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Hip flexor weakness

MedGen UID:
481355
•Concept ID:
C3279725
•
Finding
Synonym: Weakness of hip flexors
 
HPO: HP:0012515

Definition

Reduced ability to flex the femur, that is, to pull the knee upward. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Hip flexor weakness

Professional guidelines

PubMed

Use of intrathecal baclofen for treatment of severe spasticity in selected patients with motor neuron disease.
Bethoux F, Boulis N, McClelland S 3rd, Willis MA, Hussain M, Machado A, Mychkovsky L, Stough D, Sutliff M, Pioro EP
Neurorehabil Neural Repair 2013 Nov-Dec;27(9):828-33. Epub 2013 Jul 24 doi: 10.1177/1545968313496325. PMID: 23884016

Recent clinical studies

Etiology

Complications associated with single-position prone lateral lumbar interbody fusion: a systematic review and pooled analysis.
Farber SH, Valenzuela Cecchi B, O'Neill LK, Chapple KM, Zhou JJ, Alan N, Gooldy TC, DiDomenico JD, Snyder LA, Turner JD, Uribe JS
J Neurosurg Spine 2023 Sep 1;39(3):380-386. Epub 2023 Jun 2 doi: 10.3171/2023.4.SPINE221180. PMID: 37310041
Rates of Postoperative Complications and Approach-related Neurological Symptoms After L4-L5 Lateral Transpsoas Lumbar Interbody Fusion Compared With Upper Lumbar Levels.
Nolte MT, Gandhi SD, Nguyen AQ, Siyaji ZK, Piracha AZ, Khanna K, Rush AJ 3rd, Sheha ED, Phillips FM
Clin Spine Surg 2023 Aug 1;36(7):E294-E299. Epub 2022 Aug 10 doi: 10.1097/BSD.0000000000001367. PMID: 35945666
Comparison of Posterior Pedicle Screw Fixation and Lateral Fixation in the Extreme Lateral Interbody Fusion in Lumbar Degenerative Disease Patients with Osteopenia or Osteoporosis.
Wang X, Liu H, Wang W, Sun Y, Zhang F, Guo L, Li J, Zhang W
Orthop Surg 2022 Dec;14(12):3283-3292. Epub 2022 Oct 23 doi: 10.1111/os.13540. PMID: 36274218Free PMC Article
Navigation and Robotic-Assisted Single-Position Prone Lateral Lumbar Interbody Fusion: Technique, Feasibility, Safety, and Case Series.
North RY, Strong MJ, Yee TJ, Kashlan ON, Oppenlander ME, Park P
World Neurosurg 2021 Aug;152:221-230.e1. Epub 2021 May 29 doi: 10.1016/j.wneu.2021.05.097. PMID: 34058358
Principles of diagnostic sonography in iliopsoas tendon pathology: A case report.
Sebastian D, Krishnan S
J Bodyw Mov Ther 2019 Apr;23(2):352-358. Epub 2019 Feb 21 doi: 10.1016/j.jbmt.2019.02.014. PMID: 31103119

Diagnosis

Principles of diagnostic sonography in iliopsoas tendon pathology: A case report.
Sebastian D, Krishnan S
J Bodyw Mov Ther 2019 Apr;23(2):352-358. Epub 2019 Feb 21 doi: 10.1016/j.jbmt.2019.02.014. PMID: 31103119
How human gait responds to muscle impairment in total knee arthroplasty patients: Muscular compensations and articular perturbations.
Ardestani MM, Moazen M
J Biomech 2016 Jun 14;49(9):1620-1633. Epub 2016 Apr 2 doi: 10.1016/j.jbiomech.2016.03.047. PMID: 27063251
Inflammatory myopathy in thyrotoxicosis.
Hardiman O, Molloy F, Brett F, Farrell M
Neurology 1997 Feb;48(2):339-41. doi: 10.1212/wnl.48.2.339. PMID: 9040717
Steroid myopathy: incidence and detection in a population with asthma.
Bowyer SL, LaMothe MP, Hollister JR
J Allergy Clin Immunol 1985 Aug;76(2 Pt 1):234-42. doi: 10.1016/0091-6749(85)90708-0. PMID: 4019954
The efficacy of manual assessment of muscle strength using a new device.
Marino M, Nicholas JA, Gleim GW, Rosenthal P, Nicholas SJ
Am J Sports Med 1982 Nov-Dec;10(6):360-4. doi: 10.1177/036354658201000608. PMID: 7180955

