Background: Femoroacetabular impingement syndrome (FAI) is a complex, often post-traumatically developing impairment of the hip joint. It is characterized by ambiguous symptomatology, which makes early diagnosis difficult. Aim: The study was conducted to evaluate the applicability of a triaxial gyroscopic sensor in routine practice as an additional indication criterion for operative versus conservative treatment procedures. Methods: Ninety-two patients were included in the experimental retrospective study and 62 completed the examination. All patients signed informed consent. A gyroscopic sensor was placed on the right side of the pelvis above the hip joint and patients walked approximately 15 steps. Data were also evaluated while the patients climbed stairs. A complete clinical examination of the dynamics and physiological movements in the joint was performed. The data measured by the gyroscopic sensor were processed using differential geometry methods and subsequently evaluated using spectral analysis and neural networks. Results: FAI diagnosis using gyroscopic measurement is fast and easy to implement. Our approach to processing the gyroscopic signals used to detect the stage of osteoarthritis and post-traumatic FAI could lead to more accurate detection and capture early in FAI development. Conclusions: The obtained data are easily evaluated, interpretable, and beneficial in the diagnosis of the early stages of FAI. The results of the study show that this approach can lead to more accurate and early detection of osteoarthritis and post-traumatic FAI.
- MeSH
- analýza chůze metody MeSH
- biomechanika * MeSH
- femoroacetabulární impingement * chirurgie diagnóza patofyziologie MeSH
- kyčelní kloub patofyziologie MeSH
- lidé MeSH
- nositelná elektronika * MeSH
- osteoartróza diagnóza patofyziologie MeSH
- retrospektivní studie MeSH
- telemedicína metody MeSH
- umělá inteligence MeSH
- Check Tag
- lidé MeSH
PURPOSE OF THE STUDY Femoroacetabular impingement syndrome is a complex, often post-traumatically developing impairment of the hip joint, characterized by ambiguous symptomatology, which makes early diagnosis diffi cult, especially in the early stages. Experimental retrospective study was carried out to evaluate the usability of a triaxial gyroscopic sensor in routine practice as an additional indication criterion for operative versus conservative treatment procedures. MATERIAL AND METHODS 92 patients were included in the retrospective study, and 62 completed the investigation. All patients signed informed consent. A gyroscopic sensor was placed on the right side of the pelvis above the hip joint, and the patients walked approximately 15 steps. Furthermore, an evaluation of the data during stair climbing and a complete clinical examination of the dynamics and physiological movements in the joint was carried out. Data measured with a gyroscopic sensor were processed using differential geometry methods and then evaluated using spectral analysis and neural networks. The proposed technique of diagnosing FAI using gyroscope measurement is a fast, easy-to-perform method. RESULTS Our approach in processing gyroscopic signals used to detect the stage of arthrosis and post-traumatically developing FAI could lead to more accurate early detection and capture in the early stages. CONCLUSIONS The obtained data are easily evaluated, interpretable and benefi cial in diagnosing the early stages of FAI. The results of the conducted research showed this approach to more accurate early detection of arthrosis and post-traumatically developing FAI. Key words: wearable sensors; osteoarthritis; mathematical biophysics; telemedicine.
