Hip Dislocation, Congenital
Dislocations
Hip Joint
Femoracetabular Impingement
Orthopedic Procedures
Femur Head
Acetabulum
Hip
Joint Capsule
Range of Motion, Articular
Legg-Calve-Perthes Disease
Osteoarthritis, Hip
Hip Fractures
Cerebral Palsy
Reoperation
Recovery of Function
Treatment Outcome
Retrospective Studies
Traction
Prosthesis Failure
Follow-Up Studies
Lens Subluxation
Acromioclavicular Joint
Joint Instability
Manipulation, Orthopedic
Splints
Femur Head Necrosis
Ligaments, Articular
Femoral Neck Fractures
Sternoclavicular Joint
Tarsal Joints
Shoulder Joint
Bone Diseases, Developmental
Postoperative Complications
Fracture Fixation, Internal
Casts, Surgical
Long-term results of spherical acetabular osteotomy. (1/363)
We have examined the effect of the Wagner spherical acetabular osteotomy on preserving the joint in 38 hips with a mean follow-up of 17 years. At the time of the initial operation, 55% of patients had clinical symptoms and 30 joints showed minimal or absent radiological signs of osteoarthritis. At follow-up, 54% of patients had a good functional result. The osteotomy improved the mean centre-edge angle from -3 degrees to +15 degrees, the mean anterior centre-edge angle to 23 degrees and the acetabular head index to 75%. The obliquity of the acetabular roof decreased from 28 degrees to 16 degrees. One patient improved, but 14 deteriorated with joint degeneration. Of these, one progressed because of postoperative deep-tissue infection and five due to undercorrection. One patient needed total joint replacement after 14 years. At 17 years after operation, Wagner osteotomy had prevented progression of secondary arthritis in 63% of cases. (+info)Unsuccessful surgical treatment of hip dislocation in congenital sensory neuropathy with anhidrosis. A case report. (2/363)
A six-year-old girl with congenital sensory neuropathy with anhidrosis (CSNA) presented with bilateral hip dysplasia and subluxation on the right side. Conservative treatment of the hips by closed reduction and a plaster cast was unsuccessful. When aged seven years the patient had an intertrochanteric varus rotation osteotomy on the right side, but subluxation was again evident after five months. A Salter-type pelvic osteotomy was carried out followed by immobilisation, but one year later subluxation was present in the right hip and dislocation in the left. At the age of nine years, the right femoral head resembled a Charcot joint, although walking ability was preserved. In patients with CSNA, surgery may not always be advisable. (+info)Predicting the outcome of adductor tenotomy. (3/363)
This study reviewed 57 hips in 30 children (18 girls and 12 boys) with cerebral palsy who had undergone an adductor tenotomy alone or in combination with an anterior obturator neurectomy (23 hips). Results were evaluated by the Reimers migration percentage (MP). The hips were split into three groups: group A (12 hips) a preoperative MP of less than 20%, group B (25 hips) between 20 and 40%, and group C (20 hips) more than 40%. The mean age at the time of surgery was 6 years and 1 month (range: 2.5-13 years). The mean period of review was 6 years and 3 months (2-20 years). The results were considered as "good" when radiographs at the longest follow-up showed a decrease of > 10% of the MP, as "bad" when they showed an increase of > 10%, and as "stable" when the MPs varied less than 10%. At the latest review of group A, 11 were stable (92%) and 1 was bad. In group B, 12 were stable (48%), 7 were good (28%), and 6 were bad (24%). In group C, 7 were stable (35%), and 13 were bad (65%). The preoperative migration percentage provided to be the only predictor of outcome. Age at the time of surgery had no constant significant effect on the outcome, neither had the addition of an anterior neurectomy. (+info)Ultrasound screening for hips at risk in developmental dysplasia. Is it worth it? (4/363)
Between May 1992 and April 1997, there were 20,452 births in the Blackburn District. In the same period 1107 infants with hip 'at-risk' factors were screened prospectively by ultrasound. We recorded the presence of dislocation and dysplasia detected under the age of six months using Graf's alpha angle. Early dislocation was present in 36 hips (34 dislocatable and 2 irreducible). Of the 36 unstable hips, 30 (83%) were referred as being Ortolani-positive or unstable; 25 (69%) of these had at least one of the risk factors. Only 11 (31%) were identified from the 'at-risk' screening programme alone (0.54 per 1000 live births). Eight cases of 'late' dislocation presented after the age of six months (0.39 per 1000 live births). The overall rate of dislocation was 2.2 per 1000 live births. Only 31% of the dislocated hips belonged to a major 'at-risk' group. Statistical analysis confirmed that the risk factors had a relatively poor predictive value if used as a screening test for dislocation. In infants referred for doubtful clinical instability, one dislocation was detected for every 11 infants screened (95% confidence interval (CI) 8 to 17) whereas in infants referred because of the presence of any of the major 'at-risk' factors the rate was one in 75 (95% CI 42 to 149). Routine ultrasound screening of the 'at-risk' groups on their own is of little value in significantly reducing the rate of 'late' dislocation in DDH, but screening clinically unstable hips alone or associated with 'at-risk' factors has a high rate of detection. (+info)'Floating pelvis'. A combination of bilateral hip dislocation with a lumbar ligamentous disruption. (5/363)
A patient is described with a ligamentous disruption at the L4/L5 level in association with bilateral, traumatic dislocations of the hip. The diagnostic evaluation, acute intervention, and definitive stabilisation are reported. The unstable spine posed a problem in treatment with regard to the timing and technique of the reduction of the hips. (+info)Acetabular augmentation for the treatment of unstable total hip arthroplasties. (6/363)
