"This is the first study to show that in patients who are being treated for hip impingement with arthroscopy, not only do we restore their mechanical measurements, but by doing so, we have improved their functional range of motion across the joint," said Bryan T. Kelly, M.D., co-director of the Center for Hip Pain and Preservation at Hospital for Special Surgery in New York.
This study received the 2011 Excellence in Research Award from the American Orthopaedic Society for Sports Medicine.
In recent years, a hip condition known as femoro-acetabular impingement (FAI) or hip impingement has become widely recognized as one of the most common causes of early osteoarthritis in the hip. The hip is a ball-and-socket joint where the upper end of the thigh bone fits into the cup-shaped socket of the pelvis. In a healthy hip joint, the ball rotates freely in the cup, but in some people a bony bump on the upper thigh bone produces a situation where there is inadequate space for the hip bone to move freely in the socket. The result is damage to the socket rim and the cartilage that lines the bones, which can lead to hip arthritis.
Structural correction of the bone through arthroscopic or open surgery has been shown to be successful at relieving symptoms of FAI and returning athletes to their sport of choice. Before this study, however, researchers had not studied how good arthroscopic repair was at restoring range of motion.
To find out, researchers at Hospital for Special Surgery in New York City used computer-assisted, three dimensional analysis to assess differences in hip range-of-motion before and after the arthroscopic treatment of FAI. The study included 10 patients with symptomatic FAI who underwent a computed tomography (CT) scan before and after surgery. The CT scan was then fed into a software program that generated a three dimensional, animated picture of their hip joint.
"Their hip is moved in the computer program until there is collision between the ball and the socket. It assesses the point at which impingement occurs," explained Dr. Kelly. "Postoperatively, another CT scan is obtained and we assess the same range of motion."
The researchers found great improvements in internal rotation, moving your knee to the middle of your body, and in hip flexion, the motion of bringing your knee to your chest. Hip flexion was improved by 3.8 degrees and internal rotation was improved by 9.3 degrees. A comparison of the alpha angle, which measures the roundness of the femoral head (ball of the thigh bone), showed an improvement of roughly 20 degrees.
"Before this study, we did not know what our ability was to functionally improve range of motion across a hip joint in a patient who has had surgical correction of their underlying hip impingement," said Dr. Kelly. "With this study, we have clear objective data, confirming with dynamic assessment, that by improving the mechanical shape of the joint, we significantly improve range of motion and significantly reduce the areas of bony conflict."
Other investigators involved in the study are Robert Buly, M.D., Iftach Hetsroni, M.D., Erin Magennis, M.Sc., and Joseph Lipman, MSE, from Hospital for Special Surgery; Mark Dolan, M.D., former HSS fellow now at Northwestern Orthopedic Institute, Chicago; and first author Asheesh Bedi, M.D., former HSS fellow now at the University of Michigan.
About Hospital for Special Surgery
Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopedics, rheumatology and rehabilitation. HSS is nationally ranked No. 1 in orthopedics, No. 3 in rheumatology, No. 16 in neurology and No. 18 in geriatrics by U.S. News & World Report (2010-11), has received Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center, and has one of the lowest infection rates in the country. From 2007 to 2011, HSS has been a recipient of the HealthGrades Joint Replacement Excellence Award. A member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS provides orthopedic and rheumatologic patient care at New York-Presbyterian Hospital at New York Weill Cornell Medical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The hospital's research division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases. Hospital for Special Surgery is located in New York City and online at www.hss.edu.
Phyllis Fisher | EurekAlert!
GLUT5 fluorescent probe fingerprints cancer cells
20.04.2018 | Michigan Technological University
Scientists re-create brain neurons to study obesity and personalize treatment
20.04.2018 | Cedars-Sinai Medical Center
University of Connecticut researchers have created a biodegradable composite made of silk fibers that can be used to repair broken load-bearing bones without the complications sometimes presented by other materials.
Repairing major load-bearing bones such as those in the leg can be a long and uncomfortable process.
Study published in the journal ACS Applied Materials & Interfaces is the outcome of an international effort that included teams from Dresden and Berlin in Germany, and the US.
Scientists at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) together with colleagues from the Helmholtz-Zentrum Berlin (HZB) and the University of Virginia...
Novel highly efficient and brilliant gamma-ray source: Based on model calculations, physicists of the Max PIanck Institute for Nuclear Physics in Heidelberg propose a novel method for an efficient high-brilliance gamma-ray source. A giant collimated gamma-ray pulse is generated from the interaction of a dense ultra-relativistic electron beam with a thin solid conductor. Energetic gamma-rays are copiously produced as the electron beam splits into filaments while propagating across the conductor. The resulting gamma-ray energy and flux enable novel experiments in nuclear and fundamental physics.
The typical wavelength of light interacting with an object of the microcosm scales with the size of this object. For atoms, this ranges from visible light to...
Stable joint cartilage can be produced from adult stem cells originating from bone marrow. This is made possible by inducing specific molecular processes occurring during embryonic cartilage formation, as researchers from the University and University Hospital of Basel report in the scientific journal PNAS.
Certain mesenchymal stem/stromal cells from the bone marrow of adults are considered extremely promising for skeletal tissue regeneration. These adult stem...
In the fight against cancer, scientists are developing new drugs to hit tumor cells at so far unused weak points. Such a “sore spot” is the protein complex...
13.04.2018 | Event News
12.04.2018 | Event News
09.04.2018 | Event News
20.04.2018 | Physics and Astronomy
20.04.2018 | Interdisciplinary Research
20.04.2018 | Physics and Astronomy