operative reduction (Group B), or those with operative reduction (Group C). Read More

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October 2018
5 Reads

Tuberculous coxitis with trochanteric bursitis manifesting a year after immigration to Germany: a case report.

J Med Case Rep 2018 Nov 7;12(1):332. Epub 2018 Nov 7.

Hannover Medical University, Clinic for Immunology and Rheumatology, Carl-Neubergstr. 1, 30625, Hannover, Germany.

Background: Osteoarticular tuberculosis is rare in Germany. In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis with trochanteric bursitis, successfully treated with a fourfold tuberculostatic therapy. Read More

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November 2018
9 Reads

Proximal iliotibial band thickness as a cause for recalcitrant greater trochanteric pain syndrome.

J Hip Preserv Surg 2018 Aug 8;5(3):296-300. Epub 2018 Aug 8.

Hip Preservation Center, Baylor University Medical Center at Dallas, 3900 Junius St. Suite 705, Dallas, TX, USA.

To investigate iliotibial band (ITB) diameter thickness at the greater trochanter in patients requiring iliotibial band release who have failed conservative modalities, in comparison to an asymptomatic patient population. A total of 68 subjects were selected to be reviewed using T2 axial plane MRI. The ITB diameter thickness was measured in 34 subjects who underwent surgical ITB release, and compared with a match-paired asymptomatic hip cohort consisting of 34 subjects. Read More

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August 2018
2 Reads

The use of platelet-rich plasma in the treatment of greater trochanteric pain syndrome: a systematic literature review.

J Hip Preserv Surg 2018 Aug 30;5(3):209-219. Epub 2018 Aug 30.

Trauma and Orthopedics, Northumbria Healthcare NHS foundation Trust, North Shields, UK.

This review aims to determine whether platelet-rich plasma (PRP) has any role in improving clinical outcomes in patients with symptomatic greater trochanteric pain syndrome (GTPS). A search of NICE healthcare database advanced search (HDAS) via Athens (PubMed, MEDLINE, CINAHL, EMBASE and AMED databases) was conducted from their year of inception to April 2018 with the keywords: 'greater trochanteric pain syndrome' or 'GTPS' or 'gluteus medius' or 'trochanteric bursitis' and 'platelet rich plasma' (PRP). A quality assessment was performed using the JADAD score for RCTs and MINORS for non-RCT studies. Read More

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August 2018
10 Reads

Hip fractures - Treatment and functional outcome. The development over 25 years.

Injury 2018 Dec 13;49(12):2209-2215. Epub 2018 Oct 13.

Department of Orthopaedics, Skåne University Hospital, Lund, Sweden.

Background: Nearly 18,000 individuals suffer from hip fracture in Sweden each year. The choice in operation method for femoral neck fractures has changed over the years as well as the overall management. Functional outcome after hip fracture is affected by several factors and the overall functional level for old people in Sweden has improved over the last decades. Read More

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December 2018
4 Reads

MicroRNA-221 promotes cell proliferation, migration, and differentiation by regulation of ZFPM2 in osteoblasts.

Braz J Med Biol Res 2018 Oct 18;51(12):e7574. Epub 2018 Oct 18.

Department of Orthopaedics, Ningbo No. 2 Hospital, Ningbo, China.

Bone fracture is a common medical condition, which may occur due to traumatic injury or disease-related conditions. Evidence suggests that microRNAs (miRNAs) can regulate osteoblast differentiation and function. In this study, we explored the effects and mechanism of miR-221 on the growth and migration of osteoblasts using MC3T3-E1 cells. Read More

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October 2018
3 Reads

Clinical characteristics and short to mid term functional outcomes of surgically treated occult hip fractures in the elderly.

Injury 2018 Dec 15;49(12):2216-2220. Epub 2018 Oct 15.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore. Electronic address:

Background: Occult hip fractures in the elderly are challenging to diagnose and often result in surgical delays which may worsen outcomes. However, the minimally displaced nature of these fractures may conversely lead to better outcomes. The aim of this study was to determine if surgically treated occult hip fractures have better short to mid term functional outcomes when compared to non-occult fractures. Read More

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December 2018
6 Reads

Risk factors for cut-out after internal fixation of trochanteric fractures in elderly subjects.