Twenty-eight unstable total hip arthroplasties were treated with an acetabular augmentation wedge. Of the hips, 23 have had no further dislocations at a mean follow-up of 26 months. Five patients continued to dislocate and have needed further surgery. To our knowledge this is the largest reported series of acetabular augmentation with as good results as those of the most successful reported series of this technique, and a success rate comparable to other methods of treating recurrent dislocation. Careful patient selection, and using a thin augmentation wedge to avoid impingement, are important to the success of a technique which is a useful option in the management of recurrent dislocation. (+info)A rare fracture-dislocation of the hip in a gymnast and review of the literature. (7/363)
Posterior fracture-dislocation of the hip is an uncommon injury in athletics and leisure activities. It is more commonly seen in high energy motor vehicle accidents and occasionally in high energy sporting activities. A rare case is reported of posterior fracture-dislocation of the hip joint that occurred in a young athlete during gymnastics. This unusual mechanism of injury illustrates the great forces sustained by the hip joint of gymnasts. Early reduction and operative treatment led to a congruent and stable hip joint. After rehabilitation, she returned to light sporting activities after six months. (+info)Rotational acetabular osteotomy using biodegradable internal fixation. (8/363)
We used biodegradable poly-L-lactide screws in rotational acetabular osteotomy in 41 hips of 41 patients, and studied the complications after an average follow-up of 4.9 years (range 1.0-7.7 years). There were 39 females and 2 males, their average age at the time of the operation was 32 years (range 12-55 years). A small subcutaneous abscess appeared around the non-absorbable sutures in 2 patients after surgery. There was 1 case of thrombophlebitis and 1 of local dermatitis. The small subcutaneous abscess resolved after the removal of the suture material in the 2 cases, and the thrombophlebitis resolved with aspirin. The local dermatitis persisted but was cured by local steroid therapy over 5.8 years. The incidence of local dermatitis after the use of biodegradable implants should be further investigated. (+info)A hip dislocation is a medical emergency that occurs when the head of the femur (thighbone) slips out of its socket in the pelvis. This can happen due to high-energy trauma, such as a car accident or a severe fall. Hip dislocations can also occur in people with certain health conditions that make their hips more prone to displacement, such as developmental dysplasia of the hip.
There are two main types of hip dislocations: posterior and anterior. In a posterior dislocation, the femur head moves out of the back of the socket, which is the most common type. In an anterior dislocation, the femur head moves out of the front of the socket. Both types of hip dislocations can cause severe pain, swelling, and difficulty moving the affected leg.
Immediate medical attention is necessary for a hip dislocation to realign the bones and prevent further damage. Treatment typically involves sedation or anesthesia to relax the muscles around the joint, followed by a closed reduction procedure to gently guide the femur head back into the socket. In some cases, surgery may be required to repair any associated injuries, such as fractures or damaged ligaments. After treatment, physical therapy and rehabilitation are usually necessary to restore strength, mobility, and function to the affected hip joint.
Congenital hip dislocation, also known as developmental dysplasia of the hip (DDH), is a condition where the hip joint fails to develop normally in utero or during early infancy. In a healthy hip, the head of the femur (thigh bone) fits snugly into the acetabulum (hip socket). However, in congenital hip dislocation, the femoral head is not held firmly in place within the acetabulum due to abnormal development or laxity of the ligaments that support the joint.
There are two types of congenital hip dislocations:
1. Teratologic dislocation: This type is present at birth and occurs due to abnormalities in the development of the hip joint during fetal growth. The femoral head may be completely outside the acetabulum or partially dislocated.
2. Developmental dysplasia: This type develops after birth, often within the first few months of life, as a result of ligamentous laxity and shallow acetabulum. In some cases, it can progress to a complete hip dislocation if left untreated.
Risk factors for congenital hip dislocation include family history, breech presentation during delivery, and female gender. Early diagnosis and treatment are crucial to prevent long-term complications such as pain, limited mobility, and osteoarthritis. Treatment options may include bracing, closed reduction, or surgical intervention, depending on the severity and age of the child at diagnosis.
A dislocation is a condition in which a bone slips out of its normal position in a joint. This can happen as a result of trauma or injury, such as a fall or direct blow to the body. Dislocations can cause pain, swelling, and limited mobility in the affected area. In some cases, a dislocation may also damage surrounding tissues, such as ligaments, tendons, and nerves.
Dislocations are typically treated by reducing the dislocation, which means putting the bone back into its normal position. This is usually done with the help of medication to relieve pain and relaxation techniques to help the person stay still during the reduction. In some cases, surgery may be necessary to repair damaged tissues or if the dislocation cannot be reduced through other methods. After the dislocation has been reduced, the joint may be immobilized with a splint or sling to allow it to heal properly.
It is important to seek medical attention promptly if you suspect that you have a dislocation. If left untreated, a dislocation can lead to further complications, such as joint instability and chronic pain.
The hip joint, also known as the coxal joint, is a ball-and-socket type synovial joint that connects the femur (thigh bone) to the pelvis. The "ball" is the head of the femur, while the "socket" is the acetabulum, a concave surface on the pelvic bone.
