- The association between osteoarthritis and sleep duration in Koreans: a nationwide cross-sectional observational study. [Journal Article]
- CRClin Rheumatol 2018 Feb 22
- Osteoarthritis (OA) causes chronic pain, physical disability, and mental health deterioration and reduces the quality of life of patients. Sleep is an important factor in the recovery, and adequate s...
Osteoarthritis (OA) causes chronic pain, physical disability, and mental health deterioration and reduces the quality of life of patients. Sleep is an important factor in the recovery, and adequate sleep is important for quality of life. Several features of patients with OA can affect sleep time, and sleep also affects OA. We investigated the relationship between OA and sleep duration. Data for 2010-2012 were collected from the Korea National Health and Nutrition Examination Survey. We included 11,540 participants (4915 men and 6625 women). Patients with OA were defined as participants with knee/hip joint pain and radiographic changes of the knee/hip joints. Sleep time was divided into 4 sections as follows: (1) 0-3 h, (2) 4-5 h, (3) 6-7 h, and (4) ≥ 8 h. Sleep time of 6 and 7 h was the most frequent and set as the reference time. In the multiple logistic regression model, the patients who slept for 0-3 and 4-5 h had odds ratios (ORs) of 2.28 (95% confidence interval [CI] 1.14-4.55) and 1.38 (95% CI 1.01-1.89) for men and 1.63 (95% CI 1.19-2.24) and 1.26 (95% CI 1.08-1.47) for women, respectively, for having OA. The prevalence of OA was lowest in the participants who had 6-7 h of sleep and progressively increased with shorter sleep time. Thus, sleep duration was significantly associated with OA.
- [Extra-articular impingement of the hip : Treatment of snapping hip by lengthening of the iliotibial band]. [Review]
- OOOper Orthop Traumatol 2018 Feb 22
- Snapping of the iliotibial band over the greater trochanter should be eliminated by reducing tension via lengthening, release, and incision of the iliotibial band.
Snapping of the iliotibial band over the greater trochanter should be eliminated by reducing tension via lengthening, release, and incision of the iliotibial band.
- Sensory distribution of the lateral femoral cutaneous nerve block - a randomised, blinded trial. [Journal Article]
- AAActa Anaesthesiol Scand 2018 Feb 21
- CONCLUSIONS: An LFCN block consisting of 8 ml 0.75% ropivacaine had limited coverage of the posterior and lateral incision lines.
- Comparative effectiveness of glucosamine, chondroitin, acetaminophen or celecoxib for the treatment of knee and/or hip osteoarthritis: a network meta-analysis. [Journal Article]
- CEClin Exp Rheumatol 2018 Jan 31
- CONCLUSIONS: Given the effectiveness of these non-steroidal anti-inflammatory drugs and symptomatic slow-acting drugs, oral celecoxib is more effective than placebo on relieving pain and improving physical function, followed by the combination of glucosamine and chondroitin. Acetaminophen is likely the least efficacious intervention option. This information, accompanied by the tolerability and economic costs of the included treatments, would be conducive to making decisions for clinicians.
- Total Hip Arthroplasty for Patients with Residual Poliomyelitis at a Mean Eight Years of Follow-up. [Journal Article]
- AMActa Med Okayama 2018; 72(1):17-22
- In patients with poliomyelitis, degenerative arthritis of the hip may be encountered in the paralytic or normal contralateral limb because of leg length discrepancy, pelvic obliquity, or severe defor...
In patients with poliomyelitis, degenerative arthritis of the hip may be encountered in the paralytic or normal contralateral limb because of leg length discrepancy, pelvic obliquity, or severe deformities of the affected hip. Although total hip arthroplasty (THA) is one of the most common orthopedic procedures, there are few reports of THA in adult patients with residual poliomyelitis. From March 2001 to January 2011, 5 patients with residual poliomyelitis (6 hips) underwent THA using uncemented implants at our hospital. We retrospectively evaluated the Japanese Orthopedic Association (JOA) hip rating score, complications, and radiographs. All five patients' follow-up information was available: 4.5 years minimum, 8.4 years average, range 4.5-15 years. Surgery was done at the same side of the paralytic limb in 2 hips and contralateral to the paralytic limb in four hips. All patients had pain relief and improvement in function; JOA hip rating score improved significantly from the mean of 45 preoperatively to 78 at the last follow-up (p=0.0313). There was no loosening or osteolysis in this series, and no cases of dislocation, infection or nerve palsy. These findings can contribute to decisions regarding treatment for arthritic hips in adults with residual poliomyelitis.
- Severe Arthritic Changes Following Acetabular Labral Repair and Femoroplasty in an Air Force Pilot. [Journal Article]
- AMAerosp Med Hum Perform 2018 Feb 01; 89(2):147-150
- CONCLUSIONS: Acetabular labral tears have become a hot topic in the field of orthopedics as a result of a surge in diagnoses likely due to improvements in imaging, most notably MRAs. This has led to considerable debate regarding how to best manage this condition. The literature overwhelmingly shows positive short-term outcomes for surgical management; however, long-term follow-up studies are lacking. The literature has demonstrated multiple case reports resulting in significant complications as a result of these operations, including chondrolysis and eventual need for total hip arthroplasty. Therefore, patient selection is critical as the population tends to be young and active, and the potential complications can be catastrophic. In any case, it is clear that further research is required.Sardon CJ, Resnick ML. Severe arthritic changes following acetabular labral repair and femoroplasty in an air force pilot. Aerosp Med Hum Perform. 2018; 89(2):147-150.
- Functional health of patients with knee osteoarthritis in a family medicine clinic in Ibadan. [Journal Article]
- AJAfr J Med Med Sci 2016; 45(3):269-274
- CONCLUSIONS: Knee osteoarthritis significantly impairs activities of daily living, especially some socio-cultural and religious practices of respondents. Therefore in addition to treating the knee symptoms, removing environmental barriers may reduce immobility within and outside the home thereby improving functionality.
- Segmental Spinal Myoclonus Complicating Lumbar Transforaminal Epidural Steroid Injection. [Journal Article]
- RAReg Anesth Pain Med 2018 Feb 16
- CONCLUSIONS: Segmental spinal myoclonus is a rare complication after lumbar transforaminal epidural steroid and local anesthetic injection. Pain physicians should be aware of this potential complication.
- EUROSPINE 2017 FULL PAPER AWARD: Time to remove our rose-tinted spectacles: a candid appraisal of the relative success of surgery in over 4500 patients with degenerative disorders of the lumbar spine, hip or knee. [Journal Article]
- ESEur Spine J 2018 Feb 19
- CONCLUSIONS: The current study is the largest of its kind and the first to use a common, but joint-specific instrument to report patient-reported outcomes after surgery for degenerative disorders of the spine, hip, or knee. The findings provide a sobering account of the significantly poorer outcomes after spine surgery compared with large-joint replacement. Further work is required to hone the indications and patient selection criteria for spine surgery. The data should be used to lobby research funding-bodies, governmental agencies, industry, and charitable foundations to invest more in spine research/registries, in the hope of ultimately improving spine outcomes. These slides can be retrieved under Electronic Supplementary Material.
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- [Efficacy analysis on hip replacement for hip-joint diseases with Parkinson disease]. [Journal Article]
- ZGZhongguo Gu Shang 2017 Dec 25; 30(12):1102-1106
- CONCLUSIONS: Application of hip replacement for hip-joint diseases with Parkinson disease is a safe and effective clinical therapy, and has advantages of less complications and rapid recovery of hip joint function.