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1. AIUM ACR SPR SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip

AIUM ACR SPR SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip PRACTICEGUIDELINES AIUM–ACR–SPR–SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip Preamble T heAmericanInstituteofUltrasoundinMedicine(AIUM)isa multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through (...) of the hip (DDH). Adherence to the following recommenda- tions will maximize the probability of detecting most of the abnormalities that relate to acetabular mor- phology, position of the femoral head, and stability. When available, ultrasound imaging is the pre- ferred method for diagnostic imaging of the immature hip. 1,2 It affords direct visualization of the cartilagi- nous and other components of the hip joint and per- mits a dynamic examination that can be used to assess hip stability. The value

2018 American Institute of Ultrasound in Medicine

2. Pilot Study Examining Feasibility and Comparing the Effectiveness of Decision Aids for Hip and Knee Osteoarthritis: A Randomized Trial. Full Text available with Trip Pro

Pilot Study Examining Feasibility and Comparing the Effectiveness of Decision Aids for Hip and Knee Osteoarthritis: A Randomized Trial. Background. There are many patient decision aids (DAs) available, yet there is limited evidence on comparative effectiveness of different tools. Objective. To examine feasibility of a study protocol and gather preliminary data on comparative effectiveness. Methods. Adult patients seeing a surgeon to discuss treatment for hip or knee osteoarthritis were (...) randomized to hip and knee DAs from two vendors. Pre-visit survey included Hip/Knee Decision Quality Instrument, DA usage, health literacy, and quality of life (EQ-5D). Surgical status was ascertained 6 months post-visit. We examined response rates, eligibility, and compared the two DAs on amount of use, knowledge scores, and receipt of preferred treatment. Results. Overall response rate was 58/74 (78%) and did not differ by study arm. More patients in DA-A group reported reviewing all the DAs (64.5% DA

2019 MDM Policy & Practice Controlled trial quality: uncertain

3. Case-control study examining the association between hip fracture risk and statins therapy in old people. Full Text available with Trip Pro

Case-control study examining the association between hip fracture risk and statins therapy in old people. A population-based case-control study investigated possible association between statin use and risk of hip fracture among the elderly in Taiwan.The Taiwan National Health Insurance Program database was used to identify 7464 subjects aged 65 years or older with newly diagnosed hip fracture in 2000 to 2013. An additional 7464 subjects aged 65 years or older without hip fracture were randomly (...) selected as the control group. Hip fracture cases and controls were matched for sex, age, comorbidities, and index year of hip fracture diagnosis. Statin use was defined as "current," "recent," or "past" if the patient's statin prescription was respectively filled <3, 3 to 6, or ≥6 months before the date of the hip fracture. The odds ratio (OR) and 95% confidence interval (CI) for hip fracture associated with statin use was estimated using the logistic regression model.The logistic regression analysis

2019 Medicine

4. Examination Under Anesthesia for Evaluation of Hip Stability in Posterior Wall Acetabulum Fractures. (Abstract)

Examination Under Anesthesia for Evaluation of Hip Stability in Posterior Wall Acetabulum Fractures. Posterior wall fractures of the acetabulum are the most common acetabular fracture pattern. Stable, congruous hips are amenable to nonoperative management, whereas any instability in the hip is an indication for operative management of the posterior wall fracture. Stability cannot adequately be predicted by static imaging alone. Therefore, the dynamic stress examination under anesthesia remains (...) the gold standard in determining hip stability to guide treatment. This case-based video demonstrates a systematic technique for performing an examination under anesthesia and explains how to interpret the fluoroscopic imaging to differentiate stable and unstable hips.

2019 Journal of Orthopaedic Trauma

5. Comparison of the history and physical examination for hip osteoarthritis and lumbar spinal stenosis. (Abstract)

Comparison of the history and physical examination for hip osteoarthritis and lumbar spinal stenosis. Leg pain associated with walking is sometimes incorrectly attributed to hip osteoarthritis (OA) or lumbar spinal stenosis (LSS).This study compared physicians' values of signs and symptoms for diagnosing and differentiating hip OA and LSS to their clinical utility.Musculoskeletal physicians were surveyed with online questionnaires. Patients were recruited from hip and spine specialty (...) practices.Seventy-seven hip OA and 79 LSS patients.Signs and symptoms of hip OA and LSS.Fifty-one of 66 invited musculoskeletal physicians completed online surveys about the values of 83 signs and symptoms for diagnosing hip OA and LSS. Of these, the most valued 32 symptoms and 13 physical examination items were applied to patients with symptomatic hip OA or LSS. Positive likelihood ratios (+LR) were calculated for each items' ability to differentiate hip OA from LSS, with a +LR>2 set as indicating usefulness

