PMID- 25907391
OWN - NLM
STAT- MEDLINE
DCOM- 20160324
LR  - 20220330
IS  - 1724-6067 (Electronic)
IS  - 1120-7000 (Linking)
VI  - 25
IP  - 3
DP  - 2015 May-Jun
TI  - Arthroscopic ligamentum teres reconstruction of the hip in Ehlers-Danlos 
      syndrome: a case study.
PG  - 286-91
LID - 10.5301/hipint.5000228 [doi]
AB  - BACKGROUND: Ehlers-Danlos syndrome (EDS) is a genetic disorder that affects the 
      structural integrity of collagen within the body. This presents clinically as a 
      connective tissue disorder with increased elasticity of joints, muscles, and 
      ligaments. Multiple joints are affected by hypermobility and joint injury is 
      common in these patients. It is estimated that EDS occurs once in every 5,000 
      births worldwide. CASE REVIEW: This article focuses on reconstruction of the 
      ligamentum teres (LT) of the hip using a tibialis anterior allograft to treat 
      severe instability and pain in a 43 year-old female with EDS. The LT 
      reconstruction was accompanied by labral repair and capsular plication. The 
      patient was assessed pre- and postoperatively using modified Harris Hip Score 
      (mHHS), Hip Outcome Score Activities of Daily Living (HOS-ADLS), Hip Outcome 
      Score Sports Specific Subscale (HOS-SSS), Non Arthritic Hip Score (NAHS), Visual 
      Analog Scale (VAS), and satisfaction. One year following surgery the patient has 
      reported positive outcomes in terms of pain and instability. LITERATURE REVIEW: 
      Ligament reconstruction has been reported in patients with Ehlers-Danlos syndrome 
      for shoulders and knees with positive results and restoration of stability. 
      Currently there is a paucity of literature regarding patients with EDS undergoing 
      hip procedures. In addition, reconstruction of the ligamentum teres for hip 
      instability and pain has rarely been reported in a normal patient cohort. 
      CLINICAL RELEVANCE: This is the first study to report ligamentum teres 
      reconstruction of the hip in a patient with Ehlers-Danlos syndrome and hip 
      instability. The patient demonstrated satisfactory results 1 year from surgery.
FAU - Hammarstedt, Jon E
AU  - Hammarstedt JE
AD  - 1 University of Illinois at Chicago, Chicago, Illinois - USA.
FAU - Redmond, John M
AU  - Redmond JM
FAU - Gupta, Asheesh
AU  - Gupta A
FAU - Domb, Benjamin G
AU  - Domb BG
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20150423
PL  - United States
TA  - Hip Int
JT  - Hip international : the journal of clinical and experimental research on hip 
      pathology and therapy
JID - 9200413
SB  - IM
MH  - Adult
MH  - Arthroscopy/*methods
MH  - Ehlers-Danlos Syndrome/*surgery
MH  - Female
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Ligaments, Articular/*surgery
MH  - Rupture, Spontaneous
EDAT- 2015/04/25 06:00
MHDA- 2016/03/25 06:00
CRDT- 2015/04/25 06:00
PHST- 2015/01/11 00:00 [accepted]
PHST- 2015/04/25 06:00 [entrez]
PHST- 2015/04/25 06:00 [pubmed]
PHST- 2016/03/25 06:00 [medline]
AID - 8E578768-056F-4AE3-9D24-97B5BD586D66 [pii]
AID - 10.5301/hipint.5000228 [doi]
PST - ppublish
SO  - Hip Int. 2015 May-Jun;25(3):286-91. doi: 10.5301/hipint.5000228. Epub 2015 Apr 
      23.