The hip joint is surrounded by a strong fibrous capsule and is reinforced by several ligaments, including the iliofemoral, ischiofemoral, and pubofemoral ligaments. The joint allows for flexion, extension, abduction, adduction, medial and lateral rotation, and circumduction movements, making it one of the most mobile joints in the body.
The hip joint is also supported by various muscles, including the gluteus maximus, gluteus medius, gluteus minimus, iliopsoas, and other hip flexors and extensors. These muscles provide stability and strength to the joint, allowing for weight-bearing activities such as walking, running, and jumping.
Femoroacetabular impingement (FAI) is a medical condition that affects the hip joint. It occurs when there is abnormal contact between the femoral head (the ball at the top of the thigh bone) and the acetabulum (the socket in the pelvis) during normal movement of the hip. This abnormal contact can cause damage to the cartilage and labrum (a ring of cartilage that helps to stabilize the hip joint) leading to pain, stiffness and decreased range of motion.
FAI is classified into two types: cam impingement and pincer impingement. Cam impingement occurs when there is an abnormal shape of the femoral head or neck, which leads to abnormal contact with the acetabulum during hip flexion and internal rotation. Pincer impingement occurs when there is overcoverage of the acetabulum, leading to abnormal contact with the femoral head or neck.
In some cases, both cam and pincer impingement can be present, which is referred to as mixed impingement. Symptoms of FAI may include hip pain, stiffness, limping, and reduced range of motion. Treatment options for FAI may include physical therapy, activity modification, medications, and in some cases, surgery.
Shoulder dislocation is a medical condition where the head of the humerus (upper arm bone) gets displaced from its normal position in the glenoid fossa of the scapula (shoulder blade). This can occur anteriorly, posteriorly, or inferiorly, with anterior dislocations being the most common. It is usually caused by trauma or forceful movement and can result in pain, swelling, bruising, and limited range of motion in the shoulder joint. Immediate medical attention is required to relocate the joint and prevent further damage.
Hip arthroplasty, also known as hip replacement surgery, is a medical procedure where the damaged or diseased joint surfaces of the hip are removed and replaced with artificial components. These components typically include a metal or ceramic ball that replaces the head of the femur (thigh bone), and a polyethylene or ceramic socket that replaces the acetabulum (hip socket) in the pelvis.
The goal of hip arthroplasty is to relieve pain, improve joint mobility, and restore function to the hip joint. This procedure is commonly performed in patients with advanced osteoarthritis, rheumatoid arthritis, hip fractures, or other conditions that cause significant damage to the hip joint.
There are several types of hip replacement surgeries, including traditional total hip arthroplasty, partial (hemi) hip arthroplasty, and resurfacing hip arthroplasty. The choice of procedure depends on various factors, such as the patient's age, activity level, overall health, and the extent of joint damage.
After surgery, patients typically require rehabilitation to regain strength, mobility, and function in the affected hip. With proper care and follow-up, most patients can expect significant pain relief and improved quality of life following hip arthroplasty.
Hip injuries refer to damages or harm caused to the hip joint or its surrounding structures, including bones, muscles, tendons, ligaments, and cartilage. These injuries can occur due to various reasons such as falls, accidents, sports-related activities, or degenerative conditions. Common hip injuries include fractures, dislocations, strains, sprains, bursitis, and labral tears. Symptoms may include pain, swelling, bruising, stiffness, limited mobility, and inability to bear weight on the affected leg. Proper diagnosis and treatment are crucial to ensure optimal recovery and prevent long-term complications.
Orthopedic procedures are surgical or nonsurgical methods used to treat musculoskeletal conditions, including injuries, deformities, or diseases of the bones, joints, muscles, ligaments, and tendons. These procedures can range from simple splinting or casting to complex surgeries such as joint replacements, spinal fusions, or osteotomies (cutting and repositioning bones). The primary goal of orthopedic procedures is to restore function, reduce pain, and improve the quality of life for patients.
The femoral head is the rounded, ball-like top portion of the femur (thigh bone) that fits into the hip socket (acetabulum) to form the hip joint. It has a smooth, articular cartilage surface that allows for smooth and stable articulation with the pelvis. The femoral head is connected to the femoral neck, which is a narrower section of bone that angles downward and leads into the shaft of the femur. Together, the femoral head and neck provide stability and range of motion to the hip joint.
"Bone retroversion" is not a widely recognized medical term or concept with a specific definition. The term "retroversion" is used in anatomy to describe the position of an organ or structure when it is turned backward or inward. In relation to bones, retroversion typically describes the orientation of a bone or joint when it is angled or positioned in such a way that its posterior (back) aspect faces more anteriorly (toward the front).
However, I was unable to find a widely accepted medical definition for "bone retroversion" as a specific pathological or anatomical condition. It's possible that the term may be used in a more specialized context within certain medical subspecialties. If you have more context or information about where this term is being used, I may be able to provide a more precise answer.
Knee dislocation is a serious and uncommon orthopedic injury that occurs when the bones that form the knee joint (femur, tibia, and patella) are forced out of their normal position due to extreme trauma or force. This injury often requires immediate medical attention and reduction (repositioning) by a healthcare professional. If left untreated, it can lead to serious complications such as compartment syndrome, nerve damage, and long-term joint instability. It's important to note that knee dislocation is different from a kneecap (patellar) dislocation, which involves the patella sliding out of its groove in the femur.
