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Hip Pain Causes

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1. Editorial Commentary: Invisible, Odorless, and Deadly: Do Computed Tomography Scans in Young Patients With Hip Pain Cause Cancer? (PubMed)

Editorial Commentary: Invisible, Odorless, and Deadly: Do Computed Tomography Scans in Young Patients With Hip Pain Cause Cancer? Does imaging of the pelvis using a set of radiographs and computed tomography (CT) cause cancer? A computer-based simulation study using 5 different imaging and radiation dose protocols has calculated the lifetime risk of malignancy for young adults for pelvic radiographs and CT scans. The cumulative lifetime-attributable risk of cancer was 0.2% for males and 0.35

2018 Arthroscopy

2. Subperiosteal Hematoma of the Iliac Bone: An Unusual Cause of Acute Hip Pain after a Fall (PubMed)

Subperiosteal Hematoma of the Iliac Bone: An Unusual Cause of Acute Hip Pain after a Fall BACKGROUND Subperiosteal hematoma (SPH) of the iliac bone is an extremely uncommon clinical entity that occurs mostly in young patients with a history of a recent fall or sports-related injury. Patients usually complain of severe hip pain after a fall, mimicking femoral neck fracture. CASE REPORT An 18-year-old female was transported to our hospital complaining of pain in her left hip after falling on her (...) with the rare clinical condition of SPH of the iliac bone occurring immediately after a fall. The differential diagnosis of acute hip pain, which mimics femoral neck fracture, should be considered in young patients. Ultrasound of the iliac region may be useful in detection and further management of SPH of the iliac bone.

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2018 The American journal of case reports

3. Fifty-six percent of proximal femoral cortical hypertrophies 6 to 10 years after Total hip arthroplasty with a short Cementless curved hip stem - a cause for concern? (PubMed)

Fifty-six percent of proximal femoral cortical hypertrophies 6 to 10 years after Total hip arthroplasty with a short Cementless curved hip stem - a cause for concern? Thigh pain and cortical hypertrophies (CH) have been reported in the short term for specific short hip stem designs. The purpose of the study was to investigate 1) the differences in clinical outcome, thigh pain and stem survival for patients with and without CHs and 2) to identify patient and surgery-related factors being (...) hypertrophies were observed in 56% of the hips after a mean of 7.7 years, compared to 53% after 3.3 years being mostly located in Gruen zone 3 and 5. There was no significant difference for the Harris Hip Score and UCLA score for patients with and without CHs. Only one patient with a mild CH in Gruen zone 5 and extensive heterotopic ossifications around the neck of the stem reported thigh pain. The Kaplan Meier survival rate after 8.6 years was 99.6% (95%-CI; 97.1-99.9%) for stem revision due to aseptic

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2019 BMC Musculoskeletal Disorders

4. Effectiveness of controlled telescoping system for lateral hip pain caused by sliding of blade following intramedullary nailing of trochanteric fracture. (PubMed)

Effectiveness of controlled telescoping system for lateral hip pain caused by sliding of blade following intramedullary nailing of trochanteric fracture. The purpose of this study was to demonstrate the effectiveness of controlled telescoping system for lateral hip pain caused by sliding of the blade following intramedullary nailing of trochanteric fractures.A retrospective cohort study was performed to compare the controlled telescoping system (Compression Hip Nail; CHN) with the conventional (...) sliding system (Proximal Femoral Nail Antirotation; PFNA) for trochanteric fractures. 74 cases in the PFNA group and 77 cases in the CHN group were included from two university hospitals in this study. All patients had a minimum of 12-month follow up period. Lateral hip pain was evaluated and operation time and blood loss during the surgery were measured. The fracture classification was evaluated. The quality of postoperative reduction and other complications after surgery were also evaluated and tip

2017 Injury

5. Shock Wave Therapy for Lateral Hip Pain, Caused by Tendon Pathology

Shock Wave Therapy for Lateral Hip Pain, Caused by Tendon Pathology Shock Wave Therapy for Lateral Hip Pain, Caused by Tendon Pathology - 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. Shock Wave Therapy (...) for Lateral Hip Pain, Caused by Tendon Pathology 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: NCT03142971 Recruitment Status : Completed First Posted : May 8, 2017 Last Update Posted : May 10, 2017 Sponsor: Foundation IRCCS San Matteo Hospital Information provided by (Responsible Party): Ettore Carlis

