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Jaber A, Bangert Y, Gather K, Hagmann S, Renkawitz T, Barié A. Functional outcome and athletic level after arthroscopic repair followed by triple pelvic osteotomy in patients with labral tears resulting from acetabular dysplasia. Orthopadie (Heidelb) 2023; 52:767-772. [PMID: 37358624 PMCID: PMC10477097 DOI: 10.1007/s00132-023-04399-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/21/2023] [Indexed: 06/27/2023]
Abstract
BACKGROUND Patients with acetabular dysplasia are at a higher risk of developing symptomatic labral tears. Isolated treatments that address these pathologies are well established. Combined treatment with hip reorientation osteotomy using Bernese periacetabular osteotomy in addition to arthroscopic labral repair show good results. Studies that report the outcome in patients who received both arthroscopic labral repair and a triple pelvic osteotomy (TPO) are lacking. The aim of this study is to investigate the short to midterm functional outcome and activity level in these patients. METHODS This case series retrospectively included 8 patients (2 male, 6 female) with acetabular dysplasia (lateral center-edge angle [LCEA] ≤ 25°) and a labral tear on magnetic resonance arthrography (MRA). All patients underwent arthroscopic labral repair followed by TPO after an average period of 3 months (range 2-6). Average age at the time of surgery was 25 years (range 15-37). Patients were followed up and the following main parameters were assessed: LCEA, modified Harris hip score (mHSS), Tegner score, UCLA score, patient satisfaction on a scale of 1-4. RESULTS The mean follow-up was 19 months (range 15-25). The mean LCEA increased from 18° to 37° (p < 0.0001). The mHSS improved from a mean of 79 to 94 on final follow-up (p = 0.00123). The Tegner and UCLA scores had a median of 4 and 5, respectively. The mean LCEA increased from 18° to 37° (p < 0.0001). The mean patient satisfaction was 3.6. CONCLUSION Patients with evidence of a labral tear resulting from acetabular dysplasia benefit from arthroscopic repair followed by a TPO. The literature still lacks evidence that labral repair and reorientation osteotomy produce superior outcome compared to osteotomy alone. Treatment should consider clinical presentation in addition to radiological findings with emphasis on MRA.
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Affiliation(s)
- Ayham Jaber
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany.
| | - Yannic Bangert
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany
| | - Katharina Gather
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany
| | - Sébastien Hagmann
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany
| | - Tobias Renkawitz
- Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany
| | - Alexander Barié
- Center for Joint Surgery and Sport Injuries, Clinic St. Elisabeth Heidelberg, Max-Reger-Straße 5-7, 69121, Heidelberg, Germany
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Dapunt U, Gantz S, Zhuk A, Gather K, Wang H, Schiltenwolf M. Quantitative sensory testing in physically active individuals and patients who underwent multidisciplinary pain therapy in the longitudinal course. J Pain Res 2018; 11:2323-2330. [PMID: 30410387 PMCID: PMC6200080 DOI: 10.2147/jpr.s173000] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective The aim of this study was to evaluate possible differences of quantitative sensory testing (QST) results in healthy individuals (group control, n=20), physically active individuals (group sport, n=30) and in patients suffering from chronic musculoskeletal pain (group pain, n=30). Methods Thermal detection thresholds, thermal pain thresholds and blunt pressure pain thresholds were measured at various sites (T0). Additionally, group pain was treated in multidisciplinary pain therapy for 4 weeks. All groups were retested after 4 weeks to evaluate the reliability of QST measurements and to investigate possible early changes following treatment (T1). Results Importantly, QST-measurements showed stable test results for group sport and group control at both time points. Athletes demonstrated the highest pain thresholds in general (cold pain threshold mean in degree Celsius for the hand: 5.76, lower back right: 7.25, lower back left: 7.53; heat pain threshold mean in degree Celsius for the hand: 46.08, lower back right: 45.77, lower back left: 45.70; and blunt pressure pain mean in kilograms for the hand: 3.54, lower back right: 5.26, lower back left: 5.46). Patients who underwent therapy demonstrated significant differences at T1 (cold pain threshold hand mean in degree Celsius for the hand: 11.12 [T0], 15.12 [T1]; and blunt pressure pain mean in kilograms for the lower back right: 2.87 [T0], 3.56 [T1]). They were capable of enduring higher blunt pressure, but on the other hand cold pain tolerance had decreased (P=0.045 and P=0.019, respectively). Conclusions In conclusion, we were able to demonstrate significant differences of QST results among the three groups and we detected early changes following multidisciplinary pain therapy, which will be discussed.
