Muscle–tendon-related abnormalities detected by ultrasonography are common in symptomatic hip dysplasia

Jacobsen, Julie Sandell; Bolvig, Lars; Hölmich, Per; Thorborg, Kristian; Jakobsen, Stig Storgaard; Søballé, Kjeld; Mechlenburg, Inger

doi:10.1007/s00402-018-2947-4

Cited by 17 publications

(15 citation statements)

References 40 publications

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“…The muscles around the hip joint (musculus iliopsoas, gluteus medius, and minimus) are thought to be crucial in stabilizing the hip joint in patients with DDH due to shallow and steep acetabular roof [6]. Gluteus medius is the hip adductor group muscle that plays an essential role in balancing the abduction force around the hip joint like other abductor muscles of the hip (musculus piriformis, tensor fascia lata, gluteus maximus, and minimus) [25].…”

Section: Discussionmentioning

confidence: 99%

“…Domb et al reported that 18% of patients with symptomatic hip dysplasia had muscle-tendon-related abnormalities in the iliopsoas tendon determined in hip arthroscopy [29]. Jacobsen et al [6] evaluated patients with unilateral and bilateral hip dysplasia with musculoskeletal ultrasonography and concluded that pain in these patients was concerned with both iliopsoas and the gluteus medius and minimus. In that study, tendon-related abnormalities were identified in iliopsoas tendon in 50%, in adductor longus tendon in 31% and gluteus medius/minimus tendons in 27% of the patients [6].…”

Section: Clinical Researchmentioning

confidence: 99%

“…Jacobsen et al [6] evaluated patients with unilateral and bilateral hip dysplasia with musculoskeletal ultrasonography and concluded that pain in these patients was concerned with both iliopsoas and the gluteus medius and minimus. In that study, tendon-related abnormalities were identified in iliopsoas tendon in 50%, in adductor longus tendon in 31% and gluteus medius/minimus tendons in 27% of the patients [6]. We thought that rehabilitation and regeneration of these tendons around the hip joint might improve the hip motions, correct the imbalance and prevent degeneration.…”

Section: Clinical Researchmentioning

confidence: 99%

“…All these muscles have maximum stabilizing acts in the hip joint. Therefore, the result of an imbalance of these muscles may lead to overabundant stress on the labrum in the dysplastic hip joint, increase degenerative changes and result in worsening of the disease [6].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control

Gül¹,

Örsçelik²,

Akpancar³

2020

Med Sci Monit

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Departmental sources Background: Osteoarthritis secondary to developmental dysplasia of the hip (DDH) is one of the major causes of hip pain and disability. The aim of the study was to compare the effectiveness of prolotherapy (PrT) injections versus exercise protocol for the treatment of DDH. Material/Methods: There were 46 hips of 41 patients who had osteoarthritis secondary to DDH included in this study. Patients were divided into 2 groups: treated with PrT (PrT group; n=20) and exercise (control group; n=21). Clinical outcomes were evaluated with visual analog scale for pain (VAS) and Harris hip score (HHS) at baseline, 3 weeks, 3 months, 6 months, and a minimum of 1-year follow-up. In PrT group clinical results were also compared in Crowe type I-IV hips. Results: Between group analysis revealed no significant between group differences at baseline. Dextrose injection recipients out performed exercise controls for VAS pain change score at 6 months (-4.6±2.6 versus-2.8±2.5; P=0.016), and 12 months (-4.5±2.4 versus-2.9±2.5; P=0.017) and for HHS at 6 months (24.2±14.0 versus 14.8±12.4; P=0.007) and 12 months (24.3±13.4 versus 16.5±11.3; P=0.018). Conclusions: To our best knowledge, this study is the first regarding the effects of an injection method in the treatment of osteoarthritis secondary to DDH. According to our study, PrT is superior to exercises. PrT could provide significant improvement for clinical outcomes in DDH and might delay surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Clinical Researchmentioning

confidence: 99%

Section: Clinical Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control

Gül¹,

Örsçelik²,

Akpancar³

2020

Med Sci Monit

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“…Further details on study design was reported in our previous studies on the same study population, reporting ultrasonography-detected abnormalities and prevalence of muscle–tendon pain prior to PAO (Jacobsen et al. 2018a, b).…”

Section: Methodsmentioning

confidence: 99%

Does the physical activity profile change in patients with hip dysplasia from before to 1 year after periacetabular osteotomy?

et al. 2018

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Background and purpose — Knowledge of physical activity profiles among patients with hip dysplasia is lacking. We investigated whether patients with hip dysplasia change physical activity profile from before to 1 year after periacetabular osteotomy. Furthermore, we investigated associations between change in accelerometer-based physical activity and change in self-reported participation in preferred physical activities (PA).Patients and methods — Physical activity was objectively measured at very low to high intensity levels with accelerometer-based sensors. Subjectively, PA was recorded with Copenhagen Hip and Groin Outcome Score (HAGOS) in 77 patients. Associations between the 2 were analyzed with simple linear regression analyses.Results — Changes in accelerometer-based physical activity ranged from –2.2 to 4.0% points at all intensity levels from baseline to 1-year follow-up. These changes represent very small effect sizes (–0.16 to 0.14). In contrast, self-reported PA showed a statistically and clinically relevant increase of 22 (CI 14–29) HAGOS PA points 1 year post-surgery. Associations between change in accelerometer-based physical activity and change in self-reported PA were, however, not statistically significant and correspond to a percentage change in physical activity of only –0.87% to 0.65% for a change of 10 HAGOS PA points.Interpretation — Patients with hip dysplasia do not seem to change physical activity profile 1 year post-surgery if measured with objective accelerometer-based sensors. This is interesting as self-reported PA indicates that patients’ ability to participate in physical activity increases, suggesting that this increased self-reported participatory capacity is not manifested as increased objectively measured physical activity.

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Outcomes in 385 developmental dysplastic hips requiring total hip arthroplasty

Seo

Gabor

Novikov

et al. 2019

Arch Orthop Trauma Surg

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Muscle–tendon-related abnormalities detected by ultrasonography are common in symptomatic hip dysplasia

Cited by 17 publications

References 40 publications

Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control

Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control

Does the physical activity profile change in patients with hip dysplasia from before to 1 year after periacetabular osteotomy?

Outcomes in 385 developmental dysplastic hips requiring total hip arthroplasty

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