Orthop Traumatol Surg Res 2018 Dec 19;104(8):1183-1187. Epub 2018 Oct 19.

Service d'orthopédie, hôpital de La Pitié-Salpétrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.

Introduction: Proximal femoral fracture is associated with severe morbidity and mortality and high socioeconomic costs. The main mechanical complication of internal fixation in trochanteric fracture is lag-screw cut-out through the femoral head. Several factors are involved, but remain controversial. Read More

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December 2018
1 Read

Ex Vivo Evaluation of Hip Fracture Risk by Proximal Femur Geometry and Bone Mineral Density in Elderly Chinese Women.

Med Sci Monit 2018 Oct 18;24:7438-7443. Epub 2018 Oct 18.

Department of Orthopedic Surgery, Xijing Hospital, The Air Force Medical University, Xi'an, Shaanxi, China (mainland).

BACKGROUND The incidence of hip fracture is steadily increasing. We aimed to establish a creative approach to precisely estimate the risk of hip fracture by exploring the relationship between hip fracture and bone mineral density (BMD)/femur geometry. MATERIAL AND METHODS Sixteen samples of cadaveric female proximal femora were randomly selected. Read More

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October 2018
1 Read

[A reduction technique for the treatment of refractory femoral trochanteric fracture].

Zhongguo Gu Shang 2018 Sep;31(9):867-870

No. 1 Hospital of Ninghai County, Ninghai 315600, Zhejiang, China;

Objective: To explore the effect of periosteal stripper through spiral blade incision combined with lateral sight bracket prying method in the treatment of irreducible femoral trochanteric fractures with proximal upwarping of fracture.

Methods: From March 2015 to October 2017, 26 patients with refractory femoral trochanteric fractures with proximal upwarp of fracture were treated by periosteal dissection through a spiral blade incision and lateral sight bracket prying, included 9 males and 17 females with an average age of (76.3±8. Read More

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September 2018
3 Reads

Epidemiology, treatment and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register.

BMC Musculoskelet Disord 2018 Oct 12;19(1):369. Epub 2018 Oct 12.

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet. Department of Orthopaedics, Stockholm South General Hospital, 11883, Stockholm, Sweden.

Background: Hip fractures are a major worldwide public health problem and includes two main types of fractures: the intracapsular (cervical) and the extracapsular (trochanteric and subtrochanteric) fractures. The aim of this study on patients with trochanteric and subtrochanteric hip fractures was to describe the epidemiology, treatment and outcome in terms of mortality within the context of a large register study.

Methods: A descriptive epidemiological register study including patients registered in the national Swedish Fracture Register from January 2014 to December 2016. Read More

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October 2018
2 Reads

A Morel-Lavallée lesion of the proximal calf in a young trauma patient: A case report.

Medicine (Baltimore) 2018 Oct;97(41):e12761

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongnam-gu, Cheonan.

Rationale: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. Read More

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October 2018
19 Reads

Pain Expansion and Severity Reflect Central Sensitization in Primary Care Patients with Greater Trochanteric Pain Syndrome.

Pain Med 2018 Oct 11. Epub 2018 Oct 11.

Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.

Objectives: The aims of this study were twofold: 1) to evaluate the differences in pain sensitivity of patients with greater trochanteric pain syndrome (GTPS) and 2) to examine the association between pain expansion, pain severity, and pain-related central sensitization somatosensory variables in patients with GTPS.

Study Design: A cross-sectional study.

Setting: Primary health care centers. Read More

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October 2018
1 Read

Agreement of radiographic measurements and patient-reported outcome in 61 patients with Legg-Calvé-Perthes disease at mean follow-up of 28 years.

J Pediatr Orthop B 2018 Oct 16. Epub 2018 Oct 16.