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Affiliation(s)
- Ulrike Dapunt
- Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse, Heidelberg, Germany,
| | - Simone Gantz
- Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse, Heidelberg, Germany,
| | - Anastasiya Zhuk
- Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse, Heidelberg, Germany,
| | - Katharina Gather
- Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse, Heidelberg, Germany,
| | - Haili Wang
- Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse, Heidelberg, Germany,
| | - Marcus Schiltenwolf
- Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Schlierbacher Landstrasse, Heidelberg, Germany,
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Braunschweig W, Gerhards R, Kirschfink FJ, Martyn HU, Bock B, Fischer HM, Hartmann H, Hartmann J, Hilger E, Jocksch A, Wedemeyer R, Foster B, Martin AJ, Sephton AJ, Barreiro F, Bernardi E, Chwastowski J, Eskreys A, Gather K, Genser K, Hultschig H, Joos P, Kowalski H, Ladage A, L�hr B, L�ke D, M�ttig P, Notz D, Pawlak JM, P�snecker KU, Ros E, Trines D, Walczak R, Wolf G, Kolanoski H, Kracht T, Kr�ger J, Lohrmann E, Poelz G, Zeuner W, Belk A, Binnie DM, Hassard J, Shulman J, Su D, Leites A, Peso J, Balkwill C, Bowler MG, Burrows PN, Cashmore RJ, Heath GP, Ratoff PN, Silvester IM, Tomalin IR, Veitch ME, Forden GE, Hart JC, Saxon DH, Brandt S, Holder M, Labarga L, Eisenberg Y, Karshon U, Mikenberg G, Montag A, Revel D, Ronat E, Shapira A, Wainer N, Yekutieli G, Caldwell A, Muller D, Ritz S, Strom D, Takashima M, Wu SL, Zobernig G. Measurement of the average lifetime ofB hadrons. ACTA ACUST UNITED AC 1989. [DOI: 10.1007/bf01548581] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Althoff M, Braunschweig W, Gerhards R, Kirschfink FJ, Martyn HU, Rosskamp P, Wallraff W, Bock B, Eisenmann J, Fischer HM, Hartmann H, Jocksch A, Kolanoski H, K�ck H, Mertens V, Wedemeyer R, Foster B, Bernardi E, Eisenberg Y, Eskreys A, Gather K, Hultschig H, Joos P, Klima B, Kowalski H, Ladage A, L�hr B, L�ke D, M�ttig P, Notz D, Revel D, Ronat E, Trines D, Tymieniecka T, Walczak R, Wolf G, Zeuner W, Hilger E, Kracht T, Krasemann HL, Kr�ger J, Lohrmann E, Poelz G, P�snecker KU, Binnie DM, Dornan PJ, Garbutt DA, Jenkins C, Jones WG, Sedgbeer JK, Su D, Thomas J, Wan Abdullah WAT, Barreiro F, Ros E, Bowler MG, Bull P, Cashmore RJ, Dauncey P, Devenish R, Heath G, Mellor D, Ratoff P, Lloyd SL, Forden GE, Hart JC, Hasell DK, Saxon DH, Brandt S, Holder M, Labarga L, Neumann B, Karshon U, Mikenberg G, Mir R, Montag A, Shapira A, Yekutieli G, Baranko G, Caldwell A, Cherney M, Izen JM, Ritz S, Strom D, Takashima M, Wicklund E, Wu SL, Zonering G. Measurement of the radiative width of theA 2(1320) in two-photon interactions. ACTA ACUST UNITED AC 1986. [DOI: 10.1007/bf01551074] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Althoff M, Braunschweig W, Kirschfink FJ, Martyn HU, Rosskamp R, Siebke H, Wallraff W, Eisenmann J, Fischer HM, Hartmann H, Jocksch A, Knop G, Kolanoski H, K�ck H, Mertens V, Wedemeyer R, Foster B, Wood A, Bernardi E, Eisenberg Y, Eskreys A, Gather K, Hultschig H, Joos P, Klima B, Kowalski H, Ladage A, L�hr B, L�ke D, M�ttig