Characteristic Poses in Ballet in the Case of a Retired Classical Ballerina after Bilateral THA: A Case Report and Review of Literature

Abstract

Background. Ballet dance involves extreme range of motion (ROM) in the hip joint. This ROM can cause injuries including labral strain, tears, and subluxation episodes. Case Presentation. A 69-year-old female classical ballet dance instructor presented bilateral hip pain. The plain radiograph showed end-stage osteoarthritic change in the bilateral hip. She could neither dance nor perform daily activities. Bilateral hybrid total hip arthroplasty (THA) was performed. After surgery, she was able to demonstrate the split position on the floor as an active classical ballerina. The plain radiograph was taken in the split position, and the radiograph did not show any characteristics of impingement or subluxation of the femoral head. Conclusion. She was able to continue working as a classical ballet instructor after bilateral THA. Additionally, any characteristics of impingement or subluxation of the femoral head were not revealed in the postoperative radiograph in the split position.

Excellent Clinical Outcomes and Return to Dance of 6 Active, Professional Ballet Dancers Aged Younger Than 40 Years at Total Hip Arthroplasty Through Direct Anterior Approach With a Custom Stem: A Case Report

“…This study is the first to report clinical and functional outcomes after THA in young, active, professional ballet dancers who intended to resume ballet after the surgery. Previous published studies 10–13 on THA in dancers report outcomes in patients who have either retired or who dance for leisure, mainly nonballet. This is most likely due to the low number of THAs performed on professional ballet dancers.…”

“…Previous published studies [10][11][12][13] on THA in dancers report outcomes in patients who have either retired or who dance for leisure, mainly nonballet. This is most likely due to the low number of THAs performed on professional ballet dancers.…”

“…There are very few published studies on the outcomes of THA in dancers, [10][11][12][13] none of which included "active" professional ballet dancers who elected to undergo THA to resume professional ballet. Only Morio et al 13 reported on a professional ballet dancer who underwent bilateral THA after retirement; the patient recovered most of her prearthritic ROM and was able to perform the split position. Over the past few years, the senior surgeons (AN, IT) performed THA in 6 active, professional ballet dancers aged younger than 40 years who intended to resume ballet after the surgery.…”

“…There are very few published studies on the outcomes of THA in dancers, 10–13 none of which included “active” professional ballet dancers who elected to undergo THA to resume professional ballet. Only Morio et al 13 reported on a professional ballet dancer who underwent bilateral THA after retirement; the patient recovered most of her prearthritic ROM and was able to perform the split position.…”

High Rates of Satisfaction and Return to Dance in Current or Former Professional Ballet Dancers After Total Hip Arthroplasty With a Muscle-Sparing Direct Anterior Approach Using Custom Femoral Stems

“…Mizoguchi et al 14 reported on an experienced jazz dance instructor who underwent simultaneous bilateral THA using a transtrochanteric approach and the tailored postoperative physical therapy program that she followed. Morio et al 15 reported on a retired professional ballet dancer who underwent bilateral THA and was able to regain most of her prearthritic ROM, being able to perform the split position.…”