The acetabulum is the cup-shaped cavity in the pelvic bone (specifically, the os coxa) where the head of the femur bone articulates to form the hip joint. It provides a stable and flexible connection between the lower limb and the trunk, allowing for a wide range of movements such as flexion, extension, abduction, adduction, rotation, and circumduction. The acetabulum is lined with articular cartilage, which facilitates smooth and frictionless movement of the hip joint. Its stability is further enhanced by various ligaments, muscles, and the labrum, a fibrocartilaginous rim that deepens the socket and increases its contact area with the femoral head.
A hip prosthesis, also known as a total hip replacement, is a surgical implant designed to replace the damaged or diseased components of the human hip joint. The procedure involves replacing the femoral head (the ball at the top of the thigh bone) and the acetabulum (the socket in the pelvis) with artificial parts, typically made from materials such as metal, ceramic, or plastic.
The goal of a hip prosthesis is to relieve pain, improve joint mobility, and restore function, allowing patients to return to their normal activities and enjoy an improved quality of life. The procedure is most commonly performed in individuals with advanced osteoarthritis, rheumatoid arthritis, or other degenerative conditions that have caused significant damage to the hip joint.
There are several different types of hip prostheses available, each with its own unique design and set of benefits and risks. The choice of prosthesis will depend on a variety of factors, including the patient's age, activity level, overall health, and specific medical needs. In general, however, all hip prostheses are designed to provide a durable, long-lasting solution for patients suffering from debilitating joint pain and stiffness.
In medical terms, the hip is a ball-and-socket joint where the rounded head of the femur (thigh bone) fits into the cup-shaped socket, also known as the acetabulum, of the pelvis. This joint allows for a wide range of movement in the lower extremities and supports the weight of the upper body during activities such as walking, running, and jumping. The hip joint is surrounded by strong ligaments, muscles, and tendons that provide stability and enable proper functioning.
Osteotomy is a surgical procedure in which a bone is cut to shorten, lengthen, or change its alignment. It is often performed to correct deformities or to realign bones that have been damaged by trauma or disease. The bone may be cut straight across (transverse osteotomy) or at an angle (oblique osteotomy). After the bone is cut, it can be realigned and held in place with pins, plates, or screws until it heals. This procedure is commonly performed on bones in the leg, such as the femur or tibia, but can also be done on other bones in the body.
A joint capsule is the fibrous sac that encloses a synovial joint, which is a type of joint characterized by the presence of a cavity filled with synovial fluid. The joint capsule provides stability and strength to the joint, while also allowing for a range of motion. It consists of two layers: an outer fibrous layer and an inner synovial membrane. The fibrous layer is made up of dense connective tissue that helps to stabilize the joint, while the synovial membrane produces synovial fluid, which lubricates the joint and reduces friction during movement.
Articular Range of Motion (AROM) is a term used in physiotherapy and orthopedics to describe the amount of movement available in a joint, measured in degrees of a circle. It refers to the range through which synovial joints can actively move without causing pain or injury. AROM is assessed by measuring the degree of motion achieved by active muscle contraction, as opposed to passive range of motion (PROM), where the movement is generated by an external force.
Assessment of AROM is important in evaluating a patient's functional ability and progress, planning treatment interventions, and determining return to normal activities or sports participation. It is also used to identify any restrictions in joint mobility that may be due to injury, disease, or surgery, and to monitor the effectiveness of rehabilitation programs.
Legg-Calve-Perthes disease is a childhood hip disorder that occurs when the blood supply to the ball part of the thigh bone (femoral head) is disrupted. This causes the bone tissue to die, leading to its collapse and deformity. The femoral head then regenerates itself, but often not as round and smooth as it should be, which can lead to hip problems in later life.
The disease is named after three doctors who independently described it: Arthur Legg, Jacques Calve, and Georg Perthes. It typically affects children between the ages of 4 and 10, more commonly boys than girls. Symptoms may include limping, pain in the hip or knee, reduced range of motion in the hip, and muscle wasting. Treatment often involves rest, physical therapy, and sometimes surgery to realign or reshape the femoral head.
Patellar dislocation is a medical condition characterized by the displacement of the patella (kneecap) from its normal position in the femoral groove, which is a part of the femur (thighbone). This displacement usually occurs laterally, meaning that the patella moves toward the outer side of the knee.
Patellar dislocation can happen as a result of direct trauma or due to various factors that increase the laxity of the medial patellofemoral ligament and tightness of the lateral structures, leading to abnormal tracking of the patella. These factors include anatomical variations, muscle imbalances, genetic predisposition, or degenerative changes in the knee joint.
Dislocation of the patella can cause pain, swelling, and difficulty in moving the knee. In some cases, it might be associated with other injuries such as fractures or damage to the articular cartilage and surrounding soft tissues. Immediate medical attention is required for proper diagnosis and treatment, which may involve reduction, immobilization, physical therapy, bracing, or even surgery in severe cases.
Osteoarthritis (OA) of the hip is a degenerative joint disease that affects the articular cartilage and subchondral bone of the hip joint. It is characterized by the progressive loss of cartilage, remodeling of bone, osteophyte formation (bone spurs), cysts, and mild to moderate inflammation. The degenerative process can lead to pain, stiffness, limited range of motion, and crepitus (grating or crackling sound) during movement.
