The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

Disantis, Ashley; Andrade, A. J.; Baillou, Alexander; Bonin, Nicolas; Byrd, J. W. Thomas; Campbell, Ashley; Domb, Benjamin G.; Doyle, Holly; Enseki, Keelan R.; Getz, Barry; Gosling, Lucie; Grant, Louise; Ilizaliturri, Víctor M.; Kohlrieser, Dave; Laskovski, Jovan R.; Lifshitz, Liran; McGovern, Ryan P.; Monnington, Katie; O’Donnell, John; Takla, Amir; Tyler, Tim; Voight, Mike; Wuerz, Thomas H.; Martin, RobRoy L.

doi:10.1093/jhps/hnac050

Cited by 4 publications

(2 citation statements)

References 70 publications

(74 reference statements)

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“…For GTPS, all clinical diagnoses were made by an orthopedic surgeon specialized on hip surgery. The diagnosis was based on the patient’s symptoms (location of pain and/or tenderness, worsening of pain with unilateral weight-bearing activities, lying on the affected side) and clinical examination (hip abduction and external rotation test, FABER test, resisted external rotation test, or Trendelenburg test), in accordance with the 2022 ISHA Physical Therapy Agreement for the Evaluation and Management of GTPS [ 21 ]. IFI and GTPS were considered confirmed only if a clinical or surgical report documented these conditions and the corresponding imaging showed signs corroborating the suspected clinical diagnosis.…”

Section: Methodsmentioning

confidence: 99%

Femoral anteversion change is associated with ischiofemoral impingement after total hip arthroplasty: a retrospective CT evaluation

Marth,

Goller,

Sutter

2023

Eur Radiol

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Objectives We evaluated the relationship between femoral anteversion (FA), FA change, and ischiofemoral impingement (IFI) and the relationship between FA, femoral offset (FO), and greater trochanteric pain syndrome (GTPS) after total hip arthroplasty (THA). Materials and methods In this retrospective study, two readers assessed FA and FO on CT images of 197 patients following primary THA with an anterior surgical approach between 2014 and 2021. FA change was calculated relative to preoperative CT, while FO change was calculated relative to preoperative radiographs and classified as decreased (≥−5 mm), increased (≥ + 5 mm), or restored (± 5 mm). Clinical and imaging data were analyzed for IFI and GTPS after surgery. Group differences were evaluated using Student’s t-test, chi-square analysis, and receiver operating characteristic (ROC) analysis. Results The change in FA was 3.6 ± 3.3° to a postoperative FA of 22.5 ± 6.8°, while FO increased by 1.7 ± 3.5 mm to a postoperative FO of 42.9 ± 7.1 mm. FA and FA change were higher in patients with IFI (p ≤ 0.006), while no significant difference was observed for patients with and without GTPS (p ≥ 0.122). IFI was more common in females (p = 0.023). In the ROC analysis, an AUC of 0.859 was observed for FA change to predict IFI, whereas the AUC value was 0.726 for FA alone. No significant difference was found for FO change in patients with and without IFI or GTPS (p ≥ 0.187). Conclusion Postoperative FA, FA change, and female sex were associated with IFI after anterior-approached THA. The change in FA was a better predictor of IFI than absolute postoperative FA alone. Clinical relevance statement The findings of this study suggest that preservation of the preoperative femoral anteversion may reduce postoperative ischiofemoral impingement in patients undergoing total hip arthroplasty. Key Points • Higher postoperative femoral anteversion and anteversion change were associated with ischiofemoral impingement. • Femoral anteversion change was a better predictor of impingement than absolute postoperative anteversion. • No significant association was found between femoral offset and postoperative hip pain.

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Section: Methodsmentioning

confidence: 99%

Femoral anteversion change is associated with ischiofemoral impingement after total hip arthroplasty: a retrospective CT evaluation

Marth,

Goller,

Sutter

2023

Eur Radiol

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“…Another human strategy for the evaluation of opinion and research is achieved by bringing together experts and seeking consensus. In Issue 10.1, we publish the article titled ‘The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement’ [ 9 ]. There is a search engine called ‘consensus.ai’ but it does not seem to be active at the moment.…”

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Field

2023

Journal of Hip Preservation Surgery

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Musculoskeletal mimics of lumbosacral radiculopathy

Bateman,

Fortin,

Guo

2024

Muscle and Nerve

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Electrodiagnostic evaluations are commonly requested for patients with suspected radiculopathy. Understanding lower extremity musculoskeletal conditions is essential for electrodiagnostic medicine specialists, as musculoskeletal disorders often mimic or coexist with radiculopathy. This review delineates radicular pain from other types originating from the lumbosacral spine and describes musculoskeletal conditions frequently mimicking radiculopathy, such as those that cause radiating pain and sensorimotor dysfunction. In clinical evaluation, a history of pain radiating along a specific dermatomal territory with associated sensory disturbance suggests radiculopathy. Physical examination findings consistent with radiculopathy include myotomal weakness, depressed or absent muscle stretch reflexes, focal atrophy along a discrete nerve root territory, and potentially positive dural tension maneuvers like the straight leg raise. However, electrodiagnostic medicine specialists must be knowledgeable of musculoskeletal mimics, which may manifest as incomplete radiation within or beyond a dermatomal territory, non‐radiating pain, tenderness, and give‐way weakness, in the context of a normal neurological examination. A systematic approach to musculoskeletal examination is vital, and this review focuses on high‐yield physical examination maneuvers and diagnostic investigations to differentiate between musculoskeletal conditions and radiculopathy. This approach ensures accurate diagnoses, promotes resource stewardship, enhances patient satisfaction, and optimizes care delivery. Musculoskeletal conditions resembling L1 to S4 radiculopathy are reviewed, emphasizing their distinctive features in history, physical examination, and diagnostic investigation. Among the more than 30 musculoskeletal disorders reviewed are hip and knee osteoarthritis, lumbar facet syndrome, myofascial pain syndrome, greater trochanteric pain syndrome, and plantar fasciitis.

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The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

Cited by 4 publications

References 70 publications

Femoral anteversion change is associated with ischiofemoral impingement after total hip arthroplasty: a retrospective CT evaluation

Femoral anteversion change is associated with ischiofemoral impingement after total hip arthroplasty: a retrospective CT evaluation

Beware of AI programs bearing false gifts

Musculoskeletal mimics of lumbosacral radiculopathy

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