Magnetic resonance arthrography is the current method of choice for investigating patients with a clinical diagnosis of femoroacetabular impingement prior to performing hip arthroscopy. The aim of our study was to assess the efficacy of this investigation by comparing the findings of MR arthrogram with those found at arthroscopy, with reference to labral tears and chondral damage.
The Disability of the Arm, Shoulder, and Hand (DASH) questionnaire was originally designed as a measure of disability in patients with disorders of the upper limb, but the DASH score is also affected by disability because of lower limb disorders. The aim of this study was to investigate the construct validity of the DASH questionnaire and to create a revised DASH questionnaire, the Manchester-modified or M2 DASH, with fewer questions that is more specific to the upper limb. Patients were asked to fill in the DASH questionnaire in a fracture clinic after ethical approval.
Increased life expectancy throughout the world is producing an aging population. With an estimated lifetime incidence of hip fracture in women and men of 18% and 6%, respectively, this represents the most common cause of injury requiring hospitalisation in those over the age of 65.1 In the UK in 2007 70,000 people over the age of 60 sustained a hip fracture.
We reviewed 90 3D CT scans of 82 patients who have undergone or are awaiting arthroscopic surgery for femero-acetabular impingement, both retrospectively and prospectively. A method to determine the presence and severity of pincer lesion was established during routine reconstruction of 3D CT scans of hips.
Leg Length discrepancy (LLD) is a well known complication following hip arthroplasty. There are many papers looking at LLD after total hip replacement however there are none looking at LLD after hip hemiarthroplasty for fracture neck of femur. Our aim was to accurately assess leg length discrepancy following cemented hip hemiarthroplasty.
Fixation of intracapsular displaced neck of femur fractures are commonly managed with cemented hip hemiarthroplasty. However there is evidence to show that there is a substantial risk of mortality associated with this procedure. Our aim was to find factors contributing to peri-operative mortality following cemented hip hemiarthroplasty.
Femoroacetabular impingement (FAI) may be a predisposing factor in progression of osteoarthritis. The use of hip arthroscopy is growing in popularity, with increasing uptake by more orthopaedic surgeons with varying degrees of experience. This prospective study examines the learning curve of an arthroscopist setting up his practice.