In the hip joint, OA typically affects the femoral head and acetabulum. As the articular cartilage wears away, the underlying bone becomes exposed and can lead to bone-on-bone contact, which is painful. The body responds by attempting to repair the damage through remodeling of the subchondral bone and formation of osteophytes. However, these changes can further limit joint mobility and exacerbate symptoms.
Risk factors for OA of the hip include age, obesity, genetics, previous joint injury or surgery, and repetitive stress on the joint. Treatment options may include pain management (such as NSAIDs, physical therapy, and injections), lifestyle modifications (such as weight loss and exercise), and, in severe cases, surgical intervention (such as hip replacement).
A hip fracture is a medical condition referring to a break in the upper part of the femur (thigh) bone, which forms the hip joint. The majority of hip fractures occur due to falls or direct trauma to the area. They are more common in older adults, particularly those with osteoporosis, a condition that weakens bones and makes them more prone to breaking. Hip fractures can significantly impact mobility and quality of life, often requiring surgical intervention and rehabilitation.
Cerebral palsy (CP) is a group of disorders that affect a person's ability to move and maintain balance and posture. According to the Mayo Clinic, CP is caused by abnormal brain development or damage to the developing brain that affects a child's ability to control movement.
The symptoms of cerebral palsy can vary in severity and may include:
* Spasticity (stiff or tight muscles)
* Rigidity (resistance to passive movement)
* Poor coordination and balance
* Weakness or paralysis
* Tremors or involuntary movements
* Abnormal gait or difficulty walking
* Difficulty with fine motor skills, such as writing or using utensils
* Speech and language difficulties
* Vision, hearing, or swallowing problems
It's important to note that cerebral palsy is not a progressive condition, meaning that it does not worsen over time. However, the symptoms may change over time, and some individuals with CP may experience additional medical conditions as they age.
Cerebral palsy is usually caused by brain damage that occurs before or during birth, but it can also be caused by brain injuries that occur in the first few years of life. Some possible causes of cerebral palsy include:
* Infections during pregnancy
* Lack of oxygen to the brain during delivery
* Traumatic head injury during birth
* Brain bleeding or stroke in the newborn period
* Genetic disorders
* Maternal illness or infection during pregnancy
There is no cure for cerebral palsy, but early intervention and treatment can help improve outcomes and quality of life. Treatment may include physical therapy, occupational therapy, speech therapy, medications to manage symptoms, surgery, and assistive devices such as braces or wheelchairs.
A reoperation is a surgical procedure that is performed again on a patient who has already undergone a previous operation for the same or related condition. Reoperations may be required due to various reasons, such as inadequate initial treatment, disease recurrence, infection, or complications from the first surgery. The nature and complexity of a reoperation can vary widely depending on the specific circumstances, but it often carries higher risks and potential complications compared to the original operation.
The femur is the medical term for the thigh bone, which is the longest and strongest bone in the human body. It connects the hip bone to the knee joint and plays a crucial role in supporting the weight of the body and allowing movement during activities such as walking, running, and jumping. The femur is composed of a rounded head, a long shaft, and two condyles at the lower end that articulate with the tibia and patella to form the knee joint.
"Recovery of function" is a term used in medical rehabilitation to describe the process in which an individual regains the ability to perform activities or tasks that were previously difficult or impossible due to injury, illness, or disability. This can involve both physical and cognitive functions. The goal of recovery of function is to help the person return to their prior level of independence and participation in daily activities, work, and social roles as much as possible.
Recovery of function may be achieved through various interventions such as physical therapy, occupational therapy, speech-language therapy, and other rehabilitation strategies. The specific approach used will depend on the individual's needs and the nature of their impairment. Recovery of function can occur spontaneously as the body heals, or it may require targeted interventions to help facilitate the process.
It is important to note that recovery of function does not always mean a full return to pre-injury or pre-illness levels of ability. Instead, it often refers to the person's ability to adapt and compensate for any remaining impairments, allowing them to achieve their maximum level of functional independence and quality of life.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.
Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.
Traction, in medical terms, refers to the application of a pulling force to distract or align parts of the body, particularly bones, joints, or muscles, with the aim of immobilizing, reducing displacement, or realigning them. This is often achieved through the use of various devices such as tongs, pulleys, weights, or specialized traction tables. Traction may be applied manually or mechanically and can be continuous or intermittent, depending on the specific medical condition being treated. Common indications for traction include fractures, dislocations, spinal cord injuries, and certain neurological conditions.
Prosthesis failure is a term used to describe a situation where a prosthetic device, such as an artificial joint or limb, has stopped functioning or failed to meet its intended purpose. This can be due to various reasons, including mechanical failure, infection, loosening of the device, or a reaction to the materials used in the prosthesis.
Mechanical failure can occur due to wear and tear, manufacturing defects, or improper use of the prosthetic device. Infection can also lead to prosthesis failure, particularly in cases where the prosthesis is implanted inside the body. The immune system may react to the presence of the foreign material, leading to inflammation and infection.
Loosening of the prosthesis can also cause it to fail over time, as the device becomes less stable and eventually stops working properly. Additionally, some people may have a reaction to the materials used in the prosthesis, leading to tissue damage or other complications that can result in prosthesis failure.