Therapy

Complications associated with single-position prone lateral lumbar interbody fusion: a systematic review and pooled analysis.
Farber SH, Valenzuela Cecchi B, O'Neill LK, Chapple KM, Zhou JJ, Alan N, Gooldy TC, DiDomenico JD, Snyder LA, Turner JD, Uribe JS
J Neurosurg Spine 2023 Sep 1;39(3):380-386. Epub 2023 Jun 2 doi: 10.3171/2023.4.SPINE221180. PMID: 37310041
Rates of Postoperative Complications and Approach-related Neurological Symptoms After L4-L5 Lateral Transpsoas Lumbar Interbody Fusion Compared With Upper Lumbar Levels.
Nolte MT, Gandhi SD, Nguyen AQ, Siyaji ZK, Piracha AZ, Khanna K, Rush AJ 3rd, Sheha ED, Phillips FM
Clin Spine Surg 2023 Aug 1;36(7):E294-E299. Epub 2022 Aug 10 doi: 10.1097/BSD.0000000000001367. PMID: 35945666
Efficacy and safety of a hip flexion assist orthosis in ambulatory multiple sclerosis patients.
Sutliff MH, Naft JM, Stough DK, Lee JC, Arrigain SS, Bethoux FA
Arch Phys Med Rehabil 2008 Aug;89(8):1611-7. doi: 10.1016/j.apmr.2007.11.065. PMID: 18674995
Inflammatory myopathy in thyrotoxicosis.
Hardiman O, Molloy F, Brett F, Farrell M
Neurology 1997 Feb;48(2):339-41. doi: 10.1212/wnl.48.2.339. PMID: 9040717
Steroid myopathy: incidence and detection in a population with asthma.
Bowyer SL, LaMothe MP, Hollister JR
J Allergy Clin Immunol 1985 Aug;76(2 Pt 1):234-42. doi: 10.1016/0091-6749(85)90708-0. PMID: 4019954

Prognosis

Effects of Psoas Muscle Thickness on Outcomes of Lumbar Fusion Surgery.
Verla T, Adogwa O, Elsamadicy A, Moreno JR, Farber H, Cheng J, Bagley CA
World Neurosurg 2016 Mar;87:283-9. Epub 2015 Nov 24 doi: 10.1016/j.wneu.2015.11.022. PMID: 26619920
Use of intrathecal baclofen for treatment of severe spasticity in selected patients with motor neuron disease.
Bethoux F, Boulis N, McClelland S 3rd, Willis MA, Hussain M, Machado A, Mychkovsky L, Stough D, Sutliff M, Pioro EP
Neurorehabil Neural Repair 2013 Nov-Dec;27(9):828-33. Epub 2013 Jul 24 doi: 10.1177/1545968313496325. PMID: 23884016
Minimally invasive lateral lumbar interbody fusion and transpsoas approach-related morbidity.
Moller DJ, Slimack NP, Acosta FL Jr, Koski TR, Fessler RG, Liu JC
Neurosurg Focus 2011 Oct;31(4):E4. doi: 10.3171/2011.7.FOCUS11137. PMID: 21961867

Clinical prediction guides

Clinical and oncologic outcomes of posterior only total en bloc spondylectomy for spinal metastasis involving third lumbar vertebra: A case series.
Paholpak P, Morimoto T, Wisanuyotin T, Sirichativapee W, Sirichativapee W, Kosuwon W, Kasai Y, Murakami H
Medicine (Baltimore) 2024 Feb 2;103(5):e37145. doi: 10.1097/MD.0000000000037145. PMID: 38306532Free PMC Article
Comparison of Posterior Pedicle Screw Fixation and Lateral Fixation in the Extreme Lateral Interbody Fusion in Lumbar Degenerative Disease Patients with Osteopenia or Osteoporosis.
Wang X, Liu H, Wang W, Sun Y, Zhang F, Guo L, Li J, Zhang W
Orthop Surg 2022 Dec;14(12):3283-3292. Epub 2022 Oct 23 doi: 10.1111/os.13540. PMID: 36274218Free PMC Article
Compensatory sagittal plane ankle gait mechanics: Are they present in patients with a weak or stiff hip?
Stevens WR Jr, Podeszwa DA, Tulchin-Francis K
Gait Posture 2019 Oct;74:250-254. Epub 2019 Sep 20 doi: 10.1016/j.gaitpost.2019.09.018. PMID: 31590046
Efficacy and safety of a hip flexion assist orthosis in ambulatory multiple sclerosis patients.
Sutliff MH, Naft JM, Stough DK, Lee JC, Arrigain SS, Bethoux FA
Arch Phys Med Rehabil 2008 Aug;89(8):1611-7. doi: 10.1016/j.apmr.2007.11.065. PMID: 18674995
The efficacy of manual assessment of muscle strength using a new device.
Marino M, Nicholas JA, Gleim GW, Rosenthal P, Nicholas SJ
Am J Sports Med 1982 Nov-Dec;10(6):360-4. doi: 10.1177/036354658201000608. PMID: 7180955

Recent systematic reviews

Complications associated with single-position prone lateral lumbar interbody fusion: a systematic review and pooled analysis.
Farber SH, Valenzuela Cecchi B, O'Neill LK, Chapple KM, Zhou JJ, Alan N, Gooldy TC, DiDomenico JD, Snyder LA, Turner JD, Uribe JS
J Neurosurg Spine 2023 Sep 1;39(3):380-386. Epub 2023 Jun 2 doi: 10.3171/2023.4.SPINE221180. PMID: 37310041

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