Department of Diagnostic Radiology, Uppsala University Hospital, Uppsala, Sweden.

It is unclear how patient-reported outcome in patients with Legg-Calvé-Perthes disease (LCPD) is correlated with radiographic outcome. It was therefore the aim of our long-term follow-up to evaluate the agreement of patient-reported outcome measures (PROM) with radiographic outcome in patients with a history of unilateral LCPD and a femoral head involvement of more than 50%. We further investigated to what extent the functional outcome (range of motion and Trendelenburg sign) correlates with PROM and radiographic outcome. Read More

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October 2018
6 Reads

Breakage in Two Points of a Short and Undersized "Affixus" Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature.

Case Rep Orthop 2018 13;2018:9580190. Epub 2018 Sep 13.

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.

Introduction: Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Read More

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September 2018
3 Reads

New scoring system at admission to predict walking ability at discharge for patients with hip fracture.

Orthop Traumatol Surg Res 2018 Dec 4;104(8):1189-1192. Epub 2018 Oct 4.

Department of Orthopaedic Surgery, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 2360004 Kanagawa, Japan.

Introduction: A reliable scoring system that predicts the walking ability of hip fracture patients would be useful for clinicians. Here we developed a scoring system for hip fracture patients and evaluated its predictive ability.

Hypothesis: We hypothesized that age, sex, presence of dementia, walking ability before the injury, fracture type, serum hemoglobin level, serum albumin level and interval in days between admission and surgery would be the predictive factors of the walking ability at discharge. Read More

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December 2018
1 Read

High failure rate of proximal femoral locking plates in fixation of trochanteric fractures.

J Orthop Surg Res 2018 Oct 5;13(1):248. Epub 2018 Oct 5.

Department of Orthopaedics, Jinling Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu, China.

Background: The aim of this study was to report our previous results of treatments for trochanteric fractures with proximal femoral locking plates (PFLP) and to analyze the underlying mechanisms and possible risk factors associated with the high failure rate of this technique.

Methods: From January 2010 to October 2014, 273 consecutive patients with trochanteric femoral fractures were identified, and 95 patients (with 97 fractures) ultimately met the inclusion criteria. Clinical records regarding demographic features and intraoperative data including total incision length, operation time, blood loss, and failures detected in radiographs were documented and assessed. Read More

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October 2018
1 Read

National perioperative outcomes of flap coverage for pressure ulcers from 2005 to 2015 using American College of Surgeons National Surgical Quality Improvement Program.

Arch Plast Surg 2018 Sep 15;45(5):418-424. Epub 2018 Sep 15.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Background: Complication rates after flap coverage for pressure ulcers have been high historically. These patients have multiple risk factors associated with poor wound healing and complications including marginal nutritional status, prolonged immobilization, and a high comorbidities index. This study utilizes the National Surgical Quality Improvement Program (NSQIP) to examine perioperative outcomes of flap coverage for pressure ulcers. Read More

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September 2018
6 Reads

[Surgical refixation of gluteal tendon tears by mini-open double-row technique].

Oper Orthop Traumatol 2018 Dec 1;30(6):410-418. Epub 2018 Oct 1.

Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Objective: Stable refixation of gluteal tendons at the anatomic footprint by large-area contact by the means of knotless double-row anchor fixation (HipBridge technique).

Indications: Symptomatic tear of gluteus medius and/or gluteus minimus tendon with persisting pain after nonsurgical treatment, or primarily reconstructable mass rupture with gluteal insufficiency, revision surgeries.

Contraindications: Primary nonreconstructable mass ruptures, atrophic or fatty degeneration of gluteal muscles grade Goutallier 4, local infections. Read More

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December 2018
14 Reads

Glucocorticoid injections for greater trochanteric pain syndrome: a randomised double-blind placebo-controlled (GLUTEAL) trial.

Clin Rheumatol 2018 Sep 28. Epub 2018 Sep 28.

Department of Rheumatology, Geneva University Hospital, 26 Avenue Beau-Séjour, 1211, Geneva 14, Switzerland.

