The Hip-Spine Connection: Understanding Its Importance in the Treatment of Hip Pathology

Redmond, John M.; Gupta, Alka; Nasser, Rima; Domb, Benjamin G.

doi:10.3928/01477447-20150105-07

Cited by 31 publications

(17 citation statements)

References 35 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition to Offierski and Macnab (1983), Yoshimoto et al (2005) reported that alignment abnormalities, such as an increase in sacral slope and enhancement of lumbar lordosis, occur in patients with osteoarthritis of the hip joint. This association is considered to be based on the coordinated movement of the hip joint and lumbar spine and that limitations in one area will affect other areas (Redmond et al 2015). The kinematic function of the SIJ in the lumbopelvic region is not clear.…”

Section: Evaluation Of Degenerative Changes In the Sijmentioning

confidence: 99%

Degenerative changes of the sacroiliac auricular joint surface—validation of influential factors

et al. 2016

View full text Add to dashboard Cite

The purpose of this study was to clarify the relevance of degenerative changes in the sacroiliac joint (SIJ) and the joints in the lower limb and lumbar spine using age estimation methods. We also examined the shape of the auricular surface to determine the effect of degenerative changes on each joint. A total of 200 iliac auricular surfaces from 100 Japanese male skeletons were examined macroscopically in accordance with conventional methods of age estimation. From the obtained estimated age, we calculated the deflection values, which represented the degree of degenerative changes of the joints. For comparison, we used osteophyte score data of the hip, knee, and zygapophyseal joints in lumbar spines from previous studies which had used the same bone specimens. As a quantitative indicator of auricular surface morphology, we defined the constriction ratio (CR) of the auricular surface and compared the CR values obtained with various measured values. Degenerative changes in the SIJ were positively correlated with those in both the hip joint and zygapophyseal joint, but a correlation with knee joints was found only on the left side. In skeletons from individuals aged ≥60 years as time of death, the CR was significantly different between the group with high scores and those with low scores in both the hip and sacroiliac joints. It has been suggested that degenerative changes in SIJs interact with those in the hip joint and zygapophyseal joint. In addition, the shape of the auricular surface may also be a relevant factor for degenerative changes in these joints.

show abstract

Section: Evaluation Of Degenerative Changes In the Sijmentioning

confidence: 99%

Degenerative changes of the sacroiliac auricular joint surface—validation of influential factors

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Проблема выявления источника боли и определения тактики хирургического или консервативного лечения у пациентов с КВС обсуждается как в зарубежной, так и в отечественной литературе [1,[8][9][10][11]. Неправильная оценка источника жалоб может приводить к ошибкам в выборе тактики хирургического лечения.…”

Section: Discussionunclassified

Optimization of Surgical Treatment Tactics for Patients With Hip-Spine Syndrome: A Clinical Case

Каргальцев¹,

Макаров²,

Амирджанова³

2019

Naučno-praktičeskaâ revmatologiâ

View full text Add to dashboard Cite

Coexisting hip osteoarthritis (OA) and lumbar spinal stenosis (central and foraminal) and/or spondylolisthesis is called a hip-spine syndrome (HSS). The central problem is correctly diagnosing and determining the tactics of surgical or medical treatment for patients with HSS. The paper describes a clinical case of a female patient with HSS and an examination algorithm for determining the significance of peripheral neuropathy and hip OA and discusses the choice of surgical treatment tactics.

show abstract

“…Non-emergency not arthritic hip pain can be further classified as in Table 2 and Table 3 [3]. Reymond proposed hip spine algorithm for clinician to assess patient in systematic manner to avoid unnecessary surgical intervention as in Figure 1 [4]. The algorithm begins with thorough history and physical examination.…”

Section: Discussionmentioning

confidence: 99%

Complex Hip Spine Syndrome in Young Athlete: A Diagnosis Dilemma

Azwan¹,

Abu²

2019

Int J Sports Exerc Med

View full text Add to dashboard Cite

Hip spine syndrome is often associated with hip arthrosis and degenerative spine disease affecting the older generation. However, it can also present in young athlete as well. This is a case of 32-years-old male, active body builder with herniated disc L3, L4 and L5 for 5 years presented with acute onset excruciating pain over the anterior portion of his left hip that was affecting his daily living. His clinical examination revealed a classical positive finding of Femoral Acetabular Impingement (FAI) with positive hip provocation tests and MRI confirmed the diagnosis of acute left labral tear of the hip. Patient was offered intra-articular anesthetic hip injection while planning for surgical intervention. The pain did not resolve despite intra-articular injection. This led to the surgeon with the high index of suspicion that the pain was not arising from the left hip but from the spine. Patient was then counselled for laminectomy. Post-operatively, there was a big improvement is seen in pain and disability outcome. A systematic approach is discussed in this report to guide physicians who manage cases of complex Hip Spine Syndrome.

show abstract

The Hip-Spine Connection: Understanding Its Importance in the Treatment of Hip Pathology

Cited by 31 publications

References 35 publications

Degenerative changes of the sacroiliac auricular joint surface—validation of influential factors

Degenerative changes of the sacroiliac auricular joint surface—validation of influential factors

Optimization of Surgical Treatment Tactics for Patients With Hip-Spine Syndrome: A Clinical Case

Complex Hip Spine Syndrome in Young Athlete: A Diagnosis Dilemma

Contact Info

Product

Resources

About