1 / 15

The Hip

The Hip. Differential Diagnosis & Treatment Mazyad Alotaibi. Capsular Lesions. Most loss of medial rotation Less of flexion and abduction Least of extension. Osteoarthritis. OA most common joint disorder Risk factors – family history, obesity, injury, occupation, elite athletes

markgriffin
Télécharger la présentation

The Hip

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Hip Differential Diagnosis & Treatment Mazyad Alotaibi

  2. Capsular Lesions • Most loss of medial rotation • Less of flexion and abduction • Least of extension

  3. Osteoarthritis • OA most common joint disorder • Risk factors – family history, obesity, injury, occupation, elite athletes • A- joint space narrowing • B- marginal osteophytes • C- marginal sclerosis • D- cystic changes in the head of the acetabulum

  4. Osteoarthritis • Treatment • Stage 1) heat + slow stretches into MR, ext, abd and flex • +hep • Stage 2) steriod injec + rest • Stage 3) surgery

  5. Non capsular

  6. Loose Body • Pain on lat rot with abd or flex with springy end feel • Twinges of pain • Refer to surgeon for opinion re: EUA

  7. Contractile lesions

  8. Hamstrings, adductor longus and rectus femoris • Resisted test painful • Sudden onset – overstreching • Hams and rec fem due to combined movts over 2 joints • Hamstrings • Rectus Femoris • Adductor Longus • Treatment – deep friction and rest or steriod injec and rest

  9. Bursa

  10. Trochanteric Bursitis • Resisted hip abd in side lying • Direct trauma • Treatment – injec or electrotherapy + rest

  11. Psoas Bursitis • Test with passive flex 90 degrees and add • Also resisted hip flex • Overuse • Occasional trauma • Treatement –injec or electrotherapy + rest

  12. Gluteal Bursitis • Pain on passive flexion, add and abduction • Pain on resisted abduction and extension • Sup and post to trochanter • Overuse • Treatment – injec or electrotherapy + rest

  13. Sign of the Buttock • Indicates possible neoplasm, abcess, fracture, osteomyelitis, sepsis • Pain on: trunk flexion passive hip flex with empty end feel SLR resisted hip movements

  14. Groin Pain

  15. Groin Pain • Psoas bursa • Sportsman’s Hernia • OA Hip, perthes disease, loose body • L3 • Ref from SIJ • Osteitis pubis • Slipped epiphysis • Gynae/ genito urinary

More Related