Small observational studies suggest that local glucocorticoid (GC) injection may be effective in the management of the greater trochanteric pain syndrome (GTPS). The objective was to perform the first randomised double-blind placebo-controlled trial to investigate the efficacy of local GC injection in the management of GTPS. The trial was conducted between November 2011 and May 2015. Read More

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September 2018
4 Reads

[Epidemiological Study of the Effects of Gender, Age, Mobility and Time of Injury on Proximal Femoral Fractures].

Acta Chir Orthop Traumatol Cech 2018 ;85(1):40-45

Klinika ortopedie 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice - Vojenské fakultní nemocnice Praha.

PURPOSE OF STUDY Based on the selected criteria the study presents the evaluation of data of patients who underwent a surgery for proximal femoral fracture at the Department of Orthopaedic Trauma of the 1 st Faculty of Medicine and Military University Hospital Prague in the period 2013-2016. The paper aimed to determine whether there are any differences in proximal femoral fractures depending on the selected criteria. MATERIAL AND METHODS The study comprised 805 patients (562 women and 243 men) older than 21 years with proximal femoral fractures who were treated between January 1, 2013 and December 31, 2016. Read More

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January 2018
7 Reads

Artificial Intelligence Applied to Osteoporosis: A Performance Comparison of Machine Learning Algorithms in Predicting Fragility Fractures From MRI Data.

J Magn Reson Imaging 2018 Sep 25. Epub 2018 Sep 25.

New York University School of Medicine, New York, New York, USA.

Background: A current challenge in osteoporosis is identifying patients at risk of bone fracture.

Purpose: To identify the machine learning classifiers that predict best osteoporotic bone fractures and, from the data, to highlight the imaging features and the anatomical regions that contribute most to prediction performance.

Study Type: Prospective (cross-sectional) case-control study. Read More

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September 2018
2 Reads

Gluteus medius tears of the hip: a comprehensive approach.

Phys Sportsmed 2018 Sep 22:1-6. Epub 2018 Sep 22.

a Spectrum Health Orthopedics , Grand Rapids , MI, USA.

Greater trochanteric pain syndrome (GTPS) is a common clinical condition that can affect a wide range of patients. Historically, the condition has been associated with trochanteric bursitis. More recently, however, a growing body of literature has demonstrated gluteus medius tendinopathy and tearing is present in many cases of GTPS. Read More

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September 2018
10 Reads

A double blind randomised control trial investigating the efficacy of platelet rich plasma versus placebo for the treatment of greater trochanteric pain syndrome (the HIPPO trial): a protocol for a randomised clinical trial.

Trials 2018 Sep 21;19(1):517. Epub 2018 Sep 21.

Northumbria Healthcare NHS Foundation Trust, North Shields, UK.

Background: Greater trochanteric pain syndrome (GTPS) is a painful condition characterised by pain around the greater trochanter usually affecting middle-aged women. The majority of patients will improve with conservative management such as physiotherapy and non-steroidal anti-inflammatory drugs (NSAIDs); however, if this fails then more invasive treatments including corticosteroid injections and surgery may be required. Platelet-rich plasma (PRP) is an autologous blood product, which has a higher concentration of growth factors postulated to provide enhanced healing and anti-inflammatory properties. Read More

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September 2018
7 Reads

Gait Analysis After Intertrochanteric Hip Fracture: Does Shortening Result in Gait Impairment?

J Orthop Trauma 2018 Nov;32(11):554-558

Deceased December 10, 2017.

Objective: To determine the association between fracture collapse with altered gait after intertrochanteric (IT) fracture using the trochanteric fixation nail (TFN) and helical blade.

Design: Prospective cohort study.

Setting: Academic Level I trauma center. Read More

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November 2018
14 Reads

Two-Stage Revision Total Hip Arthroplasty With a Specific Articulating Antibiotic Spacer Design: Reliable Periprosthetic Joint Infection Eradication and Functional Improvement.