In general, prosthesis failure can lead to decreased mobility, pain, and the need for additional surgeries or treatments to correct the problem. It is important for individuals with prosthetic devices to follow their healthcare provider's instructions carefully to minimize the risk of prosthesis failure and ensure that the device continues to function properly over time.
Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.
In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.
The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.
Lens subluxation, also known as lens dislocation or ectopia lentis, is a condition where the lens of the eye becomes partially or completely displaced from its normal position. The lens is held in place by tiny fibers called zonules, which can become weakened or broken due to various reasons such as genetic disorders (like Marfan syndrome, homocystinuria, and Weill-Marchesani syndrome), trauma, inflammation, or cataract surgery complications. This displacement can lead to symptoms like blurry vision, double vision, sensitivity to light, or the appearance of a shadow in the peripheral vision. In some cases, lens subluxation may not cause any noticeable symptoms and can be discovered during routine eye examinations. Treatment options depend on the severity and underlying cause of the subluxation and may include eyeglasses, contact lenses, or surgical intervention to remove and replace the displaced lens with an intraocular lens (IOL).
The acromioclavicular (AC) joint is the joint located between the acromion process of the scapula (shoulder blade) and the clavicle (collarbone). It allows for a small amount of movement between these two bones and participates in shoulder motion. Injuries to this joint, such as AC joint separations or sprains, are common and can occur due to falls, direct blows, or repetitive motions that cause the ligaments that support the AC joint to become stretched or torn.
The elbow joint, also known as the cubitus joint, is a hinge joint that connects the humerus bone of the upper arm to the radius and ulna bones of the forearm. It allows for flexion and extension movements of the forearm, as well as some degree of rotation. The main articulation occurs between the trochlea of the humerus and the trochlear notch of the ulna, while the radial head of the radius also contributes to the joint's stability and motion. Ligaments, muscles, and tendons surround and support the elbow joint, providing strength and protection during movement.
Joint instability is a condition characterized by the loss of normal joint function and increased risk of joint injury due to impaired integrity of the supporting structures, such as ligaments, muscles, or cartilage. This can result in excessive movement or laxity within the joint, leading to decreased stability and increased susceptibility to dislocations or subluxations. Joint instability may cause pain, swelling, and limited range of motion, and it can significantly impact a person's mobility and quality of life. It is often caused by trauma, degenerative conditions, or congenital abnormalities and may require medical intervention, such as physical therapy, bracing, or surgery, to restore joint stability.
Orthopedic manipulation is a hands-on technique that is used by healthcare professionals, such as orthopedic doctors, chiropractors, and physical therapists, to diagnose and treat muscle and joint disorders. This manual procedure involves moving the joints or soft tissues in a specific direction and amplitude with the aim of improving joint mobility, reducing pain, relieving muscle tension, and enhancing overall function.
Orthopedic manipulation can be performed on various parts of the body, including the spine, extremities, and cranial structures. It is often used as a complementary treatment alongside other therapeutic interventions, such as exercise, medication, or surgery, to manage a wide range of musculoskeletal conditions, including but not limited to:
* Back pain and stiffness
* Neck pain and stiffness
* Joint pain and inflammation
* Muscle spasms and tension
* Headaches and migraines
* Disc disorders
* Sprains and strains
* Postural dysfunctions
It is important to note that orthopedic manipulation should only be performed by trained and licensed healthcare professionals, as improper techniques can lead to injury or further damage. Patients should consult with their healthcare provider to determine if orthopedic manipulation is an appropriate treatment option for their specific condition.
A splint is a device used to support, protect, and immobilize injured body parts, such as bones, joints, or muscles. It can be made from various materials like plastic, metal, or fiberglass. Splints are often used to keep the injured area in a stable position, reducing pain, swelling, and further damage while the injury heals. They come in different shapes and sizes, tailored to fit specific body parts and injuries. A splint can be adjustable or custom-made, depending on the patient's needs. It is essential to follow healthcare professionals' instructions for using and caring for a splint to ensure proper healing and prevent complications.
Prosthesis design is a specialized field in medical device technology that involves creating and developing artificial substitutes to replace a missing body part, such as a limb, tooth, eye, or internal organ. The design process typically includes several stages: assessment of the patient's needs, selection of appropriate materials, creation of a prototype, testing and refinement, and final fabrication and fitting of the prosthesis.
The goal of prosthesis design is to create a device that functions as closely as possible to the natural body part it replaces, while also being comfortable, durable, and aesthetically pleasing for the patient. The design process may involve collaboration between medical professionals, engineers, and designers, and may take into account factors such as the patient's age, lifestyle, occupation, and overall health.
Prosthesis design can be highly complex, particularly for advanced devices such as robotic limbs or implantable organs. These devices often require sophisticated sensors, actuators, and control systems to mimic the natural functions of the body part they replace. As a result, prosthesis design is an active area of research and development in the medical field, with ongoing efforts to improve the functionality, comfort, and affordability of these devices for patients.
In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.
For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.
Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.
Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.
Femoral head necrosis, also known as avascular necrosis of the femoral head, is a medical condition that results from the interruption of blood flow to the femoral head, which is the rounded end of the thigh bone that fits into the hip joint. This lack of blood supply can cause the bone tissue to die, leading to the collapse of the femoral head and eventually resulting in hip joint damage or arthritis.
