Abstract：
:With the development of conservative hip surgery techniques, new entities such as microinstability have been identified. Microinstability is a painful supra-physiological mobility of the hip. It results from the association of architectural and functional abnormalities impairing joint stability. These risk factors concern hip joint bone architecture or peri-articular soft tissues. Bone abnormalities are identified on hip assessment parameters. Soft tissues also play a key role in the static and dynamic stability of the hip: the joint capsule, labrum, ligamentum teres and adjacent myotendinous structures affect joint coaptation; any abnormality or iatrogenic lesion concerning these structures may constitute a risk factor for microinstability. Diagnosis is based on interview, clinical examination and imaging. Findings of labral lesions or femoro-acetabular impingement do not rule out microinstability; they may be associated. Treatment is based first on physiotherapy for muscle reinforcement to improve joint coaptation. In case of failure, arthroscopic surgery is indicated for femoro-acetabular impingement and capsular plicature which is being evaluated. Periacetabular osteotomy or shelf acetabuloplasty may be indicated, according to the severity of joint bone architecture abnormality. Microinstability is a multifactorial entity. Lesions induced by microinstability may in turn become risk factors for aggravation. Diagnosis and indications for surgery are thus difficult to establish. Only full clinical examination and exhaustive imaging assessment allow microinstability and associated lesions to be identified.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Dangin A,Tardy N,Wettstein M,May O,Bonin Ndoi
10.1016/j.otsr.2016.09.002subject
Has Abstractpub_date
2016-12-01 00:00:00pages
S301-S309issue
8Sissn
1877-0568pii
S1877-0568(16)30121-9journal_volume
102pub_type
杂志文章,评审abstract：INTRODUCTION:Knee angular deformity is a common finding occurring in the childhood that can cause gait disturbances and early compartment osteoarthritis. Despite various surgical approaches presented to correct the angular deformities of the knee, there is still a search for the best approach. Thus, the present study w...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.04.020
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:Osteotomy is a rational approach to slowing knee osteoarthritis progression by modifying loads, thereby avoiding joint replacement in younger individuals. Varus femoral osteotomy is recommended only in patients with more than 10° of valgus. The objective here was to assess outcomes of tibial varus osteotomy ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.03.020
更新日期：2017-10-01 00:00:00
abstract：INTRODUCTION:Among the numerous techniques available, medial patellofemoral ligament (MPFL) reconstruction is increasingly used for the surgical treatment of objective patellar instability. The main objective of the present study was to assess efficacy in preventing recurrence of patellar dislocation and in correcting ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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abstract：BACKGROUND:The Garden classification is used to classify intracapsular proximal femur fractures. The reliability of this classification is poor and several authors advise a simplified classification of intracapsular hip fractures into non-displaced and displaced fractures. However, this proposed simplified classificati...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2012.02.003
更新日期：2012-06-01 00:00:00
abstract：INTRODUCTION:Talar fracture is rare. Treatment is surgical for neck and/or body fractures with displacement. The aims of the present study were to collect epidemiological data on talar fractures, and to assess the impact of trauma via various functional scores and radiographic impact in the medium term. HYPOTHESIS:Dis...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2021.102835
更新日期：2021-01-29 00:00:00
abstract：BACKGROUND:Two-dimensional (2D) and three-dimensional (3D) computed tomography (CT) have been increasingly used in various intra-articular fractures including pilon fracture. However, no study has investigated intraobserver and interobserver reliabilities of pilon fracture classification using 3D CT images. HYPOTHESIS...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.07.011
更新日期：2019-11-01 00:00:00
abstract：:Chronic patellar tendon ruptures are somewhat rare, thus little work has been done in this area and their true incidence is not known. The management of a neglected, chronic patellar tendon rupture must address three difficulties: the proximally retracted patella, the reconstruction of the patellar tendon, finally, th...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.01.015
更新日期：2011-06-01 00:00:00
abstract：:Mononeuropathy after surgery may occur and hereditary neuropathy with liability to pressure palsies is a possible pathological condition related to paresis after hip surgery. We present a case of 66-year-old man presenting severe weakness at inferior limb muscles after hip prosthesis revision. Clinic and electrophysio...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.02.013
更新日期：2016-06-01 00:00:00
abstract：:Locked pubic symphysis is a rare form of pelvic injury. It occasionally occurs after a lateral compression injury of the pelvis. We described an overlapping pubic symphysis dislocation that was locked into the contralateral obturator foramen. To the best of our knowledge, there are about seventeen similar cases report...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2012.08.008
更新日期：2013-02-01 00:00:00
abstract：INTRODUCTION:A number of techniques have been described in the management of thoracolumbar spinal fractures, testimony to the absence of consensus on their treatment. For the past few years, minimally invasive techniques have been developed to limit surgery-related iatrogenic injury. The objective of this study was to ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.03.020
更新日期：2011-09-01 00:00:00
abstract：BACKGROUND:Pyomyositis (PM) is defined as a primary pyogenic infection of the striated skeletal muscle; although it has many dystrophic musculoskeletal complications, it is always misdiagnosed by many orthopedic surgeons. HYPOTHESIS:PM is rare in temperate climates and usually considered to be a tropical disease, unti...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.12.005
更新日期：2018-05-01 00:00:00
abstract：INTRODUCTION:Physicians, whether in the public or private sector, are increasingly bound to "publish or perish". Although researchers have become aware of certain ethical concerns relating to the concept of authorship, clinicians still tend to neglect issues of copyright. The present study aims: 1) to explain to orthop...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2020.05.015
