The Diagnostic and Predictive Value of Hip Anesthetic Arthrograms in Selected Patients Before Total Hip Arthroplasty
Concurrent osteoarthritis of the hip and lumbar spine occurs frequently. Our study tests the hypothesis that hip anesthetic arthrograms can be used as predictive diagnostic tool before total hip arthroplasty when standard evaluation techniques fail to provide convincing evidence of the source of pai...
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| Veröffentlicht in: | The Journal of arthroplasty 2006-08, Vol.21 (5), p.724-730 |
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| container_end_page | 730 |
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| container_issue | 5 |
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| container_title | The Journal of arthroplasty |
| container_volume | 21 |
| creator | Illgen, Richard Lynn Honkamp, Nicholas J. Weisman, Marty H. Hagenauer, Mary Ellen Heiner, John P. Anderson, Paul A. |
| description | Concurrent osteoarthritis of the hip and lumbar spine occurs frequently. Our study tests the hypothesis that hip anesthetic arthrograms can be used as predictive diagnostic tool before total hip arthroplasty when standard evaluation techniques fail to provide convincing evidence of the source of pain. Thirty-four consecutive hip anesthetic arthrograms were reviewed retrospectively. Quantified outcome measures included Visual Analog Pain Score, Harris Hip Score, and patient satisfaction. The pain relief after hip anesthetic arthrogram accurately predicted pain relief after hip arthroplasty (positive predictive value = 95.23%, negative predictive value = 87.5%). Our study supports the selected use of hip anesthetic arthrograms in the preoperative assessment of patients with concurrent hip and lumbar spine osteoarthritis associated with nondiagnostic history and physical examinations. |
| doi_str_mv | 10.1016/j.arth.2005.08.017 |
| format | Article |
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Our study tests the hypothesis that hip anesthetic arthrograms can be used as predictive diagnostic tool before total hip arthroplasty when standard evaluation techniques fail to provide convincing evidence of the source of pain. Thirty-four consecutive hip anesthetic arthrograms were reviewed retrospectively. Quantified outcome measures included Visual Analog Pain Score, Harris Hip Score, and patient satisfaction. The pain relief after hip anesthetic arthrogram accurately predicted pain relief after hip arthroplasty (positive predictive value = 95.23%, negative predictive value = 87.5%). 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Our study tests the hypothesis that hip anesthetic arthrograms can be used as predictive diagnostic tool before total hip arthroplasty when standard evaluation techniques fail to provide convincing evidence of the source of pain. Thirty-four consecutive hip anesthetic arthrograms were reviewed retrospectively. Quantified outcome measures included Visual Analog Pain Score, Harris Hip Score, and patient satisfaction. The pain relief after hip anesthetic arthrogram accurately predicted pain relief after hip arthroplasty (positive predictive value = 95.23%, negative predictive value = 87.5%). Our study supports the selected use of hip anesthetic arthrograms in the preoperative assessment of patients with concurrent hip and lumbar spine osteoarthritis associated with nondiagnostic history and physical examinations.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Diagnosis, Differential</subject><subject>hip anesthetic arthrogram</subject><subject>hip osteoarthritis</subject><subject>Humans</subject><subject>lumbar spine osteoarthritis</subject><subject>Lumbar Vertebrae</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Hip - complications</subject><subject>Osteoarthritis, Hip - diagnostic imaging</subject><subject>Pain Measurement</subject><subject>Patient Satisfaction</subject><subject>Predictive Value of Tests</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Spinal Osteophytosis - complications</subject><subject>Spinal Osteophytosis - diagnostic imaging</subject><subject>spinal stenosis</subject><subject>spondylolisthesis</subject><subject>Statistics, Nonparametric</subject><subject>Surveys and Questionnaires</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1uEzEURi0EomnhBVggr9jNcD0e_yCxCS20lSpRqYGt5fFcN44m42A7lfr2OCQSu668OeezfQj5wKBlwOTnTWtTWbcdgGhBt8DUK7JggneN7kG-JgvQmjeiB35GznPeADAmRP-WnDGplWISFqSs1kivgn2cYy7BUTuP9D7hGFwJT0h_22mPNHp6E3Z0OWMuazxgy3pxio_JbjMNM33ACV3BqtoScC6ZfkMfE9JVLHY6yv-M3WRzeX5H3ng7ZXx_Oi_Irx_fV5c3zd3P69vL5V3juOhLo7UXvgPJei6sA94rD8xrOTIEx4RDK4X2bBiHL6NTA-eoBu_GvrNcdQo5vyCfjru7FP_s6-PNNmSH02RnjPtspJZaM1AV7I6gSzHnhN7sUtja9GwYmENrszGH1ubQ2oA2tXWVPp7W98MWx__KKW4Fvh4BrH98CphMdrWOq3VTzWXGGF7a_wualZGB</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Illgen, Richard Lynn</creator><creator>Honkamp, Nicholas J.