Tifʾeret Yiśraʾel : hu toledot ha-mishpaḥah ha-yekarah Rothshild, asher hayeta le-nesamim ...

me-et Avraham Menaḥem Mendel Mohr mi-Levov

Sefer Sheʼelot u-teshuvot ha-niḳra Divre rivot

Isaac ben Samuel Adarbi

Yesodot ha-miḳra of Hebreeuwsch spel- en lees-boekje voor eerstbeginnenden

door H. Sommerhaussen ; uitg. door het gezelschap, onder de zinspreuk Ḥanokh le-naʿar ʿal pi darko (Chanoch lannagnar gnal pie darkoo) en op deszelfs last opgesteld

Sifre-ḥinukh ṿe-sifre-yeladim she-nidpesu be-Erets-Yiśraʼel bi-shenot 650 - 688 : bibliyografyah

me-et Avraham Yaʿari

Shvartsbukh : tsen ḥadoshim miṭ di jidshe iberwanderer in Raṭnfarband ; Agai, Krim, 1928 - 1929

Peretz Hirshbein

An Increased Iliocapsularis-to-rectus-femoris Ratio Is Suggestive for Instability in Borderline Hips

BACKGROUND The iliocapsularis muscle is an anterior hip structure that appears to function as a stabilizer in normal hips. Previous studies have shown that the iliocapsularis is hypertrophied in developmental dysplasia of the hip (DDH). An easy MR-based measurement of the ratio of the size of the iliocapsularis to that of adjacent anatomical structures such as the rectus femoris muscle might be helpful in everyday clinical use. QUESTIONS/PURPOSES We asked (1) whether the iliocapsularis-to-rectus-femoris ratio for cross-sectional area, thickness, width, and circumference is increased in DDH when compared with hips with acetabular overcoverage or normal hips; and (2) what is the diagnostic performance of these ratios to distinguish dysplastic from pincer hips? METHODS We retrospectively compared the anatomy of the iliocapsularis muscle between two study groups with symptomatic hips with different acetabular coverage and a control group with asymptomatic hips. The study groups were selected from a series of patients seen at the outpatient clinic for DDH or femoroacetabular impingement. The allocation to a study group was based on conventional radiographs: the dysplasia group was defined by a lateral center-edge (LCE) angle of < 25° with a minimal acetabular index of 14° and consisted of 45 patients (45 hips); the pincer group was defined by an LCE angle exceeding 39° and consisted of 37 patients (40 hips). The control group consisted of 30 asymptomatic hips (26 patients) with MRIs performed for nonorthopaedic reasons. The anatomy of the iliocapsularis and rectus femoris muscle was evaluated using MR arthrography of the hip and the following parameters: cross-sectional area, thickness, width, and circumference. The iliocapsularis-to-rectus-femoris ratio of these four anatomical parameters was then compared between the two study groups and the control group. The diagnostic performance of these ratios to distinguish dysplasia from protrusio was evaluated by calculating receiver operating characteristic (ROC) curves and the positive predictive value (PPV) for a ratio > 1. Presence and absence of DDH (ground truth) were determined on plain radiographs using the previously mentioned radiographic parameters. Evaluation of radiographs and MRIs was performed in a blinded fashion. The PPV was chosen because it indicates how likely a hip is dysplastic if the iliocapsularis-to-rectus-femoris ratio was > 1. RESULTS The iliocapsularis-to-rectus-femoris ratio for cross-sectional area, thickness, width, and circumference was increased in hips with radiographic evidence of DDH (ratios ranging from 1.31 to 1.35) compared with pincer (ratios ranging from 0.71 to 0.90; p < 0.001) and compared with the control group, the ratio of cross-sectional area, thickness, width, and circumference was increased (ratios ranging from 1.10 to 1.15; p ranging from 0.002 to 0.039). The area under the ROC curve ranged from 0.781 to 0.852. For a one-to-one iliocapsularis-to-rectus-femoris ratio, the PPV was 89% (95% confidence interval [CI], 73%-96%) for cross-sectional area, 77% (95% CI, 61%-88%) for thickness, 83% (95% CI, 67%-92%) for width, and 82% (95% CI, 67%-91%) for circumference. CONCLUSIONS The iliocapsularis-to-rectus-femoris ratio seems to be a valuable secondary sign of DDH. This parameter can be used as an adjunct for clinical decision-making in hips with borderline hip dysplasia and a concomitant cam-type deformity to identify the predominant pathology. Future studies will need to prove this finding can help clinicians determine whether the borderline dysplasia accounts for the hip symptoms with which the patient presents. LEVEL OF EVIDENCE Level III, prognostic study.

Eine Ra-Anbeterin im Hause Abrahams

Sidon

Die wirtschaftlichen Verhältnisse in Palästina und der orientalischen Diaspora im 2. bis 6. Jahrhundert der christlichen Ära

Simon Dubnow

Mivḥar ha-shirah ha-ʿIvrit : le-mi-yom ḥatom ketave ha-ḳodesh ʿad-gelot Yiśraʾel me-ʿal adamat Sefarad bi-shenat 5252

arukh u-metukan ʿal-yede Ḥayim Berodi ... Meʾir Ṿiner

Ha-zofeh le-vet Yiśraʼel : we-nispeḥu ʼelaw miktavim ʼigrot we-sirimwî Lêṭêrîs

Übers. d. Hauptsacht.: Der Beobachter des Hauses Israel

Miḳraʾot ḳeṭanot tarja ''g mitsṿot ha-Torah : 613 Gesetze der Mosaischen Lehre. Im Originaltexte u. dt. Übers. nach d. von Zunz rev. Bibel ...

von Ignatz Großmann

Sefer ṭaʿame ha-miḳra seu institutiones Accentuationis Hebrææ, tabulis mnemonicis hinc inde illustratæ : [et] Variis Scripturæ S. Exemplis comprobatæ, Ad majorem lucem Verbo Divino conciliandam [et] Orthodoxiam nostram contra Heterodoxos inprimis contra Judæos facilius defendandam, methodo Wasmuthiana adornatæ

autore M. Henrico Opitio

Sefer Metiv Safah : kolel ha-seliḥot la-yamim ha-noraʾim ke-fi minhage bene Yiśraʾel ha-shonim ...

me-et Refaʾel b"r Yiśraʾel Firśṭenṭhal