Projects per year
Abstract
Introduction
In patients with symptomatic hip dysplasia soft-tissue pain may be a prevalent condition that might affect the outcome of periacetabular osteotomy (PAO). However, the distribution of soft-tissue pain in hip dysplasia has never been examined systematically using a standardised and reliable protocol.
The aim of this study was to investigate five clinical entities in 100 patients with hip dysplasia using the clinical entities approach identifying the anatomic location of soft-tissue pain. The first 50 patients are presented in this paper.
Material and Methods
Fifty patients (10 males, 40 females), with a median age of 26 (15-49) years were included (Table 1). The standardised examination protocol included evaluation of “known” pain in the muscles, tendons and at their insertion point provoked by palpation, contraction or stretching (Figure 1-5). Clinical entities were predefined according to the approach described by Hölmich (2007) using intra- and inter-tester reliable criteria (1,2) (Table 2).
Results
The most prevalent clinical entity was iliopsoas – related pain with a prevalence of 48% (n=24). The prevalence of clinical entity findings in the hip abductors was 38% (n=19) and 12% (n=6) in the hip adductors. Hamstrings and rectus abdominis entities were less common with a prevalence of 4% (n=2) and 0% (n=0), respectively. The clinical entities are reported in Table 3.
Conclusion
Clinical entities suggestive of soft-tissue pathology in the hip region are common with a high prevalence in the iliopsoas and the hip abductors. This indicates that patients with hip dysplasia also experience pain related to the surrounding soft-tissues, and not only from the hip joint.
References
(1) Holmich P, Holmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. Br J Sports Med 2004; 38(4): 446-451.
(2) Holmich P. Long-standing groin pain in sportspeople falls into three primary patterns, a "clinical entity" approach: a prospective study of 207 patients. Br J Sports Med 2007; 41(4): 247-52.
In patients with symptomatic hip dysplasia soft-tissue pain may be a prevalent condition that might affect the outcome of periacetabular osteotomy (PAO). However, the distribution of soft-tissue pain in hip dysplasia has never been examined systematically using a standardised and reliable protocol.
The aim of this study was to investigate five clinical entities in 100 patients with hip dysplasia using the clinical entities approach identifying the anatomic location of soft-tissue pain. The first 50 patients are presented in this paper.
Material and Methods
Fifty patients (10 males, 40 females), with a median age of 26 (15-49) years were included (Table 1). The standardised examination protocol included evaluation of “known” pain in the muscles, tendons and at their insertion point provoked by palpation, contraction or stretching (Figure 1-5). Clinical entities were predefined according to the approach described by Hölmich (2007) using intra- and inter-tester reliable criteria (1,2) (Table 2).
Results
The most prevalent clinical entity was iliopsoas – related pain with a prevalence of 48% (n=24). The prevalence of clinical entity findings in the hip abductors was 38% (n=19) and 12% (n=6) in the hip adductors. Hamstrings and rectus abdominis entities were less common with a prevalence of 4% (n=2) and 0% (n=0), respectively. The clinical entities are reported in Table 3.
Conclusion
Clinical entities suggestive of soft-tissue pathology in the hip region are common with a high prevalence in the iliopsoas and the hip abductors. This indicates that patients with hip dysplasia also experience pain related to the surrounding soft-tissues, and not only from the hip joint.
References
(1) Holmich P, Holmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. Br J Sports Med 2004; 38(4): 446-451.
(2) Holmich P. Long-standing groin pain in sportspeople falls into three primary patterns, a "clinical entity" approach: a prospective study of 207 patients. Br J Sports Med 2007; 41(4): 247-52.
| Original language | Danish |
|---|---|
| Publication date | 24 Jan 2015 |
| Publication status | Published - 24 Jan 2015 |
| Externally published | Yes |
Projects
- 1 Finished
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Forekomst af muskel-sene forandringer hos 100 patienter med hoftedysplasi før og et år efter periacetabular osteotomi
Jacobsen, J. S. (Co-researcher), Mechlenburg, I. (Co-researcher), Søballe, K. (Co-researcher), Thorborg, K. (Co-researcher), Hölmich, P. (Co-researcher), Jakobsen, S. S. (Co-researcher) & Bolvig, L. (Co-researcher)
01/01/14 → 31/12/19
Project: Research