1/14. Abduction contracture of the hip in children.Nine cases of abduction contracture of the hip in children from contracture of the gluteus maximus muscle are reported. Division of the aponeurosis glutens maximus over the greater trochanter always permitted full adduction.- - - - - - - - - - ranking = 1keywords = hip (Clic here for more details about this article) |
2/14. Use of a prone transfer technique in patients with severe hip-flexion restrictions: a report of 3 cases.We report 3 cases in which the prone transfer technique improved the functional status of patients with postoperative restriction of hip flexion. All 3 patients, who had undergone a different type of surgery, were unable to get out of bed without a tilt table, and therefore could not be discharged home. The prone transfer technique enables patients to move from a lying to a standing position with or without the use of a flat board. All 3 patients were discharged home when they could perform this transfer without assistance. It required 10 to 18 sessions of therapy training, which took place in 5 to 9 days. With advancements in surgical techniques, postoperative joint-motion restriction may be seen more frequently in community settings. Prone transfer may provide a low-cost, low-technologic way to mobilize patients with hip-flexion restriction.- - - - - - - - - - ranking = 1.2keywords = hip (Clic here for more details about this article) |
3/14. paraplegia and congenital contractures as a consequence of intrauterine trauma.We present a newborn infant with paraplegia and contractures of the lower limbs, consistent with neurologic injury rather than malformation. The mother was involved in a severe motor vehicle accident during the sixth month of pregnancy. We propose that this infant's injuries are a result of that accident.- - - - - - - - - - ranking = 2.7604959371596E-5keywords = injury (Clic here for more details about this article) |
4/14. A new case of Ullrich's disease.A new case of congenital, hypotonic-sclerotic muscular dystrophy is presented. The patient showed congenital hyperlaxity and looseness of distal joints, muscle weakness, and spur-like protrusion of the calcaneus. Afterwards rapid progressive contractures of both knees and hip joints developed. Muscle biopsies revealed unequivocal dystrophic abnormalities and small atrophic fibers with numerous foldings of basal lamina suggestive of a neurogenic lesion. The disease presents clinical variability but the diagnosis is possible when a newborn shows: no dominant family history, slender body, marked distal joint laxity and hyperflexibility, proximal joint contractures and normal or slightly increased serum enzymes.- - - - - - - - - - ranking = 0.2keywords = hip (Clic here for more details about this article) |
5/14. For whom the bells knell.A 72-year-old widowed woman known to have an organic brain syndrome was hospitalised owing to gangrene of her lower limbs. The gangrene had been caused by an adduction contracture of her hip resulting in pressure on the medial surface of her left leg. In addition she had pressure sores over both trochanters and the sacrum. The smell of putrefication could be sensed from a distance and on examination large white worms could be seen slithering in the decomposing tissue. The patient was pyrexial, oblivious of her surroundings, and without pain. Surgery--limb amputations--would not restore the patient to a cognitive state nor improve here quality of life, but abstinence posed an inherent threat of sepsis, and revulsion to the attendants. The sacral pressure sore was so large that surgical closure was impossible. The question of surgical intervention is discussed.- - - - - - - - - - ranking = 0.2keywords = hip (Clic here for more details about this article) |
6/14. Unreduced anterior dislocation of the hip in a child.A case of unreduced anterior hip dislocation from trauma is reported, and the literature is reviewed. This is the fourth such case reported in a child.- - - - - - - - - - ranking = 1keywords = hip (Clic here for more details about this article) |
7/14. Idiopathic chondrolysis of the hip: management by subtotal capsulectomy and aggressive rehabilitation.Three cases of idiopathic chondrolysis were treated by a subtotal circumferential capsulectomy with follow-up for 3 years and 1 month. Concomitant muscle releases were performed as necessary to relieve joint contractures. Surgery was followed by an aggressive rehabilitation effort. All patients were symptom-free and displayed an extremely satisfactory range of motion. Radiographs revealed reconstitution of the joint space in all cases. We believe that this aggressive management is well justified when one considers the results of previous published reports.- - - - - - - - - - ranking = 0.8keywords = hip (Clic here for more details about this article) |
8/14. Extension contracture of the hip due to idiopathic fibrosis of the gluteus maximus.Extension contracture of the hip in our case was produced by a thick fibrous band in the substance of the gluteus maximus. The patient had never received an injection around this hip. Z-plasty of the fibrous band led to immediate and full flexion of the hip and the patient was relieved of her symptoms.- - - - - - - - - - ranking = 1.4keywords = hip (Clic here for more details about this article) |
9/14. Electric cart modification for boy with hip extension contractures.A 7-year-old boy with Schwartz-Jampel syndrome was evaluated for a mobility and seating device. Assessment results indicated reduced upper and lower extremity function due to tight stiff muscles, labored and slow movements, hip extension contractures, asthmatic and restrictive pulmonary disease, and normal intelligence. Due to the combination of severe musculoskeletal and pulmonary disease, he had not been able to attend school or interact normally with his environment. Ambulation for more than a few feet was precluded by reduced pulmonary capacity and stiff, slow muscle movements which did not improve with medication. Because of hip extension contractures, he could not sit upright in a chair. An Amigo electric cart with a modified straddle seat enabled the patient to sit upright, attend school, and explore his environment with greater mobility. The unit is simple to operate, adaptable, and cost effective.- - - - - - - - - - ranking = 1.2keywords = hip (Clic here for more details about this article) |
10/14. Abduction contracture: an unusual complication in the treatment of acute capital femoral epiphysiolysis.A significant abduction contracture of the hip followed closed reduction and pinning of an acute slip of the proximal femoral epiphysis in a 13-year-old boy. The contracture was corrected by removal of this bony prominence. Over-reduction of the slipped epiphysis into valgus is thought to have stimulated bony overgrowth at the posteromedial aspect of the capital femoral epiphyseal-neck junction. This causes a block to adduction by abutting against the inferior lip of the acetabulum. To our knowledge, this complication has not been previously reported.- - - - - - - - - - ranking = 0.2keywords = hip (Clic here for more details about this article) |
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