P, Mikenberg G, Notz D, Revel D, Trines D, Tymieniecka T, Walczak R, Wolf G, Zeuner W, Hilger E, Kracht T, Krasemann HL, Lohrmann E, Poelz G, P�snecker KU, Binnie DM, Dornan PJ, Garbutt DA, Jenkins C, Jones WG, Sedgbeer JK, Su D, Thomas J, Wan Abdullah WAT, Barreiro F, Labarga L, Ros E, Bowler MG, Bull P, Cashmore RJ, Dauncey P, Devenish R, Hawkes CM, Heath G, Mellor DJ, Lloyd SL, Bell KW, Forden GE, Hart JC, Hasell DK, Saxon DH, Brandt S, Dittmar M, Holder M, Kreutz G, Neumann B, Duchovni E, Karshon U, Montag A, Mir R, Ronat E, Yekutieli G, Shapira A, Baranko G, Caldwell A, Cherney M, Hildebrandt M, Izen JM, Mermikides M, Ritz S, Strom D, Takashima M, Venkataramania H, Wicklund E, Wu SL, Zobernig G. Search for two-photon production of resonances decaying intoK $$\bar K$$ andK $$\bar K$$ ? ACTA ACUST UNITED AC 1985. [DOI: 10.1007/bf01550816] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Althoff M, Braunschweig W, Kirschfink FJ, Martyn HU, Rosskamp R, Schmitz D, siebke H, Wallraff W, Eisenmann J, Fischer HM, Hartmann H, Jocksch J, Knop G, Kolanoski H, Kück H, Mertens V, Wedemeyer R, Foster B, Wood A, Bernardi E, Eisenberg Y, Eskreys A, Fohrmann R, Gather K, Hultschig H, Joos P, Karshon U, Klima B, Kötz U, Kowalski H, Ladage A, Löhr B, Lüke D, Mättig P, Mikenberg G, Notz D, Pyrlik J, Schütte W, Trines D, Tymieniecka T, Wolf G, Zeuner W, Hilger E, Kracht T, Krasemann HL, Lohrmann E, Pandoulas D, Poelz G, Pösnecker KU, Binnie DM, Dornan PJ, Garbutt DA, Jenkins C, Jones WG, Sedgbeer JK, Su D, Thomas J, Wan Abdullan WAT, Barreiro F, Labarga L, Ros E, Bowler MG, Bull P, Cashmore RJ, Dauncey P, Devenish R, Hawkes CM, Heath G, Mellor DJ, Lloyd SL, Bell KW, Forden GE, Hart JC, Hasell DK, Saxon DH, Brandt S, Dittmar M, Holder M, Kreutz G, Neumann B, Duchovni E, Montag A, Mir R, Revel D, Ronat E, Yekutieli G, Shapira A, Baranko G, Caldwell A, Cherney M, Hildebrandt M, Izen JM, Mermikides M, Ritz S, Rudolph G, Strom D, Takashima M, Venkataramania H, Wicklund E, Wu SL, Zobernig G. A study of 3-jet events ine + e − annihilation into hadrons at 34.6 GeV c.m. energy. ACTA ACUST UNITED AC 1985. [DOI: 10.1007/bf01571375] [Citation(s) in RCA: 37] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Althoff M, Braunschweig W, Kirschfink FJ, L�belsmeyer K, Martyn HU, Peise G, Rimkus J, Rosskamp P, Sander HG, Schmitz D, Siebke H, Wallraff W, Fischer HM, Hartmann H, Hillen W, Joksch A, Knop G, K�pke L, Kolanoski H, K�ck H, Mertens V, Wedemeyer R, Wermes N, Wollstadt M, Eisenberg Y, Gather K, Hultschig H, Joos P, Koch W, K�tz U, Kowalski H, Ladage A, L�hr B, L�ke D, Mattig P, Notz D, Nowak RJ, Pyrlik J, Quarrie DR, Rushton M, Sch�tte W, Trines D, Wolf G, Xiao C, Fohrmann R, Hilger E, Kracht T, Krasemann HL, Leu P, Lohrmann E, Pandoulas D, Poelz G, P�snecker KU, Wiik BH, Beuselinck R, Binnie DM, Campbell AJ, Dornan PJ, Foster B, Garbutt DA, Jenkins C, Jones TD, Jones WG, McCardle J, Sedgbeer JK, Thomas J, Abdullah WATW, Bell KW, Bowler MG, Bull P, Cashmore RJ, Clarke PEL, Devenish R, Grossmann P, Hawkes CM, Lloyd SL, Salmon GL, Wyatt TR, Youngman C, Forden GE, Hart JC, Harvey J, Hasell DK, Proudfoot J, Saxon DH, Woodworth PL, Barreiro F, Dittmar M, Holder M, Neumann