Position of the Hip in Yoga

Mears, Simon C.; Wilson, Margaret R.; Mannen, Erin M.; Tackett, Stewart A.; Barnes, C. Lowry

doi:10.1016/j.arth.2018.02.070

Cited by 10 publications

(11 citation statements)

References 20 publications

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“…Classic postoperative patient care is focused on avoiding extremes of range of motion that may place the hip at risk for anterior or posterior dislocation. However, yoga is carried out through a series of poses that focus on strengthening, conditioning, and stretching, where motion of the hip is often beyond the range that would normally be advised after THA [6].…”

Section: Discussionmentioning

confidence: 99%

“…However, late dislocations are associated with recurrent instability which causes substantial disability in the daily life of patients and frequently requires surgical intervention [8]. Risk factors for dislocation include patient variables such as age, sex, avascular necrosis of the femoral head, weak abductor muscles, inflammatory arthritis, history of neuromuscular conditions, and previous revision, in addition to surgery-related factors such as implant malposition and implant-related factors including head size and modularity [5,6,8].…”

Section: Discussionmentioning

confidence: 99%

“…Yoga would be classified as a "low-impact" activity; however, the concern with yoga is not how much load the prosthesis may have to bear but rather how much motion the hip will be ranged through. Mears et al identified hip poses that place the hip in higher ranges of motion [6]. The poses of warrior one, warrior two, crescent lunge, and pigeon resulted in hyperextension of more than 10 degrees on average, increasing the risk of an anterior dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…Dislocation is among the most common complications after THA and is the most frequently reported reason for early hip revision [5]. Risk factors for dislocation are multifactorial and include both patient variables such as increased age, female gender, and history of neuromuscular disorders and surgery-related factors such as surgical technique, implant malposition, and implant choice [5,6]. Postoperatively, extreme motion of the hip may also lead to prosthetic hip dislocation, which can be a difficult problem to treat, especially in cases requiring revision surgery.…”

Section: Introductionmentioning

confidence: 99%

“…1 and 2) and found that poses that put more anterior dislocation forces on the hip include warrior one, warrior 2, crescent lunge, and pigeon (for the backwards/unloaded limb) [6]. In addition, increased posterior forces are seen with downward dog, forward fold, half moon, seated twist, and pigeon (for the forward/loaded limb) [6]. Despite this finding, no specific guidelines exist for arthroplasty patients to safely practice yoga and minimize their dislocation risk.…”

Section: Introductionmentioning

confidence: 99%

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Late Anterior Prosthetic Hip Dislocation Due to Yoga

et al. 2021

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The popularity of yoga and the prevalence of total hip arthroplasty (THA) have simultaneously increased in the United States. Accordingly, one can assume that the number of THA patients practicing yoga has increased. Certain yoga poses reach the extremes of hip range of motion, potentially leaving patients vulnerable to dislocation. To date, 2 cases of late posterior prosthetic hip dislocations during yoga have been reported; however, there have been no reports of anterior prosthetic hip dislocations. We present one case of late anterior prosthetic hip dislocation during yoga in a patient who underwent THA via the direct anterior approach. Prosthetic hip dislocation during yoga may be a growing concern. We provide additional evidence in support of recommendations for THA patients to safely practice yoga.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Late Anterior Prosthetic Hip Dislocation Due to Yoga

et al. 2021

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Risk of intra-articular hip injury in adolescent athletes: a five-year multicentre cohort study

McGovern

Kivlan

Christoforetti

et al. 2020

International Orthopaedics (SICOT)

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Purpose The purpose of the current study was to establish a risk stratification for hip injury by presenting the classification of sports among adolescent athletes undergoing hip arthroscopy. Methods A multicentre registry was queried to examine the incidence of adolescent athletes undergoing hip arthroscopy. Patients were identified and grouped according to their sport-specific risk classification (level I-III). Chi-square analysis was performed to determine the relationship of classification of sport and gender in adolescent athletes to hip arthroscopy. A second chi-square analysis was performed to determine the relationship of classification of sport and number of sports the adolescent athlete was participating in prior to arthroscopic hip surgery. Results A total of 297 adolescent athletes were included in the study with 129 (43.4%) participating in level I sports compared with 84 (28.3%) in level II and 84(28.3%) in level III sports. Chi-square testing demonstrated a significant effect on gender and sport classification, X 2 (2, N = 297) = 31.18, p < 0.01. There was a greater percentage of athletes participating in a single sport (65.3%) compared with multiple sports (34.6%), but was not statistically significant, X 2 (1, N = 297) = 1.88, p = 0.17. Conclusion The current study was successful in stratifying a large, multicentre cohort of adolescent athletes requiring hip arthroscopy based on classification levels of sport. There were more male athletes participating in level I sports, while more female athletes participated in level II and level III sports.

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