2019 The Spine Journal

6. Newborn and infant physical examination: programme handbook

) and need a version of this document in a more accessible format, please email . Please tell us what format you need. It will help us if you say what assistive technology you use. Details The purpose of this handbook is to inform and support best clinical practice in the NHS newborn and infant physical examination ( 27 August 2019 Updated NIPE programme handbook. 24 April 2018 Updated pathway appendices in accessible PDF formats. 19 April 2018 Minor correction to neonatal hip risk factors under Standard (...) Newborn and infant physical examination: programme handbook Newborn and infant physical examination: programme handbook - GOV.UK GOV.UK uses cookies to make the site simpler. Accept cookies You’ve accepted all cookies. You can at any time. Hide Search The United Kingdom is leaving the European Union on 31 October 2019. Guidance Newborn and infant physical examination: programme handbook This document brings together all the guidelines that relate to the NHS newborn and infant physical

2019 Public Health England

7. Oral sweet solution to prevent pain during neonatal hip examination: a randomised controlled trial. Full Text available with Trip Pro

Oral sweet solution to prevent pain during neonatal hip examination: a randomised controlled trial. To determine if oral glucose can have a pain-relieving effect during routine hip examinations in newborn infants.In this randomised controlled study 100 newborn infants undergoing the routine physical examination including the potentially painful hip examination were included between March 2016 and April 2017. Fifty infants were randomised to water (control) and 50 to oral glucose (intervention (...) ) before their examination. Pain was assessed using crying time, Astrid Lindgren and Lund Children's Hospital Pain and Stress Assessment Scale (ALPS-Neo) and Visual analogue scale (VAS).Total crying time (p = 0.006), crying time during the hip examination (p = 0.026), ALPS-Neo (p = 0.004) and VAS (p = 0.006) (when assessed by the physician) were all significantly decreased in the group of infants receiving glucose. VAS assessment made by the parents did not reach statistical significance (p = 0.127

2018 Acta paediatrica (Oslo, Norway : 1992) Controlled trial quality: uncertain

8. Oral Sweet Solution to Prevent Pain During Neonatal Hip Examination

Oral Sweet Solution to Prevent Pain During Neonatal Hip Examination Oral Sweet Solution to Prevent Pain During Neonatal Hip Examination - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Oral Sweet Solution (...) to Prevent Pain During Neonatal Hip Examination The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03486015 Recruitment Status : Completed First Posted : April 3, 2018 Last Update Posted : April 3, 2018 Sponsor: Region Örebro County Information provided by (Responsible Party): Region Örebro County Study

2018 Clinical Trials

9. A preliminary examination of the diagnostic value of deep learning in hip osteoarthritis. Full Text available with Trip Pro

A preliminary examination of the diagnostic value of deep learning in hip osteoarthritis. Hip Osteoarthritis (OA) is a common disease among the middle-aged and elderly people. Conventionally, hip OA is diagnosed by manually assessing X-ray images. This study took the hip joint as the object of observation and explored the diagnostic value of deep learning in hip osteoarthritis. A deep convolutional neural network (CNN) was trained and tested on 420 hip X-ray images to automatically diagnose hip

2017 PLoS ONE

10. Exam Series: Guide to the Back Exam

of the cervical spine. Assess for flexion, extension, and lateral flexion (fingers should touch the fibula) of the back, ensuring that the patient keeps their leg straight and recognizing that tight hamstrings may limit range of motion. Rotation is best assessed with the patient seated in order to isolate movement of the back from the hips. A power examination of the back is not necessary. GI/GU exam : A digital rectal exam is required to assess tone if there are any concerns for cauda equina. A post void (...) and CVA tenderness may indicate renal pathology. Inspection : Examine the patient’s posture. Asymmetry in the shoulder height may indicate scoliosis, which becomes more pronounced during the Adam’s Forward Bend test where the patient bends forward at the hips with straight legs. A lateral view of the back reveals the four natural curves of the spine – cervical lordosis, thoracic kyphosis, lumbar lordosis, and coccygeal kyphosis. Examine the paraspinal muscles for swelling, atrophy, erythema, or other