</creator><creator>Weisman, Marty H.</creator><creator>Hagenauer, Mary Ellen</creator><creator>Heiner, John P.</creator><creator>Anderson, Paul A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>The Diagnostic and Predictive Value of Hip Anesthetic Arthrograms in Selected Patients Before Total Hip Arthroplasty</title><author>Illgen, Richard Lynn ; Honkamp, Nicholas J. ; Weisman, Marty H. ; Hagenauer, Mary Ellen ; Heiner, John P. ; Anderson, Paul A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-88f5f2061435ac0347f01f86d1e0c15cea658f1bdb9dc7b33e7bfcd42a3727e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Diagnosis, Differential</topic><topic>hip anesthetic arthrogram</topic><topic>hip osteoarthritis</topic><topic>Humans</topic><topic>lumbar spine osteoarthritis</topic><topic>Lumbar Vertebrae</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Hip - complications</topic><topic>Osteoarthritis, Hip - diagnostic imaging</topic><topic>Pain Measurement</topic><topic>Patient Satisfaction</topic><topic>Predictive Value of Tests</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Spinal Osteophytosis - complications</topic><topic>Spinal Osteophytosis - diagnostic imaging</topic><topic>spinal stenosis</topic><topic>spondylolisthesis</topic><topic>Statistics, Nonparametric</topic><topic>Surveys and Questionnaires</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Illgen, Richard Lynn</creatorcontrib><creatorcontrib>Honkamp, Nicholas J.</creatorcontrib><creatorcontrib>Weisman, Marty H.</creatorcontrib><creatorcontrib>Hagenauer, Mary Ellen</creatorcontrib><creatorcontrib>Heiner, John P.</creatorcontrib><creatorcontrib>Anderson, Paul A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Illgen, Richard Lynn</au><au>Honkamp, Nicholas J.</au><au>Weisman, Marty H.</au><au>Hagenauer, Mary Ellen</au><au>Heiner, John P.</au><au>Anderson, Paul A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Diagnostic and Predictive Value of Hip Anesthetic Arthrograms in Selected Patients Before Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>21</volume><issue>5</issue><spage>724</spage><epage>730</epage><pages>724-730</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Concurrent osteoarthritis of the hip and lumbar spine occurs frequently. Our study tests the hypothesis that hip anesthetic arthrograms can be used as predictive diagnostic tool before total hip arthroplasty when standard evaluation techniques fail to provide convincing evidence of the source of pain. Thirty-four consecutive hip anesthetic arthrograms were reviewed retrospectively. Quantified outcome measures included Visual Analog Pain Score, Harris Hip Score, and patient satisfaction. The pain relief after hip anesthetic arthrogram accurately predicted pain relief after hip arthroplasty (positive predictive value = 95.23%, negative predictive value = 87.5%). Our study supports the selected use of hip anesthetic arthrograms in the preoperative assessment of patients with concurrent hip and lumbar spine osteoarthritis associated with nondiagnostic history and physical examinations.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>16877160</pmid><doi>10.1016/j.arth.2005.08.017</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2006-08, Vol.21 (5), p.724-730 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip Diagnosis, Differential hip anesthetic arthrogram hip osteoarthritis Humans lumbar spine osteoarthritis Lumbar Vertebrae Middle Aged Osteoarthritis, Hip - complications Osteoarthritis, Hip - diagnostic imaging Pain Measurement Patient Satisfaction Predictive Value of Tests Radiography Retrospective Studies Spinal Osteophytosis - complications Spinal Osteophytosis - diagnostic imaging spinal stenosis spondylolisthesis Statistics, Nonparametric Surveys and Questionnaires total hip arthroplasty Treatment Outcome |
| title | The Diagnostic and Predictive Value of Hip Anesthetic Arthrograms in Selected Patients Before Total Hip Arthroplasty |
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