Clinical practice

Fabry, Guy

doi:10.1007/s00431-009-1025-x

Cited by 28 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The hip is a deep-seated articulation, and its dislocation may either remain hidden for some time or go undiagnosed [1]. According to the development of hip dislocation, pathological dislocation of the hip is frequently associated with heavy bone destructive defect of acetabulum and femoral heads and necks as well as the residual anatomic deformity.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

Jiang

Liu

et al. 2014

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundThe aim of this study is to evaluate the clinical outcome of various surgery methods in children suffering pathological dislocation of the hip joint due to coxotuberculosis.Patients and methodsFrom January 2006 to January 2011, 29 children with coxotuberculosis hip dislocation were treated with open reduction (4 children) and acetabular reconstruction (25 children). According to degree of dislocation and age, acetabular reconstructions included Salter osteotomy (nine children), Pemberton operation (six children), Dega operation (seven children), the hip shelf arthroplasty (two children), and Chiari operation (one child). During acetabular reconstruction, 16 children underwent upper femoral rotational shortening osteotomies simultaneously, 6 children underwent the femoral head and neck reconstruction simultaneously, and 3 children were underwent corrective osteotomy. After operation, children were immobilized with plaster external fixation for 1–3 months and treated with routine anti-infective therapy for 3 days. During follow-up study (12–18 months), the hip stability was examined via X-ray. The recovery was evaluated via acetabular index (AI) and Harris hip score.ResultsPostoperative X-ray films of 29 children showed concentric reduction of all hips. Total 25 children healed I incision surgery, while 4 children with skin antrum of incision were further treated leading to 1–3 months delay of healing. Total 24 children were followed up for 2–5 years. X-ray examination revealed no redislocation after 2 years postoperative. The postoperative AI was normal (15°–20°) in 22 children and increased to 25°– 30° in 2 children. After 2 years postoperative, 8 children had normal function of hip joint, 13 children had mild limitation of flexion and rotation, and 3 children had fibrous ankylosis. The average of Harris hip score was 83 (ranged, 62–90).ConclusionIn our study, pathological hip dislocations of children attributed to coxotuberculosis were treated via open reduction and acetabular reconstruction and the outcomes were both excellent. Individual characteristic should be taken into consideration during treatment, and proper surgery approach should be adopted according to pathological changes of the hip.

show abstract

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

Jiang

Liu

et al. 2014

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…Patients with tumors of the hip may not be able to carry weight on the affected hip and there may be a palpable mass on examination. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

An uncommon cause for hip pain and limping

Shetty

Sathyakumar

Kapoor

et al. 2015

J Family Med Prim Care

View full text Add to dashboard Cite

Slipped capital femoral epiphysis (SCFE) is characterized by displacement of the capital femoral epiphysis from the femoral neck. An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE.

show abstract

“…TSH is sometimes confirmed by the presence of a hip effusion on radiological imaging. Whilst an exact cause is yet to be elucidated, an antecedent viral illness or trivial trauma is commonly reported [ 2 ]. Patients often present with hip pain (which may refer to the back or ipsilateral knee), decreased range of movement and/or refusal to weight-bear [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Peripheral eosinophilia in children with transient synovitis of the hip: 7-year experience from a single centre in New Zealand

Alamri

Cockfield

2016

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

PurposeHip pain with limping is a common presentation in childhood. The most common diagnosis in young children is transient synovitis of the hip (TSH), a benign and self-limiting condition. In our clinical practice, we observed eosinophilia in children presenting with irritable hip more commonly than would otherwise be expected. The aims of this study were to assess the prevalence of eosinophilia in children with TSH, and to evaluate the clinical outcomes of this sub-group of patients.MethodsThis study retrospectively examined the data of all paediatric patients admitted to Christchurch Public Hospital, Christchurch, New Zealand. TSH cases were compared with age- and sex-matched controls.ResultsA total of 103 patients were included. Compared with controls, TSH patients had significantly higher eosinophil counts (303 ± 236 vs. 380 ± 337 cells/μL, respectively, p = 0.049). Fourteen patients (15.6 %) had eosinophilia, with a mean eosinophil count of 986 (±321) cells/µL. Children who had eosinophilia did not differ from the rest of the sample in their age (mean 4.6 vs. 4.4 years, p = 0.74) or ethnicity (85.7 vs. 85.5 % European, p = 0.99). Eosinophilic children were not more likely to be atopic (i.e. have history of allergic rhinitis, asthma and/or eczema) than non-eosinophilic children (21.4 vs. 10.5 %, p = 0.37). There was a shorter hospital stay in eosinophilic children (mean 16.3 ± 6 h) than in non-eosinophilic children (mean 21.5 ± 18.8 h), although this was not statistically significant (p = 0.058).ConclusionsTo the authors’ knowledge, this is the first study to explore the relationship between TSH and eosinophilia. We found a sizeable minority (15.6 %) of children with TSH to have eosinophilia. While the difference in hospital stay was not statistically significant, a correlation between peripheral eosinophilia and length of hospital stay of TSH patients is possible. Whether this correlation is clinically meaningful remains to be answered.Level of evidence Retrospective prognostic study; level II.

show abstract

Clinical practice

Cited by 28 publications

References 10 publications

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

An uncommon cause for hip pain and limping

Peripheral eosinophilia in children with transient synovitis of the hip: 7-year experience from a single centre in New Zealand

Contact Info

Product

Resources

About