The condition can be caused by a variety of factors, including trauma, alcohol abuse, corticosteroid use, radiation therapy, and certain medical conditions such as sickle cell disease and lupus. Symptoms may include pain in the hip or groin, limited range of motion, and difficulty walking. Treatment options depend on the severity and progression of the necrosis and may include medication, physical therapy, or surgical intervention.
Articular ligaments, also known as fibrous ligaments, are bands of dense, fibrous connective tissue that connect and stabilize bones to each other at joints. They help to limit the range of motion of a joint and provide support, preventing excessive movement that could cause injury. Articular ligaments are composed mainly of collagen fibers arranged in a parallel pattern, making them strong and flexible. They have limited blood supply and few nerve endings, which makes them less prone to injury but also slower to heal if damaged. Examples of articular ligaments include the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) in the knee joint, and the medial collateral ligament (MCL) and lateral collateral ligament (LCL) in the elbow joint.
A femoral neck fracture is a type of hip fracture that occurs in the narrow, vertical section of bone just below the ball of the femur (thigh bone) that connects to the hip socket. This area is called the femoral neck. Femoral neck fractures can be categorized into different types based on their location and the direction of the fractured bone.
These fractures are typically caused by high-energy trauma, such as car accidents or falls from significant heights, in younger individuals. However, in older adults, particularly those with osteoporosis, femoral neck fractures can also result from low-energy trauma, like a simple fall from standing height.
Femoral neck fractures are often serious and require prompt medical attention. Treatment usually involves surgery to realign and stabilize the broken bone fragments, followed by rehabilitation to help regain mobility and strength. Potential complications of femoral neck fractures include avascular necrosis (loss of blood flow to the femoral head), nonunion or malunion (improper healing), and osteoarthritis in the hip joint.
The sternoclavicular joint is the joint where the clavicle (collarbone) meets the sternum (breastbone). It is the only joint that connects the upper limb to the trunk of the body. This joint allows for movement in multiple directions, including elevation and depression of the shoulder, as well as some degree of protraction and retraction. The sternoclavicular joint is supported by several ligaments, which provide stability and strength to the joint.
The atlanto-axial joint is the joint between the first and second cervical vertebrae, also known as C1 (atlas) and C2 (axis). It consists of two separate joints: the median atlanto-axial joint, which is a pivot joint that allows for rotation of the head, and the paired lateral atlanto-axial joints, which are plane joints that allow for limited gliding movements.
The atlanto-axial joint is surrounded by several ligaments that provide stability and limit excessive movement. The transverse ligament, located on the anterior aspect of the joint, is particularly important as it prevents excessive movement of the atlas on the axis and helps to protect the spinal cord.
Abnormalities or injuries to the atlanto-axial joint can result in instability and potentially serious neurological complications.
Wrist injuries refer to damages or traumas affecting the structures of the wrist, including bones, ligaments, tendons, muscles, and cartilage. These injuries can occur due to various reasons such as falls, accidents, sports-related impacts, or repetitive stress. Common types of wrist injuries include fractures (such as scaphoid fracture), sprains (like ligament tears), strains (involving muscles or tendons), dislocations, and carpal tunnel syndrome. Symptoms may include pain, swelling, tenderness, bruising, limited mobility, and in severe cases, deformity or numbness. Immediate medical attention is necessary for proper diagnosis and treatment to ensure optimal recovery and prevent long-term complications.
The Atlanto-Occipital Joint, also known as the AO joint or the craniocervical joint, is the articulation between the occiput (the base of the skull) and the atlas (the first cervical vertebra). This joint allows for movements such as nodding your head "yes" and tilting your head from side to side. It is a crucial joint in maintaining the alignment and stability of the head and neck.
The tarsal joints are a series of articulations in the foot that involve the bones of the hindfoot and midfoot. There are three main tarsal joints:
1. Talocrural joint (also known as the ankle joint): This is the joint between the talus bone of the lower leg and the tibia and fibula bones of the lower leg, as well as the calcaneus bone of the foot. It allows for dorsiflexion and plantarflexion movements of the foot.
2. Subtalar joint: This is the joint between the talus bone and the calcaneus bone. It allows for inversion and eversion movements of the foot.
3. Tarsometatarsal joints (also known as the Lisfranc joint): These are the joints between the tarsal bones of the midfoot and the metatarsal bones of the forefoot. They allow for flexion, extension, abduction, and adduction movements of the foot.
These joints play an important role in the stability and mobility of the foot, allowing for various movements during activities such as walking, running, and jumping.
The patella, also known as the kneecap, is a sesamoid bone located at the front of the knee joint. It is embedded in the tendon of the quadriceps muscle and serves to protect the knee joint and increase the leverage of the extensor mechanism, allowing for greater extension force of the lower leg. The patella moves within a groove on the femur called the trochlea during flexion and extension of the knee.
A bone fracture is a medical condition in which there is a partial or complete break in the continuity of a bone due to external or internal forces. Fractures can occur in any bone in the body and can vary in severity from a small crack to a shattered bone. The symptoms of a bone fracture typically include pain, swelling, bruising, deformity, and difficulty moving the affected limb. Treatment for a bone fracture may involve immobilization with a cast or splint, surgery to realign and stabilize the bone, or medication to manage pain and prevent infection. The specific treatment approach will depend on the location, type, and severity of the fracture.