2017 Clinical Trials

6. Chronic Hip Pain

snapping hip syndrome (coxa sultans) [38]. Other causes of a chronically painful hip for which MRI has been used with considerable success include acute and chronic soft-tissue injuries [23,24,27,30-32,39,40], inflammation [28,41], and tumors [21,42-44]. IV gadolinium chelate agents or US can be used to differentiate between joint fluid and synovitis [41,45]. IV contrast is rarely needed for MRI. US can be used to localize fluid collections, such as paralabral cysts, for aspiration and injection [46,47 (...) injections are safe and useful tools for confirming the location of pain and, in some cases, helping in its control for a short period [50-52]. Trochanteric and iliopsoas bursal/peritendinous injections may be useful in determining the cause of hip pain [53]. Aspiration is also critical in diagnosing the presence of crystal disease [54]. Nuclear medicine does not currently play a role in the workup of these conditions. Variant 3: Chronic hip pain. Radiographs negative, equivocal, or nondiagnostic

2016 American College of Radiology

7. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. (PubMed)

Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Chronic peripheral joint pain due to osteoarthritis (OA) is extremely prevalent and a major cause of physical dysfunction and psychosocial distress. Exercise is recommended to reduce joint pain and improve physical function, but the effect of exercise on psychosocial function (health beliefs, depression, anxiety and quality of life) in this population is unknown.To (...) of bias and the implications derived from the high-quality studies in the qualitative synthesis, confirmed the importance of these implications.Chronic hip and knee pain affects all domains of people's lives. People's beliefs about chronic pain shape their attitudes and behaviours about how to manage their pain. People are confused about the cause of their pain, and bewildered by its variability and randomness. Without adequate information and advice from healthcare professionals, people do not know

2018 Cochrane

8. Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial

Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Ambulatory hip arthroscopy is associated with postoperative pain routinely requiring opioid analgesia. The potential role of peripheral nerve blocks for pain control after hip arthroscopy is controversial. This trial investigated whether a preoperative fascia iliaca block improves (...) postoperative analgesia.In a prospective, double-blinded trial, 80 patients scheduled for hip arthroscopy were randomized to receive a preoperative fascia iliaca block with 40 ml ropivacaine 0.2% or saline. Patients also received an intraarticular injection of 10-ml ropivacaine 0.2% at procedure end. Primary study endpoint was highest pain score reported in the recovery room; other study endpoints were pain scores and opioid use 24 h after surgery. Additionally, quadriceps strength was measured to identify

2018 EvidenceUpdates

9. Acetabular roof stress fracture: a rare cause of hip pain in children (PubMed)

Acetabular roof stress fracture: a rare cause of hip pain in children Stress fracture of acetabular roof is an unusual cause of hip pain. It is considered as an underdiagnosed entity. People who are more susceptible to experience this fracture are athletes, soldiers and dancers. We present the case of an 11 year old girl with a roof acetabular stress fracture for which the diagnosis and follow-ups were possible by the means of MRI. The treatment was keeping the child at a complete rest. Failure (...) to abide with this treatment can cause the stress fracture to evaluate into a complete fracture.

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2016 The Pan African medical journal

10. Spontaneous Iliopsoas Tendon Tear: A Rare Cause of Hip Pain in the Elderly (PubMed)

Spontaneous Iliopsoas Tendon Tear: A Rare Cause of Hip Pain in the Elderly Hip pain is one of the most common reasons for the elderly to present to the emergency department, and the differential diagnosis spectrum is vast. Iliopsoas injury is a relatively uncommon condition that may present with hip or groin pain. It is usually seen in athletes due to trauma, particularly flexion injuries. However, spontaneous iliopsoas tendon tear is extremely rare, and only a small number of cases have been

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2016 Geriatric orthopaedic surgery & rehabilitation