B, Duchovni E, Karshon U, Mikenberg G, Mir R, Revel D, Ronat E, Shapira A, Yekutieli G, Baranko G, Barklow T, Caldwell A, Cherney M, Izen JM, Mermikides M, Rudolph G, Strom D, Venkataramania H, Wicklund E, Wu SL, Zobernig G. Jet production and fragmentation ine + e ? annihilation at 12?43 GeV. ACTA ACUST UNITED AC 1984. [DOI: 10.1007/bf01547419] [Citation(s) in RCA: 185] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Althoff M, Braunschweig W, Kirschfink FJ, Lübelsmeyer K, Martyn HU, Peise G, Rimkus J, Rosskamp P, Sander HG, Schmitz D, Siebke H, Wallraff W, Fischer HM, Hartmann H, Hillen W, Jocksch A, Knop G, Köpke L, Kolanoski H, Kück H, Wedemeyer R, Wermes N, Wollstadt M, Burkhardt H, Eisenberg Y, Gather K, Hultschig H, Joos P, Koch W, Kötz U, Kowalski H, Ladage A, Lohr B, Lüke D, Mättig P, Notz D, Pyrlik J, Quarrie DR, Rushton M, Schütte W, Trines D, Wolf G, Xiao C, Fohrmann R, Hilger E, Kracht T, Krasemann HL, Leu P, Lohrmann E, Pandoulas D, Poelz G, Wiik BH, Beuselinck R, Binnie DM, Campbell AJ, Dornan PJ, Foster B, Garbutt DA, Jenkins C, Jones TD, Jones WG, McCardle J, Sedgbeer JK, Wan Abdullah WAT, Bell KW, Bowler MG, Brock IC, Cashmore RJ, Clarke PEL, Devenish R, Grossmann P, Llyod SL, Salmon GL, Thomas J, Wyatt TR, Youngman C, Hart JC, Harvey J, Hasell DK, Proudfoot J, Saxon DH, Woodworth PL, Barreiro F, Dittmar M, Holder M, Neumann B, Duchovni E, Karshon U, Mikenberg G, Mir R, Revel D, Ronat E, Shapira A, Yekutieli G, Barklow T, Caldwell A, Cherney M, Izen JM, Mermikides M, Rudolph G, Strom D, Venkataramania H, Wicklund E, Wu SL, Zobernig G. An improved measurement of electroweak couplings frome + e −→e + e − ande + e −→μ + μ −. ACTA ACUST UNITED AC 1984. [DOI: 10.1007/bf01577559] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Althoff M, Brandelik R, Braunschweig W, Gather K, Kirschfink FJ, Lübelsmeyer K, Martyn HU, Peise G, Rimkus J, Sander HG, Schmitz D, Siebke H, Trines D, Wallraff W, Boerner H, Fischer HM, Hartmann H, Hilger E, Hillen W, Knop G, Köpke L, Kolanoski H, Kück H, Wedemeyer R, Wermes N, Wollstadt M, Burkhardt H, Cooper S, Franzke J, Hultschig H, Joos P, Koch W, Kötz U, Kowalski H, Ladage A, Löhr B, Lüke D, Mättig P, Mess KH, Notz D, Pyrlik J, Quarrie DR, Riethmüller R, Schütte W, Söding P, Wolf G, Yekutieli G, Fohrmann R, Krasemann HL, Leu P, Lohrmann E, Pandoulas D, Poelz G, Römer O, Schmüser P, Wiik BH, Al-Agil I, Beuselinck R, Binnie DM, Campbell AJ, Dornan PJ, Garbutt DA, Jones TD, Jones WG, Lloyd SL, McCardle J, Sedgebeer JK, Bell KW, Bowler MG, Brock IC, Cashmore RJ, Carnegie R, Clarke PEL, Devenish R, Grossmann P, Illingworth J, Salmon GL, Thomas J, Wyatt TR, Youngman C, Foster B, Hart JC, Harvey J, Proudfoot J, Saxon DH, Woodworth PL, Heyland D, Holder M, Duchovni E, Eisenberg Y, Karshon U, Mikenberg G, Revel D, Ronat E, Shapira A, Barklow T, Freeman J, Lecomte P, Meyer T, Rudolph G, Venkataramania H, Wicklund E, Wu SL, Zobernig G. Charged hadron composition of the final state ine + e − annihilation at high energies. ACTA ACUST UNITED AC 1983. [DOI: 10.1007/bf01577813] [Citation(s) in RCA: 81] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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