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- MeSH
- acetabulum abnormality chirurgie MeSH
- artróza kyčelních kloubů MeSH
- femoroacetabulární impingement diagnóza chirurgie patofyziologie ultrasonografie MeSH
- femur abnormality chirurgie MeSH
- kyčelní kloub chirurgie MeSH
- miniinvazivní chirurgické výkony MeSH
- Publikační typ
- monografie MeSH
- Konspekt
- Ortopedie. Chirurgie. Oftalmologie
- NLK Obory
- ortopedie
- Klíčová slova
- artroskopie kyčelního kloubu,
- MeSH
- artroskopie * metody MeSH
- femoroacetabulární impingement * diagnóza etiologie terapie MeSH
- kyčelní kloub chirurgie patologie MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- Klíčová slova
- artroskopie kyčelního kloubu,
- MeSH
- artroskopie * metody MeSH
- femoroacetabulární impingement * diagnóza etiologie terapie MeSH
- kyčelní kloub chirurgie patologie MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Femoroacetabulární impingement je v současnosti nejčastější příčinou kyčelní patologie u pacientů ve věku 20−40 let. Anatomické změny na kyčelním kloubu způsobují poranění labra a chrupavky kyčelního kloubu, což se projevuje bolestí kyčelního kloubu a často vede k rozvoji degenerativních změn kyčelního kloubu a k artróze. Tento syndrom je v populaci velice rozšířen, často je však nedostatečně diagnostikován. Podstatou ošetření je operační zákrok, neboť pouze konzervativní terapie nebývá při léčbě této kyčelní patologie výrazně účinná. Možnosti ošetření kyčelního kloubu se různí podle stupně a rozsahu jeho postižení. V následujícím článku podáváme přehled možností ošetření kyčelního kloubu při tomto syndromu a zároveň prezentujeme své výsledky při léčbě. V současné době se do popředí dostává artroskopie kyčelního kloubu jako miniinvazivní metoda jeho ošetření, se kterou máme velmi dobré zkušenosti a přináší dobré výsledky.
Femoroacetabular impingement syndrome is a very common hip pathology that is responsible for hip pain in patients under 40 years of age. Anatomic changes in hip joint cause labral tears and cartilage dysfunction, both of these conditions cause severe hip pain and often lead to hip arthritis. This syndrome is very common in the population, but very often misdiagnosed and undertreated. The main treatment option is surgical treatment; conservative treatment alone is not successful. There are many surgical procedures that may be chosen according to the degree of hip pathology. In this article we present treatment options for femoroacetabular impingement syndrome and our results. Recently one of the main treatment options is hip arthroscopy − we have very good experience and results with this method.
PURPOSE: The aim of this study was to assess the outcome of hip preserving surgery for femoroacetabular impingement relative to the condition resulting in FAI and to the patient's age at the time of the surgery. METHODS: With the conditions for exclusion duly met, enrolled in our study were a total of 100 hip joints (83 operated on with the aid of SHD, 17 with AMIS). The minimum follow-up period was 12 months, and the mean follow-up time was three years four months. WOMAC and NAHS questionnaires were used as rating instruments. To analyse the significance of the differences relative to the age at the time of surgery and to the basic diagnosis leading to FAI and subsequently to surgical operation we used non-parametric forms of analysis of variance (Friedman test and Kruskal-Wallis test), i.e., comparisons of the patients' pre-operative and postoperative states, estimation of the rate of improvement in the postoperative functional skills in relation to the age at the time of surgery and/or relative to the basic diagnosis necessitating surgical intervention, with respect to statistical significance at the level of p < 0.05. RESULTS: As testing of our cohort of patients and results analysis showed, the youngest group (<30 years) compared with the rest of the cohort shows greater postoperative improvement and consequently also a better surgical result. Proof was also obtained that the diagnosis leading to surgery for FAI has no effect on the patient's pre- or postoperative state or on the degree of improvement. CONCLUSIONS: The results of the study affirm the relevance of hip preserving surgery, especially in younger-aged groups.
- MeSH
- dospělí MeSH
- femoroacetabulární impingement diagnóza etiologie chirurgie MeSH
- kyčelní kloub chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- pooperační bolest epidemiologie MeSH
- senioři MeSH
- věkové faktory MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Klíčová slova
- CAM impingement, Pincer impingement,
- MeSH
- acetabulum patologie MeSH
- artróza kyčelních kloubů MeSH
- dospělí MeSH
- femoroacetabulární impingement diagnóza klasifikace terapie MeSH
- femur patologie MeSH
- klinický obraz nemoci MeSH
- lidé MeSH
- mladý dospělý MeSH
- pánev MeSH
- postura těla MeSH
- příznaky a symptomy MeSH
- rentgendiagnostika MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
