Aims. To identify a suite of the key physical, emotional, and social outcomes to be employed in clinical practice and research concerning
Aims. The aim of this study was to produce clinical consensus recommendations about the non-surgical treatment of children with
Aims.
Aims. This study aimed to evaluate the relationship between hip shape and mid-term function in
Aims. The aim of this study was to assess the prognostic value of the modified three-group Stulberg classification, which is based on the sphericity of the femoral head, in patients with
Aims. To explore the of age of onset distribution for Perthes’ disease
of the hip, with particular reference to gender, laterality and
conformity to the lognormal distribution. Patients and Methods. A total of 1082 patients were identified from the Liverpool Perthes’
Disease Register between 1976 and 2010, of which 992 had the date
of diagnosis recorded. In total, 682 patients came from the geographical
area exclusively served by Alder Hey Hospital, of which 673 had
a date of diagnosis. Age of onset curves were analysed, with respect to
the predefined subgroups. Results. The age of onset demonstrated a positive skew with a median of
5.8 years (interquartile range 4.6 to 7.5). Disease onset was a
mean five months earlier in girls (p = 0.01) and one year earlier
in those who went on to develop bilateral disease (p <
0.001).
There was no difference in the age of onset between geographical
districts with differing incidence rates. The entire dataset (n
= 992) conformed to a lognormal distribution graphically and with
the chi-squared test of normality (p = 0.10), but not using the
Shapiro-Wilk test (p = 0.01). The distribution for the predefined
geographical subgroup (n = 673) conformed well to a lognormal distribution
(chi-squared p = 0.16, Shapiro-Wilk p = 0.08). Given the observed
lognormal distribution it was assumed that
Aims. Modular or custom-made femoral components have been preferred
for total hip arthroplasty (THA) in patients with a history of Perthes’
disease because of the distortion in the anatomy of the proximal
femur. However, it has not been established whether a monobloc cementless
stem will fit the distorted proximal femur or whether the results
of the procedure are satisfactory in this group of patients. Patients and Methods. We reviewed 68 consecutive patients who had undergone THA for
childhood
Aims.
This paper reports a high incidence of minor congenital anomalies in boys and girls with
Aims. The aim of this study was to evaluate the epidemiology and treatment of
Aims.
Aims.
The role of heritable thrombophilic risk factors in the pathogenesis of the
Aims. Ganz’s studies made it possible to address joint deformities on both the femoral and acetabular side brought about by
It has been reported that there is an association between
We have investigated the annual incidence of
Our aim was to investigate the relationship between urinary excretion of deoxypyridinoline (DPD) as a marker of bone resorption, and
A nationwide study of
Aims.
Aims.
Children presenting with
Aims. The aims of this study were to describe the course of non-operatively
managed, bilateral
The purpose of this study was to determine the annual incidence of
We studied 16 patients suffering from osteoarthritis of the hip who had had
This nationwide prospective study was designed to determine prognostic factors and evaluate the outcome of different treatments of
The deformity index is a new radiological measurement of the degree of deformity of the femoral head in unilateral
It has been shown that in the puppy, two infarcts separated by an interval of four weeks produce a disorder of long duration which results in flattening and broadening of the femoral head and which reproduces the radiological changes seen in
1.
Recent reports have suggested an association between
Radiographs of 155 Indian children were examined to identify the acetabular changes which occur in
The radiographs of 153 children suffering from
There is a high incidence of
We used ultrasonography to examine 36 children suffering from transient synovitis and 12 children with early
A prospective study was made of 119 children with transient synovitis or any other cause for synovial effusion and elevated intra-articular pressure. During a follow-up of one year not one case of
Serum immunoglobulin concentrations in 41 children with
It has been suggested that
Recent work has suggested that thrombophilia may be an aetiological factor in up to 50% of children with
Skeletal age was estimated by examination of radiographs of the carpus in 182 children suffering from
The bicompartmental acetabulum is one of the morphological changes which may be seen in children with Legg-Calvé-Perthes’ disease. Three-dimensional CT and MRI were used to analyse the detailed morphology of the acetabulum with special reference to its inner surface, in 16 patients with
We performed superselective angiography in 28 hips in 25 patients with
1. The findings in a femoral head obtained at necropsy on a boy aged nine suffering from
We treated 98 consecutive patients with
The nuclide bone-scan will reliably diagnose
We studied, clinically and radiologically, the growth and remodelling of 21 hips after valgus femoral osteotomy with both rotational and sagittal correction for hinge abduction in 21 patients (mean age, 9.7 years) with
Seventeen patients, with an average age of nine years 11 months, underwent 18 Chiari osteotomies for the treatment of painful subluxation of the hips following
Aims. It is well established that there is a strong association between
Perthes’ disease and worsening socioeconomic deprivation. It has
been suggested that the primary determinant driving this association
is exposure to tobacco smoke. This study aimed to examine this hypothesis. Patients and Methods. A hospital case-control study (n = 149/146) examined the association
between tobacco smoke exposure and
1. Intra-osseous venographs have been obtained in twenty-eight hips affected by
1. Cancellous bone grafting of the head of the femur in