ABSTRACT
The purpose of this study was to characterize patients who play tennis after undergoing hip arthroplasty in terms of their functional abilities and degree of satisfaction. A questionnaire was sent to all United States Tennis Association member associations in a tri-state area to identify players who had undergone a hip arthroplasty. The study group had 50 men and 8 women with a mean age of 70 years (range, 47 to 89). Only 14% of the patients' surgeons approved this tennis activity, with 34% of the surgeons recommending only doubles. Three patients required revision surgery after a mean of 8 years. One year after arthroplasty, players played both singles and doubles approximately three times per week. All tennis players were extremely satisfied with their hip arthroplasties and their increased ability to participate in their favorite sport. Because this study was confined to association members, further studies are needed to assess the general effect of tennis on total hip arthroplasty. Until future studies are performed, the authors would recommend that physicians advise caution in tennis activities and to carefully follow their patients yearly to see if osteolysis is occurring prematurely.
Subject(s)
Arthroplasty, Replacement, Hip/rehabilitation , Hip Prosthesis , Tennis , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Middle Aged , Patient Satisfaction , Quality of Life , Treatment OutcomeABSTRACT
Problems with the gastrocnemius-soleus muscle group can severely impair the gait of children with cerebral palsy. Treatments, including bracing, muscle lengthening, neurectomy, or a combination, have been used with mixed results. Soleus neurectomy was performed as the primary treatment for ankle clonus in 38 legs of 21 children with a variety of cerebral palsies. Concurrent heel cord or muscle lengthening was performed if needed. Patients were followed for an average of 9 years (range, 2 to 14 years). Clonus recurred in 4 treated ankles. In 2 cases, this was due to a nerve anomaly. Postneurectomy Achilles tendon lengthening was required in 8 of the treated ankles. Neurectomy was beneficial for 19 of 21 children. Functional improvements included better control of stopping, better balance, and less toe walking. The greatest improvement was seen in those patients who did not also have heel cord contractures.
Subject(s)
Cerebral Palsy/surgery , Clubfoot/surgery , Muscle, Skeletal/innervation , Peripheral Nerves/surgery , Achilles Tendon/physiopathology , Achilles Tendon/surgery , Adolescent , Cerebral Palsy/physiopathology , Child , Child, Preschool , Clubfoot/physiopathology , Female , Follow-Up Studies , Gait/physiology , Humans , Male , Muscle Denervation , Muscle Spasticity/physiopathology , Muscle Spasticity/surgery , Paraplegia/physiopathology , Paraplegia/surgery , Peripheral Nerves/physiopathology , Postoperative Complications/diagnosis , Postoperative Complications/physiopathology , Quadriplegia/physiopathology , Quadriplegia/surgery , Treatment OutcomeABSTRACT
An overt trauma is not always the source of subsequent swelling and pain. This case conference is a lesson in looking for obscure causes.
