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Znaczenie badania rentgenowskiego stawu biodrowego u dzieci z bólem biodra i obraz radiologiczny w wybranych patologiach nienowotworowych

Stopa Joanna, Klęba Joanna, Truszkiewicz Adrian, Guz Wiesław

Inżynier i Fizyk Medyczny

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2022

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Vol. 11, nr 2

99--107

PL

U dzieci z podejrzeniem patologii stawów biodrowych w algorytmie postępowania nadal są uwzględniane badania rentgenowskie. Badania rentgenowskie są pomocne w obrazowaniu, gdyż w zakresie diagnostyki układu kostnego charakteryzują się wysokimi wskaźnikami skuteczności rozpoznawczej. Mimo że badania rentgenowskie związane są z niewielką lub umiarkowaną dawką promieniowania jonizującego, wykonując je u dzieci, należy szczególnie uwzględniać metody ograniczania narażenia na promieniowanie rentgenowskie. Wśród nieprawidłowości stawów biodrowych u najmłodszych dzieci istotną patologią jest dysplazja stawu biodrowego. Do częstszych chorób, które mogą przebiegać z obrazem zajęcia stawów biodrowych w badaniu rentgenowskim, należą także przemijające zapalenie błony maziowej, choroba Perthesa (młodsze dzieci) i młodzieńcze złuszczenie głowy kości udowej (starsze dzieci).

EN

In children with suspected hip joint pathology, X-ray examinations are still included in the management algorithm. X-ray examinations are helpful in imaging, as they are characterized by high rates of recognition efficiency in the diagnosis of the skeletal system. Although X-ray examinations are associated with a low or moderate dose of ionizing radiation, when performing them in children, special consideration should be given to the methods of limiting exposure to x-rays. Among the abnormalities of the hip joints in the youngest children, hip dysplasia is a significant pathology. Transient synovitis, Perthes’ disease (younger children), and juvenile slipped capital femoral epiphysis (older children) are also among the more common diseases that may be associated with an X-ray changes of the hip joints.

2

Evaluation of relationship between the results of selected tests for muscle strength assessment of the hip abductors

Szczygieł E., Kotla K., Masłoń A., Golec J., Czechowska D., Staszkiewicz R., Krzywda E., Golec E.

Acta of Bioengineering and Biomechanics

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2018

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Vol. 20, no. 2

125--131

EN

Purpose: The assessment of hip joint abductor muscle strength is most often carried out using a dynamometric test. However, both in clinical practice and literature, evaluation is performed by means of the single-leg half-squat or the amount of abduction movements performed in the hip joint. In this context, the question arises whether the results of individual tests are convergent. The aim of the study is to evaluate the relationship between strength of the hip abductor muscle measured by dynamometer, the single-leg-squat and the number of repetitions of the movements in time. Methods: A group of 35 students (20 women and 15 men) between 20 and 24 years old participated in the study. Each student was subjected to three tests assessing the condition of the hip and associated abductor muscles. Those included: assessment of hip joint abduction muscle strength in a dynamometric study, assessment of the number of abdomen movements performed lying on the side and standing, during a 30-second interval, and the single-leg-squat test. Results: Based on the tests conducted, a significant relationship was observed between the muscle strength measurement results for the left and right side in the dynamometric study and the number of hip abduction repetitions in 30 seconds and the single-leg-squat test. Conclusions: The obtained results indicate a significant relationship between the results of all the tests. In practice, this means that the tests can be used interchangeably.

3

Evaluation of contact characteristics of a patient-specific artificial dysplastic hip joint

Mutlu I., Ugur L., Celik T., Buluc L., Muezzinoglu U. S., Kisioglu Y.

Acta of Bioengineering and Biomechanics

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2014

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Vol. 16, no. 2

111--120

EN

This study addresses the results of the experimental measurements for the contact surface areas and contact pressure distributions of a dysplastic hip joint. The hip joint consists of pelvis, proximal femur and artificial cartilages for both acetabulum and femoral head. The dysplastic hip joint is modeled in three dimensional (3D) form using the computerized tomography (CT) images obtained in vivo of an adult female patient. The modeled hip joint components are manufactured as a non-natural dysplastic hip joint using different materials and manufacturing processes. The dysplastic hip joint produced is subjected to compression forces experimentally to measure the contact surface area and contact pressure distributions between the femoral head and acetabulum using the pressure sensitive Fuji film. Different types of specific fixtures and molds are designed and manufactured to produce the dysplastic hip joint components and perform the experimental studies. The measured results using a non-natural dysplastic hip joint are compared with relevant results reported in current literature considering the peak and mean contact pressure values. Therefore, the obtained results showed that the non-natural dysplastic hip models can be generated and replaced to determine the contact characteristics for an elusive cadaveric model. In conclusion, the artificial models might be useful to understand the contact pressure distributions and potential changes in surface pressure contours and their effects on the stress distributions.