11. Hip Pain Causes

Hip Pain Causes Hip Pain Causes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hip Pain Causes Hip Pain Causes Aka: Hip Pain Causes (...) , Hip Pain Differential Diagnosis , Anterior Hip Pain , Lateral Hip Pain , Hip Pain in Athletes , Hip Pain in Pregnancy II. Causes: Critical Causes of Hip Pain (not to miss) of the Hip ( , ) Peritonitis (or other surgical ) ( ) Malignancy involving hip or III. Causes: Timing in the Elderly (acute versus insidious) Spontaneous onset without in elderly Ask about systemic symptoms Obtain Obtain infectious and labs (CBC, CRP, ESR, RF) Consider serious causes Inflammatory (acute synovitis) of the hip

2018 FP Notebook

12. An unusual cause of pain in the hip (PubMed)

An unusual cause of pain in the hip Colorectal Carcinoma is the second biggest killer after lung and bronchial carcinoma. Due to its insidious onset and late manifestation of symptoms a national screening programme was started in 2006 within the UK. We present a rare case of colorectal adenocarcinoma mimicking osteosarcoma and presenting as hip pain at initial consultation in the orthopaedic clinic. Further adding to the rarity of this case is that of an apparent bony metastasis in isolation

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2016 Journal of surgical case reports

13. Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis (PubMed)

Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis Retrospective observational study.We examined change in lumbrosacral spine alignment and low back pain (LBP) following total hip arthroplasty (THA) in patients with severe hip osteoarthritis (OA).Severe hip osteoarthritis has been reported to cause spine alignment abnormalities and low back pain, and it has been reported that low back pain is improved following THA.Our (...) target population included 30 patients (29 female, mean age 63.5 years) with hip OA who underwent direct anterior approach THA. There were 12 cases with bilateral hip disease and 18 cases with unilateral osteoarthritis. Visual analogue scale (VAS) scores for LBP and coxalgia, the Roland-Morris Disability Questionnaire (RDQ), and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were assessed before and after surgery. Spinal alignment metrics were measured before

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2018 Asian spine journal

14. Clinical Results of Total Hip Arthroplasty in Two Patients with Charcot Hip Joints due to Congenital Insensivity to Pain with Anhydrosis (PubMed)

Clinical Results of Total Hip Arthroplasty in Two Patients with Charcot Hip Joints due to Congenital Insensivity to Pain with Anhydrosis Traditionally, Charcot arthropathy has been considered an absolute contraindication for total hip arthroplasty (THA). However, some recent reports have shown that good short- to mid-term results can be achieved by improving the durability of the implant. This paper reports the mid- to long-term results of THA in two patients with Charcot hip joints caused (...) that, with careful planning and appropriate precautions, THA may be a viable treatment option for Charcot hip joints caused by congenital insensivity to pain with anhydrosis.

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2018 Case reports in orthopedics

15. Subspine Hip Impingement: An Unusual Cause of Hip Pain in an Elite Weightlifter. (PubMed)

Subspine Hip Impingement: An Unusual Cause of Hip Pain in an Elite Weightlifter. Anterior hip pain can be difficult to diagnose due to the many pathologies and overlapping pain patterns that exist in the hip region. Clinical findings of pain at the anterior inferior iliac spine with passive hip flexion, proximal quadriceps pain and weakness, and painful impingement tests of the hip may be indicative of subspine hip impingement. This report describes the diagnosis and treatment of anterior hip (...) pain, including subspine impingement and femoroacetabular impingement in an elite weightlifter. This case also describes how with the correct diagnosis and treatment, the athlete returned to play to her previous level of sport 11 months after a complex hip injury.