The shoulder joint, also known as the glenohumeral joint, is the most mobile joint in the human body. It is a ball and socket synovial joint that connects the head of the humerus (upper arm bone) to the glenoid cavity of the scapula (shoulder blade). The shoulder joint allows for a wide range of movements including flexion, extension, abduction, adduction, internal rotation, and external rotation. It is surrounded by a group of muscles and tendons known as the rotator cuff that provide stability and enable smooth movement of the joint.
Developmental bone diseases are a group of medical conditions that affect the growth and development of bones. These diseases are present at birth or develop during childhood and adolescence, when bones are growing rapidly. They can result from genetic mutations, hormonal imbalances, or environmental factors such as poor nutrition.
Some examples of developmental bone diseases include:
1. Osteogenesis imperfecta (OI): Also known as brittle bone disease, OI is a genetic disorder that affects the body's production of collagen, a protein necessary for healthy bones. People with OI have fragile bones that break easily and may also experience other symptoms such as blue sclerae (whites of the eyes), hearing loss, and joint laxity.
2. Achondroplasia: This is the most common form of dwarfism, caused by a genetic mutation that affects bone growth. People with achondroplasia have short limbs and a large head relative to their body size.
3. Rickets: A condition caused by vitamin D deficiency or an inability to absorb or use vitamin D properly. This leads to weak, soft bones that can bow or bend easily, particularly in children.
4. Fibrous dysplasia: A rare bone disorder where normal bone is replaced with fibrous tissue, leading to weakened bones and deformities.
5. Scoliosis: An abnormal curvature of the spine that can develop during childhood or adolescence. While not strictly a developmental bone disease, scoliosis can be caused by various underlying conditions such as cerebral palsy, muscular dystrophy, or spina bifida.
Treatment for developmental bone diseases varies depending on the specific condition and its severity. Treatment may include medication, physical therapy, bracing, or surgery to correct deformities and improve function. Regular follow-up with a healthcare provider is essential to monitor growth, manage symptoms, and prevent complications.
Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:
1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.
Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.
The ulna is one of the two long bones in the forearm, the other being the radius. It runs from the elbow to the wrist and is located on the medial side of the forearm, next to the bone called the humerus in the upper arm. The ulna plays a crucial role in the movement of the forearm and also serves as an attachment site for various muscles.
Spinal injuries refer to damages or traumas that occur to the vertebral column, which houses and protects the spinal cord. These injuries can be caused by various factors such as trauma from accidents (motor vehicle, sports-related, falls, etc.), violence, or degenerative conditions like arthritis, disc herniation, or spinal stenosis.
Spinal injuries can result in bruising, fractures, dislocations, or compression of the vertebrae, which may then cause damage to the spinal cord and its surrounding tissues, nerves, and blood vessels. The severity of a spinal injury can range from mild, with temporary symptoms, to severe, resulting in permanent impairment or paralysis below the level of injury.
Symptoms of spinal injuries may include:
- Pain or stiffness in the neck or back
- Numbness, tingling, or weakness in the limbs
- Loss of bladder or bowel control
- Difficulty walking or maintaining balance
- Paralysis or loss of sensation below the level of injury
- In severe cases, respiratory problems and difficulty in breathing
Immediate medical attention is crucial for spinal injuries to prevent further damage and ensure proper treatment. Treatment options may include immobilization, surgery, medication, rehabilitation, and physical therapy.
Fracture fixation, internal, is a surgical procedure where a fractured bone is fixed using metal devices such as plates, screws, or rods that are implanted inside the body. This technique helps to maintain the alignment and stability of the broken bone while it heals. The implants may be temporarily or permanently left inside the body, depending on the nature and severity of the fracture. Internal fixation allows for early mobilization and rehabilitation, which can result in a faster recovery and improved functional outcome.
Surgical casts are medical devices used to immobilize and protect injured body parts, typically fractured or broken bones, during the healing process. They are usually made of plaster or fiberglass materials that harden when wet and conform to the shape of the affected area once applied. The purpose of a surgical cast is to restrict movement and provide stability to the injured site, allowing for proper alignment and healing of the bones.
The casting process involves first aligning the broken bone fragments into their correct positions, often through manual manipulation or surgical intervention. Once aligned, the cast material is applied in layers, with each layer being allowed to dry before adding the next. This creates a rigid structure that encases and supports the injured area. The cast must be kept dry during the healing process to prevent it from becoming weakened or damaged.
Surgical casts come in various shapes and sizes depending on the location and severity of the injury. They may also include additional components such as padding, Velcro straps, or window openings to allow for regular monitoring of the skin and underlying tissue. In some cases, removable splints or functional braces may be used instead of traditional casts, providing similar support while allowing for limited movement and easier adjustments.
It is essential to follow proper care instructions when wearing a surgical cast, including elevating the injured limb, avoiding excessive weight-bearing, and monitoring for signs of complications such as swelling, numbness, or infection. Regular check-ups with a healthcare provider are necessary to ensure proper healing and adjust the cast if needed.
I'm not aware of a medical term called "bone wires." The term "wiring" is used in orthopedic surgery to describe the use of metal wire to hold bones or fractures in place during healing. However, I couldn't find any specific medical definition or term related to "bone wires." It may be a colloquialism, a term used in a specific context, or a term from science fiction. If you could provide more context about where you encountered this term, I might be able to give a more accurate answer.