J Arthroplasty 2018 Dec 27;33(12):3746-3753. Epub 2018 Aug 27.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Two-stage revision utilizing spacers loaded with high-dose antibiotic cement prior to reimplantation remains the gold standard for treatment of periprosthetic joint infections (PJI) in total hip arthroplasty (THA) in North America, but there is a paucity of data on mid-term outcomes. We sought to analyze the survivorship free of infection, clinical outcomes, and complications of a specific articulating spacer utilized during 2-stage revision.

Methods: One hundred thirty-five hips (131 patients) undergoing a 2-stage revision THA for PJI with a specific articulating antibiotic spacer design from 2005 to 2013 were retrospectively reviewed. Read More

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December 2018
1 Read

Bone mineral density in osteoporotic patients with pyogenic vertebral osteomyelitis: effect of early versus late treatment for osteoporosis.

Osteoporos Int 2018 Dec 17;29(12):2761-2770. Epub 2018 Sep 17.

Spine Center, Department of Orthopedics, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, South Korea.

Patients with pyogenic vertebral osteomyelitis (PVO) are at greater risk of bone loss. However, treatment guidelines for bone loss have been lacking. Early bisphosphonate treatment within 6 weeks after PVO diagnosis was significantly associated with superior outcome in femoral BMD at 2-year follow-up, compared to that with late treatment. Read More

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December 2018
1 Read

Ten years of myocutaneous flaps for pressure ulcers in patients with spinal lesions: Analysis of complications in the framework of a specialised medical-surgical pathway.

J Plast Reconstr Aesthet Surg 2018 Nov 2;71(11):1652-1663. Epub 2018 Aug 2.

Physical Medicine and Rehabilitation Department, Nantes University Hospital, Saint-Jacques Hospital, 85 rue Saint-Jacques, 44093 Nantes Cedex 1, France.

Introduction: The objective of the study is to analyse complications associated with surgery for pelvic pressure ulcers in terms of their frequency, nature and rate of surgical revisions. The secondary aims are to analyse the rate of recurrence, length of stay and time to healing, and to determine factors associated with complications and recurrence.

Methods: It is a single-centre, retrospective cohort study with a 10-year follow-up setting in Nantes University Hospital, France, a specialist centre for spinal cord injury (SCI). Read More

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November 2018
2 Reads

Salvage for intramedullary nailing breakage after operative treatment of trochanteric fractures.

Injury 2018 Sep;49 Suppl 2:S44-S50

Trauma Unit of the Department of Traumatology and Orthopaedic Surgery of Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona (UAB), Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.

Background: Trochanteric fractures are one of the most common fractures in elderly people. The use of intramedullary nails is an option for their treatment, especially in unstable patterns. Nail breakage is a rarely reported complication. Read More

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September 2018
4 Reads

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study.

Arch Osteoporos 2018 Sep 14;13(1):96. Epub 2018 Sep 14.

Musculoskeletal Research Unit, IMIM-Parc Salut Mar, CIBERFES, Universitat Autònoma de Barcelona, Doctor Aiguader 88, 08003, Barcelona, Spain.

We have characterised 997 hip fracture patients from a representative 45 Spanish hospitals, and followed them up prospectively for up to 4 months. Despite suboptimal surgical delays (average 59.1 hours), in-hospital mortality was lower than in Northern European cohorts. Read More

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September 2018
10 Reads

[Rehabilitation of hip fractures. Systematic review].

Acta Ortop Mex 2018 Jan-Feb;32(1):28-35

Facultad de Medicina «Dr. Alberto Romo Caballero», Universidad Autónoma de Tamaulipas. Tamaulipas. México.

Introduction: Hip fractures are considered among one of the most disabling injuries in patients older than 60 years of age. This fractures are associated with a high incidence of mortality and it is the leading cause of hospital admission that requires surgical treatment in Orthopaedic Trauma Centers.

Methods: This systematic review aimed to group, classify and report the best level of evidence of physical therapy and rehabilitation of patients that have been treated with osteostynthesis after trochanteric or subtrochanteric fracture. Read More

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September 2018
7 Reads

[Trochanteric and subtrochanteric fractures].

