Cause Of Thigh Pain Research Articles

Conflito Femoroacetabular no Atleta

Femoroacetabular impingement (CFA) is a common cause of thigh pain in athletes. This pathology is characterized by a conflict between the proximal femur and the acetabular rim. Athletes typically become symptomatic after reaching skeletal maturity and often describe deep inguinal pain that worsens with physical activity, squatting, cutting, or pivoting motions. For this reason, sports like football and hockey can be particularly painful for an athlete with CFA. In addition to its condition¬ing role in sports, CFA can lead to premature wear of the hip joint with the early onset of coxarthro¬sis. Currently, CFA can be reliably diagnosed through careful history taking, a thorough physical examination with specific provocative tests, and a pertinent imaging evaluation. The objective of this review is to provide information about the pathogenesis of CFA, describe in detail the classic history and the elements of the physical examination and finally present the various types of treat¬ment that can be applied to these patients.

Arthroscopic Superior Capsular Reconstruction With Biceps Autograft: Snake Technique

Many options have been developed to treat irreparable massive cuff tears. Superior capsular reconstruction has been reported as one of the treatment options for relatively young patients with irreparable massive cuff tear. However, this original technique has a disadvantage of requiring a tensor facia lata autograft. It requires another incision at the lateral thigh and can be a cause of thigh pain. This article describes our modified technique for arthroscopic superior capsule reconstruction using the biceps autograft to preserve the long head of the biceps tendon anchors to the glenoid labrum (the snake technique).

Treating Atypical Femoral Fractures Related to Bisphosphonates.

Doctors widely prescribe osteoclast-inhibiting bisphosphonate drugs to treat osteoporosis, but long-term bisphosphonate use has been linked to an increased risk of atypical subtrochanteric femoral fractures. According to an updated task force report from the American Society for Bone and Mineral Research, the features that distinguish these atypical subtrochanteric fractures include transverse orientation, general lack of comminution, and localized cortical thickening at the fracture site. In addition, the prolonged healing times of these fractures challenge orthopaedists to obtain strong and stable fixation that outlasts the extended period required for fracture union. Intramedullary nailing is often used to treat these fractures, but related characteristics such as canal narrowing can make this fixation approach unfeasible. This month’s “Case Connections” looks at various techniques for repairing bisphosphonate-associated atypical femoral fractures. In the January 14, 2015, JBJS Case Connecto r , Yuasa et al. reported on the case of a sixty-nine-year-old woman who, one month prior to scheduled right hip arthroplasty to treat osteoarthritis, presented with severe right thigh pain after a low-trauma fall. History-taking revealed four-plus years of treatment with alendronate (Fosamax), and radiographs showed a noncomminuted transverse subtrochanteric fracture below an arthritic hip joint. During a single operation, the patient underwent cementless total hip arthroplasty using a modular stem/neck, followed by fracture reduction and fixation using a cable-and-plate system (Fig. 1). The patient was switched from alendronate to a …

G0200305 セメントレス人工股関節における大腿部痛の原因究明

A cause of thigh pain after cementless THA is still uncertain. The final goal of this study is clear up the cause for thigh pain and the development of painless cementless stem. For that, the objective of this paper is to make the animal model of thigh pain and to establish the method of evaluating the pain. We made special pin that pushes from the inside and expands the rat bone. The rat that the pin was implanted was bred with the cage. The loadcells were arranged on four corners of the cage in order to calculate rat's dynamics parameters, namely, rat's position, stay rate, total movement distance, crosspoint and errorpoint. There is the resulting rat grimace scale score (RGS score) as an index that evaluates the pain that the rat feels. RGS score is a method of evaluating the pain from the rat's facial expression. On the other hand, the method of the proposal in this study is a method of evaluating the pain from the activity of the rat. This new index shall be designated as "the resulting rat activity scale score (RAS score)". RAS is more objective and more quantitative.

On the optimal shape of hip implants

The success of a total hip arthroplasty is strongly related to the initial stability of the femoral component and to the stress shielding effect. In fact, for cementless stems, initial stability is essential to promote bone ingrowth into the stem coating. An inefficient primary stability is also a cause of thigh pain. In addition, the bone adaptation after the surgery can lead to an excessive bone loss and, consequently, can compromise the success of the implant. These factors depend on prosthesis design, namely on material, interface conditions and shape. Although, surgeons use stems with very different geometries, new computational tools using structural optimization methods have been used to achieve a better design in order to improve initial stability and therefore, the implant durability. In this work, a multi-criteria shape optimization process is developed to study the relationship between implants performance and geometry. The multi-criteria objective function takes into account the initial stability of the femoral stem and the effect of stress shielding on bone adaptation after the surgery. Then, the optimized stems are tested using a concurrent model for bone remodeling and osseointegration to evaluate long-term performance. Additionally, the sensitivity to misalignments is analyzed, since femoral stems are often placed in varus or valgus position. Results show that the different criteria are contradictory resulting in different characteristics for the hip stem. However, the multi-criteria formulation leads to compromise solutions, with a combination of the geometric characteristics obtained for each criterion separately.

Thigh pain and total hip arthroplasty: scintigraphy with 2.5-year followup.

From January 1988 to May 1990, 60 patients underwent 68 total hip arthroplasties at the Eisenhower Army Medical Center. The authors excluded 11 patients (11 hips) in whom infection developed, who were lost to followup, or who had incomplete records, leaving 49 patients (57 hips) as the study population. The 35 uncemented and 22 cemented femoral stems were evaluated with technetium bone scans at 1 week, 6 months, 1 year, and 2.5 years after surgery. Patients with uncemented femoral stems had markedly more thigh pain and more radiopharmaceutical uptake around the stem tip at 2.5 years followup than did patients with cemented femoral stems. In addition, patients with thigh pain had more uptake around the stem tip and a higher incidence of bone hypertrophy around the stem tip than did those without thigh pain, suggesting stress transfer as a cause of thigh pain.

An unusual cause of thigh pain after total hip arthroplasty

The aim of total hip arthroplasty surgery is to relieve pain. There are many postulated causes of thigh pain following total hip arthroplasty, some of which are not easily corrected. Muscle hernia as a result of hip surgery is a cause of thigh pain that is disabling, relatively easy to diagnose, and may be preventable.