2017 Current Sports Medicine Reports

16. Comparisons of slice-encoding metal artifact correction and view-angle tilting magnetic resonance imaging and traditional digital radiography in evaluating chronic hip pain after total hip arthroplasty (PubMed)

-induced artifacts and might successfully detect most positive signs missed in the traditional DR images.The main objective of this research was to show that MR sequences from the SEMAC-VAT TSE prototype provide a significant advantage at detecting lesions in patients after THA because of the excellent soft-tissue resolution of the MR imaging. SEMAC-VAT MR can evaluate chronic hip pain after THA and determine the cause, which can help the clinician decide on whether a surgical revision is needed. (...) Comparisons of slice-encoding metal artifact correction and view-angle tilting magnetic resonance imaging and traditional digital radiography in evaluating chronic hip pain after total hip arthroplasty The aims of this study were (1) to compare the areas of metal-induced artifacts and definition of periprosthetic structures between patients scanned with the slice-encoding metal artifact correction and view-angle tilting (SEMAC-VAT) turbo-spin-echo (TSE) prototype and those scanned

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2017 Journal of Orthopaedic Translation

17. Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty. (PubMed)

Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty. Total hip arthroplasty (THA) is one of the most common orthopaedic operations performed worldwide. Painful osteoarthritis of the hip is the primary indication for THA. Following THA, people have conventionally been provided with equipment, such as raised toilet seats and chairs, and educated to avoid activities that could cause the hip joint (...) from inception to April 2016.We included randomised controlled trials (RCTs), quasi-RCTs and cluster-RCTs that evaluated the effectiveness of the provision of assistive devices, education on hip precautions, environmental modifications, or training in ADL and EADL for people undergoing THA. The main outcomes of interest were pain, function, health-related quality of life (HRQOL), global assessment of treatment success, reoperation rate, hip dislocation and adverse events.We used standard

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2016 Cochrane

18. Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study. (PubMed)

consumption compared to femoral nerve block without causing significant side effects. The superior analgesia in the LIA group may result from the secondary injection at 23h postoperatively and needs to be further evaluated in future studies. No differences were found in home discharge, quality of life and hip dysfunction between the groups.Local infiltration analgesia is the preferred method for postoperative pain management following THA compared to single-shot femoral nerve block.Copyright © 2017 (...) Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study. Several methods for pain management following total hip arthroplasty (THA) have been described but the best postoperative pain management technique remains uncertain. We compared surgeon applied local infiltration analgesia (LIA) with anaesthesiologist performed femoral nerve block (FNB) using ultrasound. The primary aim

2019 Scandinavian journal of pain

19. Painful Hip Arthroplasty: What Should We Find? Diagnostic Approach and Results. (PubMed)

Painful Hip Arthroplasty: What Should We Find? Diagnostic Approach and Results. Identifying the source of pain is paramount for determining appropriate treatment and ensuring successful outcome in terms of management and relief of pain. The difficulty is that each surgeon has his or her own way of seeing the problem, and there is no consensus for the evaluation of these patients. The study hypothesis was that it is possible to find the cause of the pain in most cases.All patients consulting (...) for unexplained painful hip arthroplasty were included and followed a decision tree to assess the cause of the pain. The primary endpoint was the final diagnosis. Secondary endpoints were subgroup comparison between main causes and assessment of risk factors.Two hundred one hips of 194 patients were included as unexplained painful hip arthroplasty 6 months postoperatively. Final diagnoses comprised periarticular pain in 53 cases (26.4%): 40 cases of trochanteric bursitis, 5 of iliopsoas tendinitis, 5

2019 Journal of Arthroplasty

20. The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip (PubMed)

The interface between periacetabular osteotomy, hip arthroscopy and total hip arthroplasty in the young adult hip Hip pain is highly prevalent in both the younger and the elderly population. In older patients, pain arising from osteoarthritis (OA) is most frequent, whereas in younger patients, non-degenerative diseases are more often the cause of pain. The pain may be caused by hip dysplasia and femoroacetabular impingement (FAI).Abnormal mechanics of the hip are hypothesized by some authors (...) to cause up to 80% of OA in the hip. Therefore, correction of these abnormalities is of obvious importance when treating young patients with hip pain.Hip dysplasia can be diagnosed by measuring a CE angle < 25° on a plain standing radiograph of the pelvis.Dysplastic or retroverted acetabulum with significant symptoms should receive a periacetabular osteotomy (PAO).FAI with significant symptoms should be treated by adequate resection and, if necessary, labrum surgery.If risk factors for poor outcome

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2018 EFORT open reviews

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