Chirurg 2018 Oct;89(10):837-848

Unfall- und Wiederherstellungschirurgie, BG Klinik Tübingen, Eberhard-Karls-Universität Tübingen, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland.

Proximal femoral fractures are one of the most common fractures, particularly in older people. The most common cause is a falling event due to dizziness and gait insecurity. In most cases prompt surgical treatment is necessary to achieve early mobilization and to reduce the risk of mortality. Read More

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October 2018
1 Read

The foot fillet flap for ischial pressure sore reconstruction: A new indication.

J Plast Reconstr Aesthet Surg 2018 Nov 2;71(11):1664-1678. Epub 2018 Aug 2.

Department of Plastic Surgery, Gent University Hospital, De Pintelaan 185, 2K12C, B-9000 Gent, Belgium.

Introduction: The main cause of ischial pressure sores in paraplegic patients is prolonged sitting without pressure relief. These wounds are subject to recurrence and may need repeated reconstruction with local flaps. When all options are exhausted, the total thigh flap is the last resort. Read More

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November 2018

Medial Migration of a Broken Trochanteric Cable.

Case Rep Orthop 2018 5;2018:4590105. Epub 2018 Aug 5.

Orthopedics and Traumatology Department, Ondokuzmayıs University, Atakum, Samsun, Turkey.

Background: Cerclage wires or cables are commonly being used in hip reconstruction procedures like primary (especially in patients with developmental hip dysplasia) or revision arthroplasty. Local or distant migration of a broken cable or wire is a complication that might lead to devastating situations depending on the route of migration.

Case Presentation: We report a case of a 40-year-old female who underwent bilateral total hip arthroplasty surgery due to bilateral developmental hip dysplasia. Read More

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August 2018
7 Reads

Three-dimensional CT Improves the Reproducibility of Stability Evaluation for Intertrochanteric Fractures.

Orthop Surg 2018 Aug;10(3):212-217

Department of Orthopaedics, Taichung Veterans General Hospital, Taichung, Taiwan.

Objectives: Femoral intertrochanteric fractures are among the most common fractures in the elderly. There are various classification systems in intertrochanteric fractures. The aim of these classification systems is to help surgeons choose an appropriate treatment. Read More

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August 2018
1 Read

Huge Pseudoaneurysm of the Femoral Artery after Internal Fixation of Femoral Trochanteric Fracture.

Case Rep Orthop 2018 25;2018:3182643. Epub 2018 Jul 25.

Department of Orthopedic Surgery, Chiba Medical Center, 1-7-1 Minamicho, Chuo-ku, Chiba 260-0842, Japan.

Pseudoaneurysm is one of the most serious complications of femoral trochanteric fracture surgery. Since the rupture of pseudoaneurysm may lead to death, early detection is important. We report the case of an 80-year-old male who developed pain in the proximal thigh and severe swelling after internal fixation of a femoral trochanteric fracture with a hip nail. Read More

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July 2018
8 Reads

Relationship of Dynamic Balance Impairment with Pain-Related and Psychosocial Measures in Primary Care Patients with Chronic Greater Trochanteric Pain Syndrome.

Pain Med 2018 Aug 22. Epub 2018 Aug 22.

Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.

Objective: Subjects with greater trochanteric pain syndrome (GTPS) show an altered physical function while performing static and dynamic tasks. Pain and psychosocial factors are also variables that influence the outcomes of these patients. Thus, the aim of this study was to evaluate the relationship between dynamic balance, pain-related measures, and psychosocial measures in subjects with chronic GTPS. Read More

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August 2018
15 Reads
2.300 Impact Factor

Risk Factors Associated With Cephalomedullary Nail Cutout in the Treatment of Trochanteric Hip Fractures.

J Orthop Trauma 2018 Sep;32(9):e385-e386

Department of Orthopaedics, AIIMS, New Delhi, India.

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September 2018
7 Reads