2018 CandiEM

11. Exam Series: Guide to the Knee Exam

to examine the joint above and below; a hip injury can masquerade as knee pain and a proximal fibular fracture can be a Maisonneuve fracture that is associated with an ankle eversion injury. It is also important to examine the patient supine, examining a knee in a chair or wheelchair (which is tempting in a busy ED with a shortage of beds!) can significantly compromise your exam. Soft tissue injuries (ligamentous and meniscal) should not be immobilized in a Zimmer splint as this can contribute (...) , Move” Throughout the physical examination compare the asymptomatic to the symptomatic knee. The knee exam should be conducted with the patient supine, examining a knee in a chair or wheelchair can significantly compromise your exam! Every patient will have a different laxity to their joints at baseline, use the asymptomatic knee to get a sense of the patients baseline laxity. Pain with provocative movements without associated laxity suggests a ligament strain rather than a tear. Remember to assess

2018 CandiEM

12. Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention

included a risk assessment with a targeted intervention, followed by education, exercise or physiotherapy, along with two to four of the following: fall alert cards with brochures, hip protectors, identity bracelets, medication review, environmental review, medical examination, eyesight correction, and nurse assistance with daily living activities. The authors did not undertake assessments for single interventions. In general, they found no significant differences with the unifactorial (...) Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention Rapid Synthesis Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 30 April 2017 Examining the Impact of Interprofessional Training and Patient Engagement on Falls Prevention 2

2017 McMaster Health Forum

13. Examining the Effects of Value-based Physician Payment Models

Examining the Effects of Value-based Physician Payment Models ` Rapid Synthesis Examining the Effects of Value-based Physician Payment Models 10 October 2017 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Examining the Effects of Value-based Physician Payment Models 30-day response 10 October 2017 Examining the Effects of Value-based Physician Payment Models 2 Evidence >> Insight >> Action McMaster Health Forum For concerned citizens and influential thinkers and doers (...) with identifying, reviewing and synthesizing literature. We are especially grateful to Gioia Buckley and Rick Glazier for their insightful comments and suggestions. Citation Mattison CA, Wilson MG. Rapid synthesis: Examining the effects of value-based physician payment models. Hamilton, Canada: McMaster Health Forum, 10 October 2017. Product registration numbers ISSN 2292-7999 (online) McMaster Health Forum 3 Evidence >> Insight >> Action KEY MESSAGES Questions • What value-based physician payment models have

2017 McMaster Health Forum

14. AIUM Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip

AIUM Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip PRACTICEGUIDELINES AIUM–ACR–SPR–SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip Preamble T heAmericanInstituteofUltrasoundinMedicine(AIUM)isa multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through professional (...) of the hip (DDH). Adherence to the following recommenda- tions will maximize the probability of detecting most of the abnormalities that relate to acetabular mor- phology, position of the femoral head, and stability. When available, ultrasound imaging is the pre- ferred method for diagnostic imaging of the immature hip. 1,2 It affords direct visualization of the cartilagi- nous and other components of the hip joint and per- mits a dynamic examination that can be used to assess hip stability. The value

2013 American Institute of Ultrasound in Medicine

15. A Prospective Cohort Study Examining Medical and Social Factors Associated with Engagement in Life Activities Following Total Hip Replacement. Full Text available with Trip Pro

A Prospective Cohort Study Examining Medical and Social Factors Associated with Engagement in Life Activities Following Total Hip Replacement. Studies show limited improvement in the frequency of engaging in life activities after joint replacement. However, there is a paucity of research that has examined factors, including other life events, which influence engagement following total hip replacement (THR). This research sought to identify factors associated with engaging in life activities

2017 Osteoarthritis and Cartilage

16. Diagnostic Accuracy of 3 Physical Examination Tests in the Assessment of Hip Microinstability Full Text available with Trip Pro