4

The influence of the surface treatment on the increased durability of the frictional elements of endoprostheses

Gierzyńska-Dolna M., Adamus J., Lacki P., Wiśniewska-Weinert H.

Zeszyty Naukowe Katedry Mechaniki Stosowanej / Politechnika Śląska

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2006

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z. 26

111-116

EN

In the paper the leading wear processes of hip and knee endoprostheses are discussed. Selected results of the tribological tests are given. The influence of the surface treatment on wear of T?6A14V titanium alloy was determined. Additionally, the test results of wear products are given.

5

Parametrical modeling of human hip joint bone system

Domański J., Dąbrowska-Tkaczyk A., Skalski K.

Zeszyty Naukowe Katedry Mechaniki Stosowanej / Politechnika Śląska

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2006

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z. 26

81-86

EN

Parametric (geometrical and numerical) models creation for the bone systems require recognition precisely of their anatomical features (bones and joints), especially those which have influence on accuracy of reconstruction geometry of bone and properties of endoprosthesis. Those features must be unique and easy to defined basing on CT or MRI data. Parametrical models take into consideration adequate scope of variation of shape and dimensions of bones and endoprostheses, assuming relatively small number of parameters. The shape and dimensions of models are dependent on defined parameters, hence changes of that parameters cause model adaptation procedure and creation corresponding type of model. The parametrical model of human hip joint bones is presented in this paper. Parametrical model of pelvic bone was generated on the basis of selected characteristic anatomical points and dimensions between them, but for femur parametrical model creation were applied characteristics dimensions and angles.

6

Feniks - modular hemi-endoprosthesis of the hip joint

Choromański W., Dobrzyński G., Górecki A., Deszczyński J.

Zeszyty Naukowe Katedry Mechaniki Stosowanej / Politechnika Śląska

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2006

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z. 26

51-56

EN

The paper concerns new construction of type series of polish hemi-endoprostheses of the hip joint. Clinical assumptions, simulation studies and clinical prototypes were presented. According to author's knowledge it is one of the first introductions of new generation, polish, modular hemi-endoprosthesis of the hip joint.

7

Examination of heat flow in a model of the biomechanical prosthesis-cement-bone system

Balin A., Ziemba S., Plaza M., Myalski J., Toborek J.

Zeszyty Naukowe Katedry Mechaniki Stosowanej / Politechnika Śląska

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2006

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z. 26

29-34

EN

Under the study, a stand has been designed and made for examining the temperature of PMMA-based (methyl polymethacrylate) surgical cement polymerization in conditions corresponding to the conditions of its implantation into an organism. A Weller endoprosthesis was implanted in a bone model made of resin by means of Palacos R-40 cement. The temperature of polymerizable cement was measured in different points at the border of its contact with the bone model.

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Capacity of deformed human joint gap in time-dependent magnetic field

Wierzcholski K. Ch.

Acta of Bioengineering and Biomechanics

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2003

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Vol. 5, nr 1

43-65

EN

Analysis of carrying capacity of synovial unsymmetrical fluid flow in deformed, human joint gap, especially in hip joint, is presented. The following assumptions are taken into account: stationary, isothermal and incompressible synovial unsymmetrical fluid flow in time-dependent magnetic field rotation motion of bone head, squeeze of synovial fluid in human joint gap, changeable synovial non-Newtonian fluid viscosity, changeable and deformed gap height in human joint, and constant synovial fluid density. The simplified system of basic equations for pressure and synovial velocity distribution are analysed. Numerical and analytical formulae for capacity force taking into account conjugation fields of the stresses and deformations occurring in elastic cartilage and in synovial fluid obtained by virtue of theory of elasticity and fluid mechanics can be considered as the novely of this paper. Analytical solutions for he values of capacity forces allow easy numerical calculations, which may be very useful for medical diagnosis.