Trochanteric impingement: is it a source of pain after THR?
Autor: | Kevin J. Bunn, Stephen J. Incavo, Mark J. Isaacson |
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Rok vydání: | 2015 |
Předmět: |
musculoskeletal diseases
Greater trochanter medicine.medical_specialty Radiography Total hip replacement Sitting Femoral head lcsh:Orthopedic surgery Femoral offset Medicine Orthopedics and Sports Medicine Hip pain Lead (electronics) Office Tip Trochanteric bursitis business.industry Trochanteric impingement Surgery lcsh:RD701-811 medicine.anatomical_structure Total hip arthroplasty business |
Zdroj: | Arthroplasty Today Arthroplasty Today, Vol 1, Iss 3, Pp 73-75 (2015) |
ISSN: | 2352-3441 |
DOI: | 10.1016/j.artd.2015.05.004 |
Popis: | While uncommon, trochanteric-pelvic impingement may lead to significant lateral hip pain. We defined "impingement distance" as the radiographic distance from the medial aspect of the greater trochanter and the corresponding lateral edge of the acetabular bone or component and compared this to the contralateral normal hip. We present two painful total hip replacement (THR) cases, each featuring a patient with severe lateral hip pain when walking and sitting. Both patients had diminished femoral offset and trochanteric-pelvic clearance, compared to the contralateral normal hip. The impingement distance was increased an average of 10 mm with the exchange to a longer femoral head. Both patients had immediate and complete pain relief with operative treatment to increase the impingement distance. |
Databáze: | OpenAIRE |
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