Diagnostic Accuracy of 3 Physical Examination Tests in the Assessment of Hip Microinstability Hip microinstability is a diagnosis gaining increasing interest. Physical examination tests to identify microinstability have not been objectively investigated using intraoperative confirmation of instability as a reference standard.To determine the test characteristics and diagnostic accuracy of 3 physical examination maneuvers in the detection of hip microinstability.Cohort study (diagnosis); Level (...) of evidence, 2.A review was conducted of 194 consecutive hip arthroscopic procedures performed by a sports medicine surgeon at a tertiary-care academic center. Physical examination findings of interest, including the abduction-hyperextension-external rotation (AB-HEER) test, the prone instability test, and the hyperextension-external rotation (HEER) test, were obtained from prospectively collected data. The reference standard was intraoperative identification of instability based on previously published

2017 Orthopaedic journal of sports medicine

17. Preoperative physical examination and imaging of femoroacetabular impingement prior to hip arthroscopy-a systematic review. Full Text available with Trip Pro

Preoperative physical examination and imaging of femoroacetabular impingement prior to hip arthroscopy-a systematic review. The purpose of this systematic review is to report current preoperative assessment for femoroacetabular impingement (FAI) including physical examination and imaging modalities prior to hip arthroscopy, and report current imaging measures used in the diagnosis of FAI. The electronic databases MEDLINE, EMBASE and PubMed were searched and screened in duplicate for relevant (...) studies. Data regarding patient demographics, non-operative treatment, preoperative assessment including physical examination and imaging prior to hip arthroscopy were abstracted. Study quality was assessed in duplicate using the Methodological Index for Non-Randomized Studies criteria. Sixty-eight studies of fair quality evidence that involved a total of 5125 patients (5400 hips) were included. In total, 56% of all patients were male and mean age was 36 years (SD ± 10.0). Within physical examination

2017 Journal of hip preservation surgery

18. Are CT Scans a Satisfactory Substitute for the Follow-Up of RSA Migration Studies of Uncemented Cups? A Comparison of RSA Double Examinations and CT Datasets of 46 Total Hip Arthroplasties Full Text available with Trip Pro

Are CT Scans a Satisfactory Substitute for the Follow-Up of RSA Migration Studies of Uncemented Cups? A Comparison of RSA Double Examinations and CT Datasets of 46 Total Hip Arthroplasties As part of the 14-year follow-up of a prospectively randomized radiostereometry (RSA) study on uncemented cup fixation, two pairs of stereo radiographs and a CT scan of 46 hips were compared. Tantalum beads, inserted during the primary operation, were detected in the CT volume and the stereo radiographs (...) and used to produce datasets of 3D coordinates. The limit of agreement between the combined CT and RSA datasets was calculated in the same way as the precision of the double RSA examination. The precision of RSA corresponding to the 99% confidence interval was 1.36°, 1.36°, and 0.60° for X-, Y-, and Z-rotation and 0.40, 0.17, and 0.37 mm for X-, Y-, and Z-translation. The limit of agreement between CT and RSA was 1.51°, 2.17°, and 1.05° for rotation and 0.59, 0.56, and 0.74 mm for translation

2017 BioMed research international

19. Examination of center of pressure displacement and muscle activity of the hip girdle muscles on lateral movement in the sitting position, focusing on kinematic features before and after the start of exercise Full Text available with Trip Pro

Examination of center of pressure displacement and muscle activity of the hip girdle muscles on lateral movement in the sitting position, focusing on kinematic features before and after the start of exercise [Purpose] This study aimed to evaluate the kinematic characteristics at the start of lateral movement in the sitting position, for application in physical therapy. [Subjects and Methods] Eleven healthy male subjects (mean age, 24.8 ± 3.7 years) were included in the study after they provided (...) analysis revealed that all subjects showed lateral displacement of the thoracic part of the trunk after the start of the task. However, the lumbar region and pelvis maintained their starting positions. [Conclusion] COP displacement occurred in the reverse reaction before the task, and this involved the hip girdle muscles of the opposite side. A reverse reaction displaced the pelvis to the opposite side to ensure instability of posture through side tilting of the trunk at the beginning of the task.

2017 Journal of physical therapy science

20. Examining Effects of Spinal Fusion on Outcomes Following Total Hip Replacement

Examining Effects of Spinal Fusion on Outcomes Following Total Hip Replacement Examining Effects of Spinal Fusion on Outcomes Following Total Hip Replacement - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Examining Effects of Spinal Fusion on Outcomes Following Total Hip Replacement The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03240484 Recruitment Status : Recruiting First Posted : August 7, 2017 Last Update Posted

2017 Clinical Trials

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