Psychometric Assessment of Modified Harris Hip Score for Femoral Neck Fracture in Indian Population

Application evaluation of multidisciplinary collaboration model with health care integration in perioperative period of femoral neck fracture

 This study was to analyze application effect of multidisciplinary collaboration model with health-care integration in perioperative period of femoral neck fracture. As a prospective study, 124 patients with femoral neck fracture who underwent artificial joint replacement in our hospital from August 2020 to August 2021 were selected as the study subjects. According to the random allocation, they were divided into the group A (n = 62, multidisciplinary collaboration model with health-care integration) and the group B (n = 62, conventional care) to analyze the clinical value of different intervention measures in perioperative period by comparing the hip joint activity, quality of life and incidence of perioperative complications between the two groups. Compared with group B, the average HHS score and hip joint activity after intervention in group A were notably higher (P < 0.05), the VAS score after intervention was overtly lower (P < 0.001), and the GQOLI-74 score of group A after intervention was visibly higher (P < 0.001), with no overt difference in the overall incidence of perioperative complications between the two groups (P > 0.05). The application of multidisciplinary collaboration model with health-care integration in femoral neck fracture can effectively improve the hip joint function, reduce the severity of pain and benefit patients, and further studies will help to establish a better solution for such patients.

Avulsión traumática aguda del músculo glúteo medio en una paciente sin antecedente de dolor de cadera: presentación de un caso

Introducción: Se presenta el caso clínico de una mujer con avulsión aguda completa del glúteo medio en su inserción distal en el trocánter mayor, con cuadro de evolución menor de 24 horas desde la aparición del dolor peritrocantérico, en ausencia de un claro desencadenante o desgaste crónico degenerativo documentado. En la evaluación por urgencias ante la sospecha diagnóstica, se hace radiografía anteroposterior (AP) de pelvis y lateral de la cadera afectada, con posterior confirmación de hallazgospor resonancia magnética nuclear (RMN). El tratamiento se realiza mediante una técnica quirúrgica reconstructiva dentro de la primera semana de la lesión, con excelentes resultados clínicos y funcionales. Conclusión: La avulsión traumática aguda del músculo glúteo medio es una patología con una baja incidencia, lo que hace que la evidencia disponible para guiar su manejo sea escasa. Se presenta este caso clínico con la intención de exponer el abordaje clínico y diagnóstico de esta entidad y mostraruna opción de manejo con resultados satisfactorios.