更新日期：2020-12-01 00:00:00
abstract：INTRODUCTION:Glenoid bone grafting is often used in cases of reverse shoulder arthroplasty (RSA) with glenoid deficiency. Additionally, bony increased-offset RSA (BIO-RSA) uses a cylindrical bonegraft harvested from the humeral head and is positioned beneath the glenoid baseplate to increase lateralization. Postoperati...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.03.010
更新日期：2015-06-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.11.012
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Latarjet is one of the most common surgical procedure performed on patients with shoulder instability with osseous defects, some complications include coracoid bone graft osteolysis, osteoarthritis, graft detachment, and malpositioning were previously reported. Several studies investigated potential causes o...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.11.007
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:Proximal median nerve (MN) neuropathy represents 1% of upper-limb compressive neuropathies. The literature reports two clinical presentations, depending on the location of the entrapment: pronator teres (PT), and anterior interosseous nerve (AIN) syndrome. HYPOTHESIS:There is no correlation between symptoms...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2021.102825
更新日期：2021-01-28 00:00:00
abstract：:Hypersensitivity reactions to implants in orthopaedic and trauma surgery are a rare but devastating complication. They are considered as a delayed-type of hypersensitivity reaction (type IV), characterized by an antigen activation of sensitized T-lymphocytes releasing various cytokines and may result in osteoclast act...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2016.06.021
更新日期：2017-02-01 00:00:00
abstract：:Although total hip arthroplasty is now a classic procedure that is well controlled by orthopedic surgeons, some cases remain complex. Difficulties may be due to co-morbidities: obesity, skin problems, muscular problems, a history of neurological disease or associated morphological bone deformities. Obese patients must...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2012.11.008
更新日期：2013-02-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2012.10.020
更新日期：2013-06-01 00:00:00
abstract：INTRODUCTION:An infected non-union is a major complication following bone fracture. While bone union can be obtained in 70% to 100% of cases, treatment of osteomyelitis is less predictable, with reported healing rates ranging from 40% to 100%. The primary aim of this study was to assess the success rate of treating inf...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.10.014
更新日期：2018-02-01 00:00:00
abstract：:Long-term follow-up of patients with adhesive capsulitis (AC) reveals that approximately half of them suffer from a limited range of shoulder motion, particularly external and/or internal rotation. We report the surgical technique and short-term clinical outcomes of ultrasound-guided release of the thickened coracohum...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.01.016
更新日期：2018-10-01 00:00:00
abstract：INTRODUCTION:Treatment of the distal radius fracture in elderly remains controversial. The objective was to assess the outcomes of volar locking plate for displaced complete intra-articular distal radius fractures in elderly as compared to younger patients. HYPOTHESIS:The outcomes in elderly patients would be comparab...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.12.008
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:The intrawound application of vancomycin powder in addition to intravenous administration of antibiotics has been reported to be an easy and cost-efficient technique for reducing the deep infection, which is a serious complication of spinal surgeries. The aim of the present meta-analysis was to derive a prel...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.otsr.2014.05.022
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:The optimal approach for the fixation of coronoid process fractures is unknown. We present the advantages and the clinical effect of the pronator teres and the flexor carpi radialis interval approach for the treatment of ulna coronoid process fractures. METHODS:The patients, who had operative treatment of c...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.04.004
更新日期：2020-05-14 00:00:00
abstract：:The optimal treatment of recent femoral neck fractures remains debated. The available options are internal fixation, hemiarthroplasty (HA) and total hip arthroplasty (THA). There is a consensus in favour of internal fixation in younger patients. In elderly individuals who are institutionalised and have limited physica...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2018.04.034
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Postoperative dislocation is the commonest complication following revision total hip arthroplasty (THA). HYPOTHESIS AND TYPE OF STUDY: Dual mobility cups are supposed to reduce the risk of THA instability. The present retrospective study tested this hypothesis on revision THAs and also, assessed this design ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.04.016
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:When managed conservatively, lateral epicondylitis often subsides only after considerable time, during which social and occupational activities are severely disrupted. If conservative management fails, a recently introduced option is arthroscopic release of the extensor carpi radialis brevis (ECRB). The prim...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.05.017
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:Implant fixation assessment following Vancouver B1 periprosthetic hip fracture is a major decision factor for internal fixation and/or implant revision. The main aim of the present study was to assess the correlation between radiographic Remaining Attachment Index (RAI) and risk of implant loosening at las...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.06.016
更新日期：2020-11-01 00:00:00
abstract：:The diagnosis of pathological fracture should be considered routinely in patients with long limb-bone fractures. Investigations must be performed to establish the diagnosis of pathological fracture then to determine that the bone lesion is a metastasis. In over 85% of cases, the clinical evaluation combined with a det...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2016.11.001
更新日期：2017-02-01 00:00:00
abstract：INTRODUCTION:A systematic review was conducted to assess the clinical and radiological outcomes of the alternative surgical techniques that consider the dynamic aspect of the acetabular orientation when aligning a cup (pelvic tilt-, lumbo-pelvic kinematics-, and spine-hip relationship-adjusted cup alignment techniques)...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.03.015
更新